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#692 of 11K

87081

Culture screening for pathogenic organisms

Culture screening for pathogenic organisms is the #692 most-billed Medicaid procedure code, with $103.9M in payments across 17.1M claims from 2018–2024. The national median cost per claim is $5.09. Costs vary widely — the 90th percentile is $13.96 per claim, 2.7× the median.

Total Paid

$103.9M

0.01% of all spending

Total Claims

17.1M

Providers

5K

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 87081? Based on 4K providers billing this code nationally.

Median

$5.09

Average

$9.04

Std Dev

$24.15

Max

$605.73

Percentile Distribution (Cost per Claim)

p10
$0.70
p25
$2.48
Median
$5.09
p75
$7.17
p90
$13.96
p95
$28.28
p99
$101.41

50% of providers bill between $2.48 and $7.17 per claim for this code.

90% bill between $0.70 and $13.96.

Top 1% bill above $101.41.

About This Procedure

HCPCS code 87081 (Culture screening for pathogenic organisms) was billed by 5K providers across 17.1M claims, totaling $103.9M in Medicaid payments from 2018–2024. This code was used for 16.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.09

Providers Billing

4K

National Spending

$103.9M

Avg/Median Ratio

1.78×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 87081

#ProviderTotal Paid
1Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$7.8M
2Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$4.1M
3The Children's Mercy Hospital

Kansas City, MO · General Acute Care Hospital Children

$2.5M
4Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$2.2M
5Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$1.8M
61366496937$1.7M
7Southeast Alaska Regional Health Consortium

Sitka, AK · Podiatrist

$1.6M
8Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$1.5M
9Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$1.5M
10Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$1.3M
11Spartanburg Medical Center

Spartanburg, SC · Ambulance

$1.2M
12Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$1.1M
13Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$1.1M
14Laboratory Corporation Of America

Tampa, FL · Clinical Medical Laboratory

$913K
15Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$825K
16Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$795K
17Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$780K
181265418669$745K
19Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$695K
20Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$654K

Showing top 20 of 5K providers billing this code