Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected
Medicare pricing data for 9,590 providers across 51 states
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
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected (HCPCS code 0241U) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $138.72, but hospitals typically charge $288.21 — a 2.1x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $138.72, your out-of-pocket cost would be approximately $27.74. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.1x more than what Medicare allows for this procedure. Medicare actually pays $138.72 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $140 | $214 | 30 | 764 | +0.8% |
| District of Columbia | $140 | $248 | 2 | 20 | +0.8% |
| Maine | $140 | $257 | 16 | 34 | +0.8% |
| Montana | $140 | $284 | 20 | 157 | +0.8% |
| New Hampshire | $140 | $171 | 61 | 435 | +0.8% |
| Massachusetts | $140 | $538 | 70 | 2,452 | +0.6% |
| Arkansas | $140 | $266 | 54 | 430 | +0.6% |
| Vermont | $139 | $276 | 18 | 1,134 | +0.5% |
| Connecticut | $139 | $657 | 144 | 1,959 | +0.5% |
| New York | $139 | $347 | 560 | 9,822 | +0.4% |
| Wyoming | $139 | $258 | 54 | 499 | +0.4% |
| Georgia | $139 | $278 | 371 | 7,540 | +0.4% |
| Pennsylvania | $139 | $287 | 641 | 6,857 | +0.4% |
| Rhode Island | $139 | $313 | 13 | 531 | +0.4% |
| California | $139 | $285 | 262 | 3,716 | +0.4% |
| Arizona | $139 | $281 | 61 | 380 | +0.3% |
| Michigan | $139 | $251 | 105 | 851 | +0.3% |
| Minnesota | $139 | $312 | 340 | 1,329 | +0.3% |
| West Virginia | $139 | $302 | 87 | 893 | +0.3% |
| Florida | $139 | $307 | 305 | 6,344 | +0.3% |
| New Jersey | $139 | $299 | 245 | 6,938 | +0.3% |
| South Dakota | $139 | $267 | 96 | 1,312 | +0.3% |
| Texas | $139 | $269 | 382 | 12,491 | +0.3% |
| Kentucky | $139 | $219 | 75 | 1,172 | +0.2% |
| Ohio | $139 | $272 | 324 | 2,061 | +0.2% |
| North Carolina | $139 | $239 | 644 | 9,585 | +0.2% |
| North Dakota | $139 | $472 | 82 | 952 | +0.2% |
| Kansas | $139 | $274 | 177 | 2,008 | +0.2% |
| Nebraska | $139 | $190 | 65 | 594 | +0.1% |
| Virginia | $139 | $289 | 297 | 5,180 | +0.1% |
| Utah | $139 | $175 | 205 | 3,335 | +0.1% |
| Iowa | $139 | $234 | 211 | 2,400 | +0.0% |
| Colorado | $139 | $270 | 538 | 6,630 | +0.0% |
| Illinois | $139 | $277 | 593 | 8,317 | -0.0% |
| Oklahoma | $139 | $289 | 92 | 962 | -0.0% |
| Louisiana | $139 | $259 | 239 | 4,483 | -0.1% |
| Maryland | $138 | $282 | 130 | 4,015 | -0.3% |
| Indiana | $138 | $189 | 19 | 372 | -0.3% |
| South Carolina | $138 | $272 | 188 | 10,184 | -0.4% |
| Missouri | $138 | $343 | 139 | 624 | -0.5% |
| Alaska | $138 | $313 | 76 | 507 | -0.5% |
| Wisconsin | $138 | $335 | 422 | 4,490 | -0.5% |
| Mississippi | $138 | $263 | 71 | 1,234 | -0.7% |
| Tennessee | $138 | $269 | 241 | 2,071 | -0.7% |
| Oregon | $137 | $279 | 136 | 961 | -1.0% |
| New Mexico | $137 | $278 | 17 | 536 | -1.1% |
| Nevada | $137 | $401 | 136 | 1,781 | -1.3% |
| Hawaii | $137 | $254 | 18 | 394 | -1.5% |
| Alabama | $136 | $229 | 352 | 5,842 | -2.0% |
| Washington | $135 | $231 | 150 | 1,082 | -2.5% |
| Idaho | $135 | $222 | 14 | 111 | -2.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber