91312

Sarscov2 vac bvl 30mcg/0.3ml

Medicare pricing data for 4,667 providers across 50 states

🤖AI Overview

This procedure has a 723.0x markup — hospitals charge $7.23 but Medicare allows only $0.01. Uninsured patients may face bills 723.0 times higher than what insurance negotiates. 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

Sarscov2 vac bvl 30mcg/0.3ml (HCPCS code 91312) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $0.01, but hospitals typically charge $7.23 — a 723.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.00

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $0.01, your out-of-pocket cost would be approximately $0.00. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$0.01
Average Hospital Charge
$7.23
Markup Ratio
723.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$7.23
Medicare Allowed$0.01
Medicare Payment$0.01

Hospitals charge 723.0x more than what Medicare allows for this procedure. Medicare actually pays $0.01 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$0$0252880.0%
Florida$0$14654040.0%
Georgia$0$21684670.0%
Hawaii$0$585200.0%
Idaho$0$17315450.0%
Illinois$0$12743,1280.0%
Indiana$0$1271,1180.0%
Iowa$0$3532600.0%
Kansas$0$7744660.0%
Kentucky$0$0974420.0%
Louisiana$0$2021830.0%
Maine$0$525840.0%
Maryland$0$9858030.0%
Massachusetts$0$33613,2350.0%
Michigan$0$3594510.0%
Minnesota$0$03281,8490.0%
Mississippi$0$014860.0%
Missouri$0$6231360.0%
Montana$0$053890.0%
Nebraska$0$3311880.0%
Nevada$0$015900.0%
New Hampshire$0$01299600.0%
New Jersey$0$81501,2380.0%
New Mexico$0$6291660.0%
New York$0$111591,2320.0%
North Carolina$0$311348130.0%
North Dakota$0$730850.0%
Ohio$0$2784490.0%
Oklahoma$0$3961,2970.0%
Oregon$0$0623520.0%
Pennsylvania$0$11931,1060.0%
Rhode Island$0$0242070.0%
South Carolina$0$21158660.0%
Tennessee$0$3327790.0%
Texas$0$81341,2250.0%
Utah$0$4701860.0%
Vermont$0$0585560.0%
Virginia$0$91239320.0%
Washington$0$162312,9460.0%
West Virginia$0$1212090.0%
Wisconsin$0$12551,7800.0%
Wyoming$0$7101000.0%
Puerto Rico$0$513470.0%
Alabama$0$827730.0%
Alaska$0$1291040.0%
Arizona$0$0314190.0%
Arkansas$0$30274930.0%
California$0$174204,0140.0%
Colorado$0$51135100.0%
Connecticut$0$21951,3350.0%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber