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Procedure price report · Microscopic examination (bacterial smear, culture, toxicology)

DNA test for Borrelia miyamotoi

CPT 87478the billing code this page is about

A laboratory test that amplifies and detects genetic material from the tick-borne bacterium Borrelia miyamotoi in a patient sample.

Hospitals typically charge $95 cash for this outpatient procedure — the median across 725 hospitals that filed a usable cash price; the average of the middle 60% is $105. Most fall between $40 and $231 (20th–80th percentile).

Hospitals
725
States
45
Filings dated
Oct 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 725 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$29$52$95$180$354

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($29 vs $354).

How the prices are spread

$23 – $32: 45 hospitals$23$32 – $44: 79 hospitals$44 – $62: 63 hospitals$44$62 – $85: 119 hospitals$85 – $118: 93 hospitals$85$118 – $164: 88 hospitals$164 – $228: 56 hospitals$164$228 – $315: 50 hospitals$315 – $437: 43 hospitals$315$437 – $606: 18 hospitals$437median $95price bands are equal on a log scale
Hospitals per price band (654 of 725 — the bands cover the 5th to 95th percentile)
FromToHospitals
$23$3245
$32$4479
$44$6263
$62$85119
$85$11893
$118$16488
$164$22856
$228$31550
$315$43743
$437$60618

By state

The median cash price in each state, against the national median of $95.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: median $58 across 22 hospitalsME$58Vermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $40 across 12 hospitalsNH$40Washington: 8 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 3 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $73 across 41 hospitalsMN$73Illinois: median $81 across 20 hospitalsIL$81Wisconsin: median $168 across 27 hospitalsWI$168Michigan: 9 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $62 across 50 hospitalsNY$62Massachusetts: median $118 across 32 hospitalsMA$118Oregon: no hospital in the corpus filed a usable priceORNevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $67 across 25 hospitalsIA$67Indiana: 3 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $844 across 23 hospitalsOH$844Pennsylvania: median $162 across 72 hospitalsPA$162New Jersey: median $39 across 31 hospitalsNJ$39Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $69 across 36 hospitalsCA$69Utah: no hospital in the corpus filed a usable priceUTColorado: median $124 across 15 hospitalsCO$124Nebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $130 across 32 hospitalsMO$130Kentucky: median $254 across 10 hospitalsKY$254West Virginia: median $146 across 22 hospitalsWV$146Virginia: median $62 across 22 hospitalsVA$62Maryland: 8 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $23 across 26 hospitalsAR$23Tennessee: median $62 across 26 hospitalsTN$62North Carolina: median $95 across 10 hospitalsNC$95South Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $140 across 15 hospitalsOK$140Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $28 across 13 hospitalsMS$28Alabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $235 across 23 hospitalsGA$235Hawaii: no hospital in the corpus filed a usable priceHITexas: median $35 across 19 hospitalsTX$35Florida: median $346 across 14 hospitalsFL$346
Cash price by state, most expensive first. National median $95. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH23$844+784%$108 – $928
Florida FL14$346+263%$92 – $346
Kentucky KY10$254+166%$33 – $254
Georgia GA23$235+146%$108 – $235
Wisconsin WI27$168+76%$100 – $354
Pennsylvania PA72$162+70%$53 – $651
West Virginia WV22$146+53%$146 – $146
Oklahoma OK15$140+47%$31 – $158
Missouri MO32$130+36%$113 – $160
Colorado CO15$124+30%$71 – $378
Massachusetts MA32$118+24%$70 – $220
North Carolina NC10$950%$95 – $95
Illinois IL20$81−15%$81 – $114
Minnesota MN41$73−23%$33 – $152
California CA36$69−28%$69 – $184
Iowa IA25$67−30%$67 – $83
New York NY50$62−35%$35 – $171
Tennessee TN26$62−36%$54 – $96
Virginia VA22$62−36%$59 – $255
Maine ME22$58−39%$33 – $91
New Hampshire NH12$40−58%$26 – $126
New Jersey NJ31$39−60%$35 – $40
Texas TX19$35−63%$21 – $35
Mississippi MS13$28−70%$25 – $51
Arkansas AR26$23−76%$23 – $161
Michigan MI9not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
Maryland MD8not enough hospitals filed a usable price
Washington WA8not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Idaho ID3not enough hospitals filed a usable price
Indiana IN3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $95.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care550$92$39 – $235
Children’s11fewer than 20 hospitals
Critical access160$105$49 – $179
Ownership
For-profit46$99$30 – $235
Government84$83$35 – $173
Non-profit591$96$41 – $227
System affiliation
Part of a system655$95$40 – $235
Independent70$94$50 – $193

Cash price vs list price

Median list price (chargemaster)$180
Median cash price$95
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

517 hospitals filed a usable inpatient cash price for this code. The median is $96 and the average of the middle 60% is $115; most fall between $51 and $235.

Cash price percentiles, inpatient, across 517 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$35$62$96$184$407

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($35 vs $407).

Of the 540 hospitals that filed this code inpatient, 517 gave a usable cash price; 11 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 12 a list price only.

How complete is this

725 of the 3,956 hospitals with a price file in our corpus (18%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 747 hospitals that filed this code at all gave us
Usable cash price — counted725
Cash price carrying a plausibility flag — shown on the compare tool, excluded here5
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded16
Hospitals that filed this code747

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Microscopic examination (bacterial smear, culture, toxicology) family.

Hospitals file this code under descriptions such as INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); BORRELIA MIYAMOTOI; AMPLIFIED PROBE TECHNIQUE.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “DNA test for Borrelia miyamotoi (CPT 87478) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-87478-dna-test-for-borrelia-miyamotoi