Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
Medicare pricing data for 33,638 providers across 51 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 severe acute respiratory syndrome coronavirus and influenza (HCPCS code 87428) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $46.38, but hospitals typically charge $137.39 — 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 $46.38, your out-of-pocket cost would be approximately $9.28. 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 $46.38 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Pennsylvania | $55 | $105 | 872 | 14,158 | +18.2% |
| Florida | $55 | $164 | 2,245 | 30,645 | +17.6% |
| Maryland | $54 | $105 | 628 | 20,720 | +17.4% |
| Mississippi | $54 | $135 | 457 | 13,587 | +16.2% |
| Louisiana | $53 | $188 | 476 | 8,685 | +15.2% |
| Texas | $53 | $158 | 4,199 | 53,899 | +14.1% |
| Delaware | $53 | $135 | 85 | 1,958 | +14.0% |
| Oklahoma | $52 | $141 | 442 | 5,457 | +12.0% |
| Arkansas | $52 | $108 | 631 | 8,593 | +12.0% |
| District of Columbia | $52 | $105 | 47 | 218 | +11.4% |
| Kansas | $50 | $153 | 343 | 3,176 | +8.1% |
| Arizona | $50 | $203 | 549 | 3,879 | +6.8% |
| New Mexico | $49 | $130 | 134 | 1,675 | +5.3% |
| New Jersey | $49 | $129 | 941 | 17,453 | +5.1% |
| Missouri | $49 | $139 | 1,007 | 9,184 | +5.0% |
| Colorado | $49 | $127 | 475 | 2,614 | +4.9% |
| Michigan | $48 | $104 | 1,228 | 9,200 | +4.4% |
| Alaska | $48 | $172 | 31 | 307 | +3.4% |
| North Dakota | $48 | $163 | 10 | 58 | +3.1% |
| Indiana | $48 | $141 | 1,868 | 19,189 | +2.7% |
| California | $47 | $159 | 1,269 | 12,079 | +1.6% |
| Nebraska | $47 | $137 | 245 | 2,209 | +1.3% |
| Virginia | $47 | $114 | 1,529 | 34,327 | +1.2% |
| South Dakota | $47 | $119 | 60 | 369 | +1.1% |
| Wyoming | $46 | $100 | 107 | 1,641 | -0.8% |
| Oregon | $46 | $115 | 184 | 786 | -1.0% |
| Iowa | $46 | $200 | 392 | 3,608 | -1.3% |
| Georgia | $46 | $139 | 1,273 | 22,937 | -1.5% |
| Utah | $46 | $139 | 535 | 4,498 | -1.5% |
| Tennessee | $46 | $134 | 712 | 10,772 | -1.6% |
| Montana | $45 | $132 | 107 | 832 | -2.3% |
| Alabama | $45 | $102 | 553 | 9,364 | -3.4% |
| North Carolina | $44 | $134 | 1,417 | 20,635 | -4.7% |
| South Carolina | $44 | $133 | 839 | 12,825 | -5.3% |
| Washington | $44 | $154 | 286 | 1,675 | -6.0% |
| Nevada | $43 | $189 | 205 | 3,070 | -6.3% |
| Hawaii | $43 | $139 | 57 | 459 | -7.1% |
| West Virginia | $43 | $88 | 227 | 3,236 | -7.4% |
| Idaho | $42 | $83 | 175 | 963 | -9.1% |
| Wisconsin | $42 | $136 | 49 | 235 | -10.4% |
| Minnesota | $40 | $94 | 134 | 700 | -14.1% |
| Ohio | $34 | $132 | 1,188 | 10,341 | -27.8% |
| Illinois | $33 | $170 | 1,097 | 11,211 | -29.5% |
| Connecticut | $33 | $136 | 252 | 2,017 | -29.8% |
| Kentucky | $32 | $99 | 1,321 | 19,654 | -31.5% |
| Massachusetts | $31 | $176 | 809 | 8,352 | -32.2% |
| New York | $31 | $146 | 1,125 | 20,011 | -32.9% |
| Maine | $31 | $108 | 94 | 418 | -33.2% |
| New Hampshire | $31 | $150 | 325 | 3,686 | -33.2% |
| Vermont | $31 | $100 | 110 | 1,024 | -33.7% |
| Rhode Island | $30 | $139 | 285 | 3,022 | -35.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber