Analysis test by nucleic acid for hepatitis c virus
Medicare pricing data for 225 providers across 32 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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
Analysis test by nucleic acid for hepatitis c virus (HCPCS code 87902) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $251.00, but hospitals typically charge $750.40 — a 3.0x 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 $251.00, your out-of-pocket cost would be approximately $50.20. 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 3.0x more than what Medicare allows for this procedure. Medicare actually pays $251.00 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $252 | $800 | 1 | 292 | +0.5% |
| Kentucky | $252 | $499 | 4 | 17 | +0.5% |
| Maryland | $252 | $817 | 6 | 100 | +0.5% |
| Minnesota | $252 | $756 | 6 | 42 | +0.5% |
| New Hampshire | $252 | $606 | 4 | 11 | +0.5% |
| New Mexico | $252 | $859 | 2 | 18 | +0.5% |
| Oklahoma | $252 | $693 | 3 | 143 | +0.5% |
| Pennsylvania | $252 | $894 | 6 | 114 | +0.5% |
| Utah | $252 | $563 | 4 | 23 | +0.5% |
| Washington | $252 | $684 | 5 | 165 | +0.5% |
| Wisconsin | $252 | $962 | 4 | 35 | +0.5% |
| Colorado | $252 | $754 | 5 | 72 | +0.5% |
| Massachusetts | $252 | $804 | 5 | 316 | +0.5% |
| New York | $252 | $971 | 10 | 149 | +0.4% |
| Texas | $252 | $620 | 15 | 592 | +0.4% |
| New Jersey | $252 | $800 | 10 | 674 | +0.4% |
| Ohio | $252 | $679 | 10 | 202 | +0.4% |
| Tennessee | $252 | $791 | 5 | 134 | +0.4% |
| Alabama | $252 | $665 | 3 | 132 | +0.3% |
| North Carolina | $252 | $688 | 7 | 1,362 | +0.3% |
| California | $251 | $820 | 34 | 1,206 | +0.1% |
| Florida | $251 | $780 | 10 | 433 | +0.0% |
| Illinois | $251 | $802 | 7 | 223 | -0.1% |
| Arizona | $251 | $736 | 3 | 260 | -0.2% |
| Kansas | $248 | $817 | 6 | 174 | -1.0% |
| Nevada | $247 | $748 | 2 | 72 | -1.5% |
| Hawaii | $246 | $652 | 2 | 26 | -2.0% |
| Oregon | $246 | $513 | 5 | 56 | -2.2% |
| Virginia | $245 | $671 | 5 | 54 | -2.3% |
| Mississippi | $220 | $1,133 | 3 | 20 | -12.3% |
| Maine | $205 | $238 | 3 | 13 | -18.5% |
| Michigan | $155 | $369 | 5 | 14 | -38.3% |
⚠️ 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