Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets
Medicare pricing data for 2,352 providers across 48 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 of respiratory virus, multiple types or subtypes, 3-5 targets (HCPCS code 87631) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $139.21, but hospitals typically charge $296.41 — a 2.1x 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 $139.21, your out-of-pocket cost would be approximately $27.84. 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 2.1x more than what Medicare allows for this procedure. Medicare actually pays $139.21 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $140 | $206 | 6 | 21 | +0.4% |
| Idaho | $140 | $200 | 9 | 38 | +0.4% |
| Kansas | $140 | $286 | 17 | 1,374 | +0.4% |
| Maine | $140 | $205 | 2 | 59 | +0.4% |
| Montana | $140 | $269 | 16 | 58 | +0.4% |
| Nevada | $140 | $380 | 6 | 525 | +0.4% |
| New Hampshire | $140 | $279 | 4 | 76 | +0.4% |
| North Dakota | $140 | $409 | 5 | 57 | +0.4% |
| South Carolina | $140 | $218 | 13 | 144 | +0.4% |
| Vermont | $140 | $250 | 10 | 40 | +0.4% |
| West Virginia | $140 | $233 | 5 | 59 | +0.4% |
| Wisconsin | $140 | $480 | 58 | 311 | +0.4% |
| Alaska | $140 | $500 | 24 | 56 | +0.4% |
| Mississippi | $140 | $190 | 23 | 1,195 | +0.4% |
| Illinois | $140 | $286 | 84 | 4,939 | +0.4% |
| Massachusetts | $140 | $696 | 92 | 1,159 | +0.3% |
| Kentucky | $140 | $299 | 50 | 231 | +0.3% |
| Pennsylvania | $140 | $286 | 86 | 8,050 | +0.3% |
| New York | $140 | $405 | 215 | 5,321 | +0.3% |
| Virginia | $140 | $423 | 18 | 868 | +0.3% |
| Colorado | $140 | $214 | 37 | 1,506 | +0.3% |
| Arizona | $140 | $278 | 17 | 1,307 | +0.3% |
| Washington | $140 | $331 | 246 | 4,212 | +0.3% |
| Maryland | $140 | $559 | 25 | 956 | +0.3% |
| Missouri | $140 | $330 | 23 | 154 | +0.2% |
| Texas | $140 | $246 | 179 | 61,019 | +0.2% |
| Delaware | $139 | $211 | 16 | 410 | +0.2% |
| California | $139 | $240 | 118 | 19,425 | +0.2% |
| Iowa | $139 | $432 | 46 | 380 | +0.1% |
| New Jersey | $139 | $506 | 214 | 15,905 | +0.1% |
| Connecticut | $139 | $156 | 92 | 1,450 | +0.1% |
| Oklahoma | $139 | $248 | 9 | 942 | +0.0% |
| Georgia | $139 | $312 | 21 | 326 | +0.0% |
| Arkansas | $139 | $246 | 68 | 927 | -0.0% |
| North Carolina | $139 | $224 | 42 | 968 | -0.0% |
| Michigan | $139 | $264 | 51 | 619 | -0.2% |
| Oregon | $139 | $261 | 29 | 156 | -0.2% |
| Minnesota | $139 | $376 | 28 | 774 | -0.2% |
| Florida | $139 | $322 | 99 | 10,378 | -0.3% |
| Hawaii | $139 | $417 | 4 | 74 | -0.4% |
| South Dakota | $138 | $283 | 8 | 21 | -0.5% |
| Tennessee | $138 | $363 | 46 | 265 | -0.6% |
| Nebraska | $138 | $254 | 18 | 256 | -0.7% |
| Wyoming | $138 | $181 | 10 | 132 | -0.9% |
| Indiana | $137 | $257 | 31 | 195 | -1.4% |
| Ohio | $136 | $300 | 16 | 995 | -2.6% |
| Louisiana | $135 | $259 | 35 | 1,265 | -2.9% |
| Alabama | $130 | $200 | 73 | 3,061 | -6.4% |
⚠️ 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