Detection test by nucleic acid for multiple types influenza virus, each additional influenza virus type or sub-type
Medicare pricing data for 29 providers across 10 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 nucleic acid for multiple types influenza virus, each additional influenza virus type or sub-type (HCPCS code 87503) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $28.64, but hospitals typically charge $36.76 — a 1.3x 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 $28.64, your out-of-pocket cost would be approximately $5.73. 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 1.3x more than what Medicare allows for this procedure. Medicare actually pays $28.64 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $29 | $60 | 1 | 1,707 | +0.1% |
| Florida | $29 | $36 | 2 | 853 | 0.0% |
| Georgia | $29 | $93 | 4 | 49 | 0.0% |
| Illinois | $29 | $30 | 2 | 1,844 | 0.0% |
| Kansas | $29 | $30 | 1 | 13 | 0.0% |
| New Jersey | $29 | $51 | 4 | 1,492 | 0.0% |
| Texas | $29 | $31 | 9 | 9,291 | 0.0% |
| Virginia | $29 | $58 | 1 | 18 | 0.0% |
| Washington | $29 | $73 | 1 | 21 | 0.0% |
| Colorado | $29 | $73 | 1 | 160 | 0.0% |
⚠️ 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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