91313

Sarscov2 vac bvl 50mcg/0.5ml

Medicare pricing data for 2,895 providers across 50 states

🤖AI Overview

This procedure has a 336.3x markup — hospitals charge $10.09 but Medicare allows only $0.03. Uninsured patients may face bills 336.3 times higher than what insurance negotiates. Prices vary significantly by location — from $0 in Connecticut to $0 in Pennsylvania. Where you get this procedure matters more than almost any other factor. 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 50mcg/0.5ml (HCPCS code 91313) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $0.03, but hospitals typically charge $10.09 — a 336.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.01

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $0.03, your out-of-pocket cost would be approximately $0.01. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$0.03
Average Hospital Charge
$10.09
Markup Ratio
336.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$10.09
Medicare Allowed$0.03
Medicare Payment$0.03

Hospitals charge 336.3x more than what Medicare allows for this procedure. Medicare actually pays $0.03 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Pennsylvania$0$1186920+1533.3%
Louisiana$0$269124+1033.3%
Delaware$0$014249-66.7%
Florida$0$1184430-66.7%
Georgia$0$1793748-66.7%
Hawaii$0$10429-66.7%
Idaho$0$102065-66.7%
Illinois$0$4311,495-66.7%
Indiana$0$0151,237-66.7%
Iowa$0$1429226-66.7%
Kansas$0$361564-66.7%
Kentucky$0$141251-66.7%
Maine$0$01016-66.7%
Maryland$0$780894-66.7%
Massachusetts$0$848441-66.7%
Michigan$0$1036116-66.7%
Minnesota$0$2252908-66.7%
Mississippi$0$1128127-66.7%
Missouri$0$1328198-66.7%
Montana$0$17448-66.7%
Nebraska$0$1114171-66.7%
Nevada$0$175449-66.7%
New Hampshire$0$11551-66.7%
New Jersey$0$4959312-66.7%
New Mexico$0$52595-66.7%
New York$0$301971,505-66.7%
North Carolina$0$1773469-66.7%
North Dakota$0$61986-66.7%
Ohio$0$473569-66.7%
Oklahoma$0$1211,216-66.7%
Oregon$0$068437-66.7%
Rhode Island$0$12599-66.7%
South Carolina$0$61390-66.7%
Tennessee$0$2058321-66.7%
Texas$0$41891,344-66.7%
Utah$0$1736110-66.7%
Vermont$0$0830-66.7%
Virginia$0$2173428-66.7%
Washington$0$22144767-66.7%
West Virginia$0$214146-66.7%
Wisconsin$0$645300-66.7%
Wyoming$0$119382-66.7%
Puerto Rico$0$0313-66.7%
Alabama$0$473310-66.7%
Alaska$0$12490-66.7%
Arizona$0$260963-66.7%
Arkansas$0$2919341-66.7%
California$0$144034,188-66.7%
Colorado$0$1044169-66.7%
Connecticut$0$111580-66.7%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber