Detection test by immunoassay technique for influenza virus
Medicare pricing data for 4,563 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 influenza virus (HCPCS code 87400) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.75, but hospitals typically charge $45.24 — a 3.3x 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 $13.75, your out-of-pocket cost would be approximately $2.75. 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 3.3x more than what Medicare allows for this procedure. Medicare actually pays $13.75 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Idaho | $14 | $37 | 14 | 255 | +0.7% |
| Maine | $14 | $51 | 10 | 78 | +0.7% |
| Montana | $14 | $42 | 47 | 230 | +0.7% |
| Nebraska | $14 | $48 | 18 | 134 | +0.7% |
| New Mexico | $14 | $29 | 10 | 42 | +0.7% |
| New York | $14 | $61 | 69 | 637 | +0.7% |
| North Dakota | $14 | $34 | 4 | 82 | +0.7% |
| Oregon | $14 | $30 | 40 | 400 | +0.7% |
| Rhode Island | $14 | $48 | 25 | 245 | +0.7% |
| South Dakota | $14 | $61 | 8 | 22 | +0.7% |
| Utah | $14 | $28 | 26 | 101 | +0.7% |
| Vermont | $14 | $58 | 18 | 412 | +0.7% |
| Washington | $14 | $34 | 43 | 313 | +0.7% |
| Wisconsin | $14 | $72 | 86 | 327 | +0.7% |
| Wyoming | $14 | $34 | 19 | 509 | +0.7% |
| Puerto Rico | $14 | $16 | 17 | 92 | +0.7% |
| Arizona | $14 | $54 | 54 | 149 | +0.7% |
| California | $14 | $84 | 115 | 5,657 | +0.7% |
| Connecticut | $14 | $73 | 9 | 68 | +0.7% |
| Illinois | $14 | $19 | 54 | 5,755 | +0.7% |
| Massachusetts | $14 | $53 | 379 | 4,384 | +0.5% |
| New Jersey | $14 | $47 | 38 | 499 | +0.5% |
| Florida | $14 | $74 | 229 | 2,937 | +0.4% |
| Missouri | $14 | $49 | 180 | 1,048 | +0.4% |
| Maryland | $14 | $49 | 156 | 17,060 | +0.4% |
| New Hampshire | $14 | $58 | 72 | 1,143 | +0.4% |
| Virginia | $14 | $39 | 80 | 2,374 | +0.4% |
| Colorado | $14 | $38 | 61 | 504 | +0.4% |
| Georgia | $14 | $41 | 235 | 3,421 | +0.3% |
| Iowa | $14 | $46 | 30 | 205 | +0.3% |
| Delaware | $14 | $49 | 7 | 882 | +0.1% |
| District of Columbia | $14 | $49 | 10 | 980 | +0.1% |
| South Carolina | $14 | $45 | 96 | 1,067 | +0.1% |
| Nevada | $14 | $36 | 10 | 105 | 0.0% |
| Oklahoma | $14 | $29 | 338 | 4,919 | 0.0% |
| Indiana | $14 | $38 | 235 | 1,913 | -0.1% |
| Pennsylvania | $14 | $48 | 35 | 491 | -0.1% |
| Texas | $14 | $39 | 505 | 7,259 | -0.1% |
| Arkansas | $14 | $37 | 225 | 3,241 | -0.1% |
| North Carolina | $14 | $40 | 79 | 1,248 | -0.1% |
| Alaska | $14 | $58 | 8 | 68 | -0.1% |
| Mississippi | $14 | $49 | 152 | 3,833 | -0.6% |
| Alabama | $14 | $31 | 94 | 1,272 | -0.7% |
| Kansas | $14 | $59 | 32 | 95 | -0.7% |
| Michigan | $14 | $28 | 83 | 287 | -1.1% |
| Minnesota | $14 | $41 | 15 | 102 | -1.3% |
| Hawaii | $13 | $43 | 5 | 69 | -1.9% |
| Kentucky | $13 | $35 | 185 | 3,819 | -2.1% |
| West Virginia | $13 | $40 | 16 | 72 | -2.7% |
| Louisiana | $13 | $33 | 51 | 403 | -2.8% |
| Tennessee | $13 | $32 | 167 | 1,944 | -3.1% |
| Ohio | $13 | $32 | 68 | 605 | -8.6% |
⚠️ 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