0134A

Adm sarscv2 bvl 50mcg/.5ml a

Medicare pricing data for 36,539 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 50mcg/.5ml a (HCPCS code 0134A) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $41.15, but hospitals typically charge $65.49 — a 1.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$8.23

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $41.15, your out-of-pocket cost would be approximately $8.23. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$41.15
Average Hospital Charge
$65.49
Markup Ratio
1.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$65.49
Medicare Allowed$41.15
Medicare Payment$41.15

Hospitals charge 1.6x more than what Medicare allows for this procedure. Medicare actually pays $41.15 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$46$61762,126+11.2%
Alaska$45$621012,679+8.8%
Massachusetts$44$6384237,487+8.0%
New York$44$671,86639,273+7.6%
California$44$613,271100,909+7.0%
New Jersey$44$6899522,402+6.6%
Maryland$43$701,20324,160+5.2%
Connecticut$43$634448,324+4.7%
Idaho$43$9922062,932+3.6%
Hawaii$42$5816011,487+3.2%
Rhode Island$42$631373,239+1.5%
Illinois$42$7195727,674+1.0%
Washington$41$6393520,467+0.4%
Colorado$41$9248339,070+0.0%
New Hampshire$41$571513,649-0.7%
Virginia$41$611,10627,284-1.0%
Delaware$41$681284,087-1.4%
Puerto Rico$41$9089900-1.4%
Pennsylvania$40$591,86833,578-1.7%
Montana$40$63842,358-2.1%
Nevada$40$662274,992-2.2%
Michigan$40$591,32218,208-2.7%
Texas$40$632,68340,068-2.8%
Florida$40$522,12060,992-3.3%
Vermont$40$55581,252-3.5%
Minnesota$40$671,07513,433-4.0%
North Dakota$40$67971,117-4.0%
Oregon$39$565568,662-4.1%
Arizona$39$7056014,820-4.4%
Maine$39$552132,643-4.7%
New Mexico$39$702046,442-4.9%
Ohio$39$591,49220,708-5.0%
Missouri$39$5963510,766-5.3%
South Dakota$39$501211,613-5.3%
Georgia$39$501,19616,615-5.3%
North Carolina$39$601,35925,014-5.9%
South Carolina$39$5576513,122-6.3%
West Virginia$38$712081,846-6.5%
Louisiana$38$614484,655-6.5%
Wyoming$38$48731,434-7.2%
Indiana$38$5856911,525-7.4%
Wisconsin$38$7477414,278-7.9%
Iowa$38$5054610,134-8.0%
Kentucky$38$595185,249-8.0%
Tennessee$38$6479011,678-8.1%
Kansas$38$514167,866-8.1%
Nebraska$38$632234,308-8.1%
Alabama$38$526514,891-8.2%
Utah$38$472822,461-8.6%
Oklahoma$37$574487,893-9.0%
Mississippi$37$623163,850-9.4%
Arkansas$37$624466,195-10.0%

⚠️ 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