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

Tuberculosis test with rifampin resistance check

CPT 87564the billing code this page is about

A laboratory test that amplifies genetic material to detect tuberculosis bacteria in a sample and at the same time looks for gene changes linked to resistance to the drug rifampin.

Hospitals typically charge $185 cash for this outpatient procedure — the median across 1,134 hospitals that filed a usable cash price; the average of the middle 60% is $198. Most fall between $105 and $345 (20th–80th percentile).

Hospitals
1,134
States
48
Filings dated
Feb 2025 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 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 1,134 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
$75$118$185$307$534

The most expensive tenth of hospitals charges at least 7.1× what the cheapest tenth charges ($75 vs $534).

How the prices are spread

$52 – $69: 28 hospitals$52$69 – $91: 89 hospitals$91 – $120: 121 hospitals$91$120 – $159: 141 hospitals$159 – $211: 223 hospitals$159$211 – $279: 158 hospitals$279 – $369: 108 hospitals$279$369 – $488: 73 hospitals$488 – $646: 53 hospitals$488$646 – $855: 34 hospitals$646median $185price bands are equal on a log scale
Hospitals per price band (1,028 of 1,134 — the bands cover the 5th to 95th percentile)
FromToHospitals
$52$6928
$69$9189
$91$120121
$120$159141
$159$211223
$211$279158
$279$369108
$369$48873
$488$64653
$646$85534

By state

The median cash price in each state, against the national median of $185.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $179 across 14 hospitalsME$179Vermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $171 across 25 hospitalsWA$171Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: median $336 across 35 hospitalsMN$336Illinois: median $216 across 40 hospitalsIL$216Wisconsin: median $204 across 52 hospitalsWI$204Michigan: median $100 across 30 hospitalsMI$100New York: median $102 across 35 hospitalsNY$102Massachusetts: median $238 across 24 hospitalsMA$238Oregon: median $166 across 13 hospitalsOR$166Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $82 across 23 hospitalsIA$82Indiana: median $115 across 24 hospitalsIN$115Ohio: median $185 across 72 hospitalsOH$185Pennsylvania: median $307 across 65 hospitalsPA$307New Jersey: median $77 across 31 hospitalsNJ$77Connecticut: 9 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $164 across 36 hospitalsCA$164Utah: median $156 across 30 hospitalsUT$156Colorado: median $176 across 15 hospitalsCO$176Nebraska: median $124 across 11 hospitalsNE$124Missouri: median $200 across 27 hospitalsMO$200Kentucky: median $230 across 19 hospitalsKY$230West Virginia: median $165 across 19 hospitalsWV$165Virginia: median $205 across 50 hospitalsVA$205Maryland: median $384 across 24 hospitalsMD$384Delaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $209 across 11 hospitalsAZ$209New Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $77 across 11 hospitalsKS$77Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $133 across 50 hospitalsTN$133North Carolina: median $367 across 42 hospitalsNC$367South Carolina: median $230 across 32 hospitalsSC$230Oklahoma: median $200 across 13 hospitalsOK$200Louisiana: median $161 across 13 hospitalsLA$161Mississippi: median $58 across 15 hospitalsMS$58Alabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $124 across 44 hospitalsGA$124Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $274 across 76 hospitalsTX$274Florida: median $231 across 49 hospitalsFL$231
Cash price by state, most expensive first. National median $185. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Maryland MD24$384+108%$150 – $690
North Carolina NC42$367+98%$149 – $1,398
Minnesota MN35$336+82%$75 – $413
Pennsylvania PA65$307+66%$147 – $540
Texas TX76$274+48%$212 – $384
Massachusetts MA24$238+29%$104 – $304
Florida FL49$231+25%$94 – $495
South Carolina SC32$230+25%$142 – $855
Kentucky KY19$230+24%$155 – $595
Illinois IL40$216+17%$148 – $271
Arizona AZ11$209+13%$76 – $921
Virginia VA50$205+11%$115 – $493
Wisconsin WI52$204+10%$118 – $270
Missouri MO27$200+8%$172 – $271
Oklahoma OK13$200+8%$143 – $389
Ohio OH72$1850%$139 – $301
Maine ME14$179−4%$122 – $263
Colorado CO15$176−5%$116 – $222
Washington WA25$171−8%$150 – $228
Oregon OR13$166−10%$166 – $244
West Virginia WV19$165−11%$165 – $175
California CA36$164−11%$110 – $164
Louisiana LA13$161−13%$57 – $286
Utah UT30$156−16%$133 – $156
Tennessee TN50$133−28%$35 – $280
Georgia GA44$124−33%$108 – $428
Nebraska NE11$124−33%$104 – $416
Indiana IN24$115−38%$86 – $353
New York NY35$102−45%$77 – $207
Michigan MI30$100−46%$88 – $106
Iowa IA23$82−56%$74 – $210
Kansas KS11$77−58%$21 – $230
New Jersey NJ31$77−59%$44 – $157
Mississippi MS15$58−69%$51 – $92
Connecticut CT9not enough hospitals filed a usable price
Idaho ID9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Wyoming WY1not 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 $185.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care968$185$102 – $353
Children’s14fewer than 20 hospitals
Critical access145$194$124 – $336
Ownership
For-profit137$230$116 – $537
Government105$161$84 – $453
Non-profit885$184$105 – $336
System affiliation
Part of a system1,052$185$105 – $345
Independent82$209$99 – $398

Cash price vs list price

Median list price (chargemaster)$316
Median cash price$185
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

823 hospitals filed a usable inpatient cash price for this code. The median is $185 and the average of the middle 60% is $197; most fall between $107 and $345.

Cash price percentiles, inpatient, across 823 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
$75$118$185$297$493

The most expensive tenth of hospitals charges at least 6.6× what the cheapest tenth charges ($75 vs $493).

Of the 904 hospitals that filed this code inpatient, 823 gave a usable cash price; 37 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 44 a list price only.

How complete is this

1,134 of the 3,956 hospitals with a price file in our corpus (29%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,237 hospitals that filed this code at all gave us
Usable cash price — counted1,134
Cash price carrying a plausibility flag — shown on the compare tool, excluded here57
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 — excluded45
Hospitals that filed this code1,237

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 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 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 HC M TB Amplified Probe.

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, “Tuberculosis test with rifampin resistance check (CPT 87564) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-87564-tuberculosis-test-with-rifampin-resistance-check