Average Medicaid Culture & Microbiology Tests Payments in San Jose, CA: $2.47
Avg. Paid
$2.47
Range
$0.00 – $41.65
Total Claims
125,486
Providers
32
Typical Payment Range
Typical Medicaid Culture & Microbiology Tests payments fall between $3.29 and $8.84 per claim (median: $5.68). The top 10% of payments exceed $14.70.
Based on per-provider averages across all Medicaid claims in this category.
Laboratory tests that grow and identify bacteria, fungi, and other microorganisms from specimens to diagnose infections and guide antibiotic treatment.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Culture & Microbiology Tests in San Jose, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
County Of Santa Clara
751 S. Bascom Avenue |
$1.91 | 103,117 | 91,721 |
|
Gerald A Weiss
225 N Jackson Ave |
$0.64 | 11,278 | 10,426 |
|
San Jose Healthcare System, L.P.
225 N Jackson Ave |
$3.89 | 5,464 | 5,279 |
|
O'Connor Hospital
2105 Forest Ave |
$41.65 | 1,253 | 1,211 |
|
Good Samaritan Hospital, L.P.
2425 Samaritan Dr |
$23.01 | 1,011 | 984 |
|
Physicians Medical Group Of San Jose Inc
2304 Zanker Road |
$0.00 | 758 | 720 |
|
Elizabeth Cape
151 Briar Ridge Dr |
$5.30 | 358 | 358 |
|
Sofia Mahari
751 S Bascom Ave |
$2.08 | 356 | 344 |
|
Santa Clara Valley Medical Center
751 S Bascom Ave |
$0.04 | 248 | 232 |
|
Unilab Corporation
2369 Bering Dr |
$6.60 | 241 | 235 |
|
Shannon Dockham
554 Blossom Hill Rd |
$4.62 | 200 | 136 |
|
James Saunders
124 Boston Ave |
$9.22 | 146 | 141 |
|
William Albert Stone
225 N Jackson Ave |
$8.38 | 130 | 128 |
|
Joy Lynn Brown
751 S Bascom Ave |
$1.09 | 128 | 93 |
|
Rae-Pei Cherng
751 S Bascom Ave |
$1.85 | 91 | 89 |
|
Thuong-Thuong Nguyen
750 S Bascom Ave Ste 300 |
$1.45 | 90 | 83 |
|
Vladimir G. Skorokhod
1375 Blossom Hill Rd |
$1.06 | 80 | 79 |
|
Harleen Kaur Sahni
751 S Bascom Ave |
$13.29 | 77 | 48 |
|
Jana Lynn Mannan
500 Tully Rd |
$1.20 | 70 | 69 |
|
Jacqueline Fr Lou
751 S Bascom Ave |
$1.49 | 59 | 56 |
|
Judith Agudo Galario
455 Oconnor Dr Ste 250 |
$0.51 | 53 | 52 |
|
Mary Kathryn Stark
1691 The Alameda |
$3.70 | 43 | 43 |
|
Melissa Carlson
1432 W San Carlos St |
$12.65 | 34 | 29 |
|
San Jose Healthcare System, L.P.
225 N Jackson Ave |
$0.00 | 29 | 24 |
|
Sandeep Kaur Sivia
1691 The Alameda |
$0.00 | 28 | 28 |
|
Melissa Clarice Komrosky
2400 Moorpark Ave |
$0.00 | 28 | 28 |
|
Kaiser Foundation Hospitals
250 Hospital Pkwy |
$1.49 | 27 | 26 |
|
Sean Kanakaraj
751 South Bascom Ave |
$0.89 | 25 | 25 |
|
County Of Santa Clara
1993 Mckee Rd |
$0.00 | 24 | 24 |
|
Cheryl Pan
750 S Bascom Ave |
$2.22 | 15 | 15 |
|
Abraham Cabico Cabebe
5440 Thornwood Dr |
$0.00 | 13 | 12 |
|
Anitha Gaddipati
150 W Hedding St |
$0.45 | 12 | 12 |
What to Expect: Culture & Microbiology Tests
A specimen is collected (swab, blood, urine, etc.) and sent to the lab where it's placed in a growth medium. Results for rapid tests (like strep) are available in minutes. Standard cultures take 24-72 hours. Sensitivity testing (determining which antibiotics will work) takes an additional day. Your doctor may start treatment before results are available.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 87081 | Bacterial culture screen | $6.09 | 17,067,723 | 13,148 |
| 87070 | Bacterial culture any source | $7.92 | 16,974,753 | 10,129 |
| 87186 | Susceptibility MIC per agent | $4.81 | 16,618,129 | 4,454 |
| 87077 | Bacterial culture aerobic ID | $5.04 | 14,909,874 | 4,673 |
| 87205 | Gram stain smear primary | $2.40 | 4,994,833 | 2,839 |
| 87210 | Wet mount infectious agent | $5.11 | 4,712,262 | 6,976 |
| 87147 | Culture typing immunologic | $3.18 | 2,451,709 | 1,203 |
| 87150 | Culture typing nucleic pulse | $30.04 | 1,606,021 | 729 |
| 87075 | Bacterial culture anaerobic ID | $5.59 | 1,503,203 | 1,156 |
| 87184 | Susceptibility disk method | $4.38 | 1,443,783 | 653 |
| 87177 | Ova/parasite smear | $4.80 | 1,206,576 | 603 |
| 87209 | Smear complex stain ova/para | $9.06 | 1,133,525 | 393 |
| 87102 | Fungal culture other | $4.97 | 525,252 | 550 |
| 87206 | Smear fluorescent/acid fast | $2.77 | 350,856 | 384 |
| 87101 | Fungal culture skin | $4.04 | 296,460 | 164 |
| 87110 | Chlamydia culture | $8.71 | 248,967 | 475 |
| 87116 | Mycobacterial culture | $4.86 | 198,775 | 320 |
| 87076 | Bacterial culture anaerobic def | $6.97 | 168,632 | 188 |
| 87071 | Bacterial culture quantitative | $5.89 | 121,148 | 208 |
| 87106 | Fungal culture definitive ID | $4.99 | 116,838 | 169 |
| 87181 | Susceptibility per organism | $3.38 | 94,626 | 147 |
| 87185 | Susceptibility enzyme detect | $2.79 | 89,528 | 151 |
| 87149 | Culture typing nucleic acid | $12.60 | 53,774 | 97 |
| 87140 | Culture typing fluorescent | $3.35 | 43,147 | 59 |
| 87158 | Culture typing other methods | $4.86 | 37,576 | 21 |
| 87207 | Smear special stain | $5.06 | 25,167 | 89 |
| 87176 | Homogenization tissue culture | $2.19 | 19,563 | 81 |
| 87073 | Bacterial culture anaerobic | $2.91 | 15,495 | 39 |
| 87143 | Culture typing gas chromat | $5.93 | 12,219 | 5 |
| 87169 | Macroscopic exam parasite | $7.88 | 8,524 | 5 |
| 87168 | Macroscopic exam arthropod | $1.59 | 7,301 | 17 |
| 87187 | Susceptibility microtiter MIC | $20.40 | 4,651 | 7 |
| 87172 | Pinworm exam | $2.20 | 4,534 | 12 |
| 87188 | Susceptibility MIC macrobroth | $1.23 | 3,056 | 3 |
| 87190 | Susceptibility mycobacterial | $1.92 | 775 | 4 |
| 87164 | Dark field examination | $10.31 | 707 | 3 |
| 87153 | Culture typing additional | $47.98 | 459 | 3 |
| 87152 | Culture typing identification | — | — | — |
| 87166 | Dark field examination | — | — | — |
| 87197 | Susceptibility serum bactericid | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Culture & Microbiology Tests cost in San Jose, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Culture & Microbiology Tests in San Jose, CA is $2.47 per claim, based on 125,486 claims from 32 providers. Typical payments fall between $3.29 and $8.84. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Culture & Microbiology Tests in San Jose, CA?
There are 32 Medicaid providers offering Culture & Microbiology Tests related services in San Jose, CA according to public payment data.
What is the price range for Culture & Microbiology Tests in San Jose, CA?
Medicaid reimbursement for Culture & Microbiology Tests in San Jose, CA ranges from $0.00 to $41.65 per claim, with an average of $2.47. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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