U0002

2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc

Medicare pricing data for 6,414 providers across 51 states

🤖AI Overview

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

2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc (HCPCS code U0002) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $50.01, but hospitals typically charge $112.27 — a 2.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$10.00

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $50.01, your out-of-pocket cost would be approximately $10.00. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$50.01
Average Hospital Charge
$112.27
Markup Ratio
2.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$112.27
Medicare Allowed$50.01
Medicare Payment$50.01

Hospitals charge 2.2x more than what Medicare allows for this procedure. Medicare actually pays $50.01 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$50$55133,807+0.5%
District of Columbia$50$141343+0.5%
Kansas$50$22751115+0.5%
Maine$50$12465327+0.5%
South Dakota$50$891256+0.5%
Alaska$50$13613133+0.5%
Connecticut$50$1422696+0.5%
Ohio$50$1021181,929+0.5%
Florida$50$10150016,479+0.5%
Idaho$50$8451170+0.5%
Montana$50$106522+0.5%
New Jersey$50$821043,508+0.5%
Mississippi$50$931487,755+0.4%
North Dakota$50$17945481+0.4%
Pennsylvania$50$105681,034+0.4%
Puerto Rico$50$5457207+0.4%
Indiana$50$11890336+0.3%
California$50$14121111,675+0.3%
Kentucky$50$72552,106+0.3%
Illinois$50$1773514,956+0.3%
Texas$50$915548,031+0.3%
Utah$50$9960245+0.3%
Wisconsin$50$2182881,379+0.3%
Georgia$50$7450013,684+0.2%
Massachusetts$50$1664249,030+0.2%
Michigan$50$1061991,621+0.2%
Nevada$50$12139849+0.2%
Alabama$50$81681,234+0.2%
Arizona$50$11298699+0.2%
New Hampshire$50$17326559+0.1%
Iowa$50$157871,340+0.0%
Arkansas$50$9462799+0.0%
Virginia$50$1131181,562-0.1%
Minnesota$50$13954112-0.1%
New York$50$1131523,454-0.2%
Missouri$50$125101580-0.4%
Oklahoma$50$1191733,917-0.4%
Nebraska$50$1081611,658-0.4%
Wyoming$50$981687-0.4%
Colorado$50$116131619-0.5%
Rhode Island$50$1621285-0.6%
Tennessee$50$85111883-0.7%
New Mexico$50$10633217-0.8%
North Carolina$50$1394564,452-0.9%
Maryland$49$9430652-1.3%
Louisiana$49$10428668-1.6%
West Virginia$49$147896-1.8%
Oregon$49$14419170-2.8%
Hawaii$48$17542769-3.0%
Washington$48$1192341,312-3.6%
South Carolina$46$711371,687-8.3%

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

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