Detection test by nucleic acid for hepatitis c virus, quantification
Medicare pricing data for 696 providers across 42 states
This procedure has a 11.6x markup — hospitals charge $485.97 but Medicare allows only $41.94. Uninsured patients may face bills 11.6 times higher than what insurance negotiates. 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 hepatitis c virus, quantification (HCPCS code 87522) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $41.94, but hospitals typically charge $485.97 — a 11.6x 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 $41.94, your out-of-pocket cost would be approximately $8.39. 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 11.6x more than what Medicare allows for this procedure. Medicare actually pays $41.94 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $42 | $567 | 4 | 2,092 | +0.1% |
| Idaho | $42 | $197 | 2 | 14 | +0.1% |
| Iowa | $42 | $218 | 7 | 82 | +0.1% |
| Massachusetts | $42 | $550 | 86 | 2,202 | +0.1% |
| Michigan | $42 | $181 | 12 | 315 | +0.1% |
| Nevada | $42 | $524 | 5 | 593 | +0.1% |
| New Hampshire | $42 | $258 | 11 | 19 | +0.1% |
| New Mexico | $42 | $404 | 4 | 183 | +0.1% |
| Oregon | $42 | $216 | 7 | 377 | +0.1% |
| Pennsylvania | $42 | $554 | 9 | 790 | +0.1% |
| Rhode Island | $42 | $172 | 4 | 105 | +0.1% |
| South Carolina | $42 | $121 | 6 | 44 | +0.1% |
| South Dakota | $42 | $168 | 5 | 84 | +0.1% |
| Utah | $42 | $182 | 7 | 75 | +0.1% |
| Puerto Rico | $42 | $50 | 8 | 42 | +0.1% |
| Colorado | $42 | $480 | 10 | 397 | +0.1% |
| Connecticut | $42 | $298 | 2 | 21 | +0.1% |
| Louisiana | $42 | $516 | 2 | 61 | +0.1% |
| California | $42 | $481 | 109 | 12,010 | +0.1% |
| Florida | $42 | $566 | 19 | 8,212 | +0.0% |
| Kansas | $42 | $566 | 6 | 1,556 | +0.0% |
| Maryland | $42 | $470 | 8 | 1,104 | +0.0% |
| New Jersey | $42 | $494 | 18 | 9,980 | +0.0% |
| Texas | $42 | $499 | 33 | 5,380 | +0.0% |
| Alabama | $42 | $518 | 5 | 1,442 | +0.0% |
| New York | $42 | $339 | 14 | 1,881 | +0.0% |
| Oklahoma | $42 | $445 | 6 | 951 | 0.0% |
| Mississippi | $42 | $304 | 10 | 646 | -0.0% |
| North Carolina | $42 | $531 | 11 | 8,757 | -0.0% |
| Virginia | $42 | $153 | 8 | 578 | -0.0% |
| Illinois | $42 | $572 | 15 | 1,469 | -0.1% |
| Arizona | $42 | $463 | 7 | 2,673 | -0.1% |
| Ohio | $42 | $417 | 15 | 1,788 | -0.1% |
| Tennessee | $42 | $235 | 8 | 1,053 | -0.1% |
| Wisconsin | $42 | $371 | 14 | 427 | -0.1% |
| Hawaii | $42 | $222 | 2 | 266 | -0.2% |
| Minnesota | $42 | $411 | 106 | 612 | -0.3% |
| Washington | $42 | $416 | 54 | 990 | -0.5% |
| Kentucky | $42 | $108 | 8 | 159 | -0.5% |
| Maine | $42 | $210 | 2 | 117 | -0.6% |
| Indiana | $41 | $283 | 6 | 140 | -1.1% |
| North Dakota | $41 | $158 | 6 | 31 | -3.1% |
⚠️ 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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