Average Medicaid Culture & Microbiology Tests Payments in Simpsonville, SC: $29.90
Avg. Paid
$29.90
Range
$4.33 – $62.25
Total Claims
17,822
Providers
18
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 Simpsonville, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Prisma Health-Upstate
729 Se Main St |
$36.89 | 13,639 | 12,736 |
|
Michael R Rupp
408 Se Main Street |
$7.31 | 2,722 | 2,603 |
|
Ashleigh Brooke Gardner
211 Batesville Rd |
$5.47 | 336 | 317 |
|
Todd A Roemmich
312 Harrison Bridge Rd |
$6.05 | 252 | 244 |
|
Carole Irene Mercer
312 Harrison Bridge Rd |
$5.46 | 236 | 226 |
|
Jennifer Morrison Heegard
211 Batesville Rd |
$5.77 | 142 | 134 |
|
Erika Anderson
211 Batesville Rd |
$5.59 | 131 | 123 |
|
Scott Dobson
211 Batesville Rd |
$6.04 | 93 | 90 |
|
Lauren Nicole Griffin
1409 W Georgia Rd Ste A |
$4.75 | 53 | 53 |
|
Kathryn Kendall Huguley
211 Batesville Rd |
$6.59 | 45 | 45 |
|
Ashley Lucas Clark
727 Se Main St |
$5.98 | 41 | 41 |
|
Arvin Raheja
210 Ladean Ct |
$4.34 | 35 | 34 |
|
Greenville Health System
729 Se Main St |
$62.25 | 29 | 28 |
|
Rebecca Woodlief
211 Batesville Rd |
$5.55 | 15 | 13 |
|
Caroline H. Atkins
211 Batesville Rd |
$7.24 | 15 | 15 |
|
Joni Marie Coker
1409 W Georgia Rd Ste D |
$4.74 | 14 | 12 |
|
Kevin Anthony Springle
1409 W Georgia Rd Ste A |
$6.22 | 12 | 12 |
|
Meghann Samantha Glenn
1409 W Georgia Rd Ste A |
$4.33 | 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 Simpsonville, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Culture & Microbiology Tests in Simpsonville, SC is $29.90 per claim, based on 17,822 claims from 18 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 Simpsonville, SC?
There are 18 Medicaid providers offering Culture & Microbiology Tests related services in Simpsonville, SC according to public payment data.
What is the price range for Culture & Microbiology Tests in Simpsonville, SC?
Medicaid reimbursement for Culture & Microbiology Tests in Simpsonville, SC ranges from $4.33 to $62.25 per claim, with an average of $29.90. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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