Average Medicaid Culture & Microbiology Tests Payments in Winchester, VA: $4.68
Avg. Paid
$4.68
Range
$0.00 – $26.23
Total Claims
66,149
Providers
19
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 Winchester, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Winchester Medical Center
1840 Amherst St |
$5.04 | 40,003 | 36,799 |
|
Winchester Medical Center
1840 Amherst St |
$4.25 | 20,548 | 17,930 |
|
Catherine L Mathieu
1840 Amherst St |
$0.72 | 1,432 | 952 |
|
Advanced Health Inc
212 Linden Dr |
$0.92 | 1,097 | 942 |
|
Mounira Dahimene
1002 Amherst St |
$6.68 | 878 | 853 |
|
Bryan Asher Kornreich
1002 Amherst St |
$7.34 | 770 | 756 |
|
Shenandoah Valley Pathology Laboratories Inc
1840 Amherst St |
$0.13 | 517 | 296 |
|
Vicki Simmons Freilich
1002 Amherst St |
$6.78 | 332 | 326 |
|
Philip A Schultz
1002-C Amherst Street |
$7.35 | 128 | 124 |
|
Susan Jane Gawalt
1002 Amherst St |
$6.88 | 80 | 79 |
|
Brianna Renee Maxfield
607 E Jubal Early Dr |
$26.23 | 75 | 73 |
|
Jordan Le Tran
125 Prosperity Dr |
$0.00 | 73 | 41 |
|
Jennifer D Currie
1002-C Amherst Street |
$7.52 | 54 | 53 |
|
Micah Shawn Crouse
1940 Taylor Dr Apt 6 |
$1.11 | 42 | 39 |
|
Pediatric Associates Of Winchester
1002 Amherst St |
$6.07 | 41 | 39 |
|
Leslie S Kidd
1705 Amherst St Ste 203 |
$4.24 | 29 | 27 |
|
Mallory Michelle Trayer
1830 Plaza Dr |
$0.00 | 22 | 12 |
|
Jessica D Edwards
1705 Amherst St Ste 203 |
$4.05 | 15 | 12 |
|
Yekaterina Rabkin
1705 Amherst St Ste 203 |
$3.87 | 13 | 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 Winchester, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Culture & Microbiology Tests in Winchester, VA is $4.68 per claim, based on 66,149 claims from 19 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 Winchester, VA?
There are 19 Medicaid providers offering Culture & Microbiology Tests related services in Winchester, VA according to public payment data.
What is the price range for Culture & Microbiology Tests in Winchester, VA?
Medicaid reimbursement for Culture & Microbiology Tests in Winchester, VA ranges from $0.00 to $26.23 per claim, with an average of $4.68. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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