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Direct Test For Pneumocystis Pneumonia

Oregon rates for HCPCS 87281

A laboratory test that looks directly for Pneumocystis, a fungus that causes serious pneumonia in people whose immune systems are weakened, in a sample of sputum or fluid washed from the lungs. Antibodies tagged with a fluorescent dye attach to the organism, making it visible under a special microscope. It gives a rapid answer because this organism cannot be grown in ordinary culture.

Rates data updated October 2026.

How much does Direct Test For Pneumocystis Pneumonia cost?

$14.45

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $17.78 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$13.18$11.22 to $16.60
FacilityA hospital or hospital-owned outpatient department$17.78$12.59 to $23.99

How much rates vary

Facilitymedian $18 · 10th to 90th $12 to $42Professionalmedian $13 · 10th to 90th $5 to $25
$10$20$50facility $18professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$53.70
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$11.75
Typical High
$14.45
Cigna
Setting
Facility
Modifier
None
Typical Low
$19.50
Median
$33.11
Typical High
$48.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$13.49
Typical High
$21.88
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$30.20
Typical High
$35.48
Moda Health
Setting
Facility
Modifier
None
Typical Low
$11.75
Median
$12.02
Typical High
$53.70
Moda Health
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$12.02
Typical High
$19.95
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$12.02
Median
$15.14
Typical High
$23.99
Pacific Source
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Providence
Setting
Facility
Modifier
None
Typical Low
$11.48
Median
$18.62
Typical High
$48.98
Providence
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$14.45
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$23.99
Median
$41.69
Typical High
$53.70
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$8.91
Median
$10.23
Typical High
$15.14
United
Setting
Facility
Modifier
None
Typical Low
$14.45
Median
$17.78
Typical High
$19.05
United
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$6.92
Typical High
$14.45

Where Oregon sits

The same service costs 4.5 times more in Kansas than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Oregon· 17th of 51

$14.45

KS $38.02NJ $8.51

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.