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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $7.8M |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $4.1M |
| 3 | The Children's Mercy Hospital Kansas City, MO · General Acute Care Hospital Children | $2.5M |
| 4 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $2.2M |
| 5 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $1.8M |
| 6 | 1366496937 | $1.7M |
| 7 | Southeast Alaska Regional Health Consortium Sitka, AK · Podiatrist | $1.6M |
| 8 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $1.5M |
| 9 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $1.5M |
| 10 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $1.3M |
| 11 | Spartanburg Medical Center Spartanburg, SC · Ambulance | $1.2M |
| 12 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $1.1M |
| 13 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $1.1M |
| 14 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $913K |
| 15 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $825K |
| 16 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $795K |
| 17 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $780K |
| 18 | 1265418669 | $745K |
| 19 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $695K |
| 20 | Labone Llc Lenexa, KS · Clinical Medical Laboratory | $654K |
Showing top 20 of 5K providers billing this code