0121A

Adm sarscv2 bvl 30mcg/.3ml 1

Medicare pricing data for 8,276 providers across 52 states

🤖AI Overview

Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Adm sarscv2 bvl 30mcg/.3ml 1 (HCPCS code 0121A) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $41.94, but hospitals typically charge $62.12 — a 1.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$8.39

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $41.94, your out-of-pocket cost would be approximately $8.39. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$41.94
Average Hospital Charge
$62.12
Markup Ratio
1.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$62.12
Medicare Allowed$41.94
Medicare Payment$41.94

Hospitals charge 1.5x more than what Medicare allows for this procedure. Medicare actually pays $41.94 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$48$661219+15.0%
New York$46$603842,241+9.4%
District of Columbia$46$5831184+9.3%
California$45$627525,475+7.3%
Massachusetts$45$634182,853+6.9%
New Jersey$45$58199924+6.4%
Maryland$44$59201996+5.8%
Connecticut$43$60121441+3.3%
Hawaii$43$5735372+1.8%
Illinois$43$632761,098+1.4%
Rhode Island$42$5828143+0.4%
Virginia$42$57201999-0.4%
New Hampshire$41$6386639-1.8%
Colorado$41$86105511-1.8%
Nevada$41$6290363-2.4%
Delaware$41$611347-2.6%
Washington$41$64289901-2.6%
Pennsylvania$41$594431,664-2.7%
Texas$41$594701,622-2.9%
Puerto Rico$41$571147-3.0%
Florida$41$586272,375-3.1%
Oregon$41$5268228-3.1%
Georgia$41$58209705-3.2%
Idaho$41$8851389-3.3%
Michigan$40$53147336-4.3%
Maine$40$5841143-4.5%
Montana$40$612592-4.6%
Vermont$40$5315189-5.3%
Minnesota$40$764071,017-5.5%
Missouri$40$59114396-5.5%
Wyoming$40$54927-5.6%
Arizona$39$60165811-6.0%
North Dakota$39$674283-6.5%
Ohio$39$60252738-6.7%
New Mexico$39$5929198-7.1%
North Carolina$39$582551,051-7.2%
West Virginia$39$563384-7.4%
Utah$39$5867149-7.6%
South Dakota$39$661938-7.7%
South Carolina$39$6296305-8.0%
Wisconsin$38$73289750-8.6%
Oklahoma$38$6062189-8.8%
Louisiana$38$5781176-8.9%
Indiana$38$59218608-9.0%
Kansas$38$5579242-9.1%
Kentucky$38$78176639-9.2%
Alabama$38$5973180-9.4%
Iowa$38$74170460-9.6%
Tennessee$38$66146367-9.6%
Nebraska$38$5768190-9.8%
Mississippi$37$5944107-10.8%
Arkansas$37$803372-11.5%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber