Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
Medicare pricing data for 52,518 providers across 52 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
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS code 87426) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.36, but hospitals typically charge $96.86 — a 2.8x 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 $34.36, your out-of-pocket cost would be approximately $6.87. 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 2.8x more than what Medicare allows for this procedure. Medicare actually pays $34.36 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Vermont | $35 | $104 | 61 | 764 | +0.6% |
| North Carolina | $35 | $66 | 2,298 | 86,716 | +0.5% |
| Pennsylvania | $35 | $75 | 1,283 | 19,301 | +0.5% |
| Puerto Rico | $35 | $46 | 458 | 6,142 | +0.5% |
| Connecticut | $35 | $99 | 539 | 6,431 | +0.4% |
| New Jersey | $35 | $103 | 1,681 | 51,926 | +0.4% |
| Colorado | $34 | $90 | 686 | 3,958 | +0.4% |
| New York | $34 | $104 | 2,761 | 105,045 | +0.3% |
| Illinois | $34 | $118 | 1,406 | 28,957 | +0.3% |
| Missouri | $34 | $125 | 837 | 7,086 | +0.3% |
| New Hampshire | $34 | $83 | 328 | 3,930 | +0.3% |
| South Dakota | $34 | $85 | 85 | 621 | +0.3% |
| North Dakota | $34 | $102 | 62 | 551 | +0.2% |
| Texas | $34 | $111 | 5,648 | 86,787 | +0.2% |
| Florida | $34 | $96 | 3,372 | 67,731 | +0.2% |
| West Virginia | $34 | $79 | 383 | 6,004 | +0.2% |
| Massachusetts | $34 | $113 | 1,191 | 13,522 | +0.1% |
| Minnesota | $34 | $102 | 270 | 1,357 | +0.1% |
| Iowa | $34 | $95 | 554 | 4,364 | 0.0% |
| Montana | $34 | $95 | 127 | 1,183 | 0.0% |
| Wisconsin | $34 | $112 | 547 | 3,560 | 0.0% |
| District of Columbia | $34 | $161 | 199 | 1,925 | -0.0% |
| Idaho | $34 | $72 | 182 | 773 | -0.0% |
| Kansas | $34 | $92 | 558 | 5,507 | -0.0% |
| South Carolina | $34 | $119 | 958 | 19,359 | -0.0% |
| Wyoming | $34 | $87 | 132 | 1,696 | -0.1% |
| Maryland | $34 | $113 | 1,619 | 34,524 | -0.1% |
| Arkansas | $34 | $87 | 965 | 15,750 | -0.1% |
| Indiana | $34 | $95 | 1,533 | 16,425 | -0.1% |
| Michigan | $34 | $81 | 1,386 | 20,319 | -0.1% |
| Ohio | $34 | $91 | 1,703 | 16,752 | -0.1% |
| Utah | $34 | $99 | 245 | 1,376 | -0.1% |
| Virginia | $34 | $96 | 2,161 | 38,468 | -0.2% |
| California | $34 | $119 | 2,763 | 49,705 | -0.2% |
| Nevada | $34 | $107 | 334 | 2,740 | -0.2% |
| Georgia | $34 | $111 | 2,103 | 43,957 | -0.3% |
| Rhode Island | $34 | $81 | 189 | 3,024 | -0.3% |
| Tennessee | $34 | $88 | 1,667 | 28,762 | -0.3% |
| New Mexico | $34 | $108 | 281 | 6,443 | -0.4% |
| Maine | $34 | $63 | 132 | 1,083 | -0.5% |
| Mississippi | $34 | $85 | 1,041 | 28,492 | -0.5% |
| Delaware | $34 | $66 | 179 | 2,477 | -0.5% |
| Nebraska | $34 | $93 | 387 | 2,782 | -0.5% |
| Washington | $34 | $101 | 654 | 5,169 | -0.6% |
| Oklahoma | $34 | $101 | 1,082 | 21,023 | -0.6% |
| Arizona | $34 | $85 | 1,250 | 11,007 | -0.7% |
| Louisiana | $34 | $100 | 853 | 11,616 | -0.8% |
| Alabama | $34 | $70 | 1,049 | 22,043 | -0.9% |
| Kentucky | $34 | $75 | 1,583 | 23,796 | -1.1% |
| Oregon | $34 | $105 | 480 | 4,315 | -1.7% |
| Hawaii | $34 | $88 | 142 | 1,407 | -2.1% |
| Alaska | $33 | $95 | 91 | 813 | -4.7% |
⚠️ 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