Detection test by nucleic acid for respiratory syncytial virus, amplified probe technique
Medicare pricing data for 3,118 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 respiratory syncytial virus, amplified probe technique (HCPCS code 87634) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $68.63, but hospitals typically charge $130.42 — a 1.9x 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 $68.63, your out-of-pocket cost would be approximately $13.73. 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 1.9x more than what Medicare allows for this procedure. Medicare actually pays $68.63 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $69 | $72 | 2 | 112 | +0.2% |
| Idaho | $69 | $160 | 21 | 46 | +0.2% |
| Maine | $69 | $151 | 18 | 98 | +0.2% |
| Montana | $69 | $166 | 13 | 50 | +0.2% |
| Nevada | $69 | $176 | 5 | 20 | +0.2% |
| New Hampshire | $69 | $295 | 8 | 55 | +0.2% |
| Oklahoma | $69 | $120 | 44 | 742 | +0.2% |
| Rhode Island | $69 | $143 | 3 | 68 | +0.2% |
| South Dakota | $69 | $165 | 19 | 76 | +0.2% |
| Utah | $69 | $107 | 26 | 43 | +0.2% |
| West Virginia | $69 | $158 | 9 | 25 | +0.2% |
| Wisconsin | $69 | $230 | 27 | 2,974 | +0.2% |
| Wyoming | $69 | $103 | 12 | 41 | +0.2% |
| Alaska | $69 | $289 | 13 | 21 | +0.2% |
| Florida | $69 | $137 | 70 | 9,527 | +0.2% |
| Illinois | $69 | $162 | 220 | 13,075 | +0.2% |
| Pennsylvania | $69 | $107 | 38 | 2,237 | +0.2% |
| California | $69 | $108 | 272 | 30,662 | +0.2% |
| New York | $69 | $147 | 226 | 9,904 | +0.1% |
| Texas | $69 | $126 | 147 | 38,322 | +0.1% |
| Kentucky | $69 | $104 | 58 | 156 | +0.1% |
| Hawaii | $69 | $183 | 10 | 192 | -0.1% |
| Massachusetts | $69 | $238 | 133 | 714 | -0.1% |
| Maryland | $69 | $211 | 21 | 149 | -0.1% |
| Tennessee | $69 | $117 | 127 | 541 | -0.1% |
| Arkansas | $69 | $137 | 43 | 243 | -0.2% |
| Washington | $69 | $179 | 89 | 643 | -0.2% |
| Colorado | $68 | $161 | 127 | 405 | -0.2% |
| New Mexico | $68 | $200 | 22 | 410 | -0.2% |
| Michigan | $68 | $166 | 75 | 913 | -0.3% |
| Arizona | $68 | $221 | 12 | 152 | -0.3% |
| Missouri | $68 | $136 | 117 | 279 | -0.5% |
| Ohio | $68 | $124 | 48 | 218 | -0.5% |
| Iowa | $68 | $176 | 59 | 193 | -0.5% |
| Minnesota | $68 | $191 | 59 | 129 | -0.5% |
| North Carolina | $68 | $148 | 228 | 972 | -0.6% |
| Virginia | $68 | $150 | 32 | 365 | -0.7% |
| Louisiana | $68 | $152 | 116 | 1,081 | -0.7% |
| Mississippi | $68 | $144 | 113 | 874 | -0.7% |
| Nebraska | $68 | $76 | 18 | 175 | -0.7% |
| South Carolina | $68 | $154 | 59 | 161 | -0.8% |
| New Jersey | $68 | $90 | 61 | 7,535 | -1.5% |
| Alabama | $68 | $98 | 70 | 516 | -1.5% |
| Oregon | $68 | $136 | 30 | 116 | -1.6% |
| Georgia | $67 | $170 | 74 | 550 | -1.7% |
| Kansas | $67 | $182 | 45 | 157 | -2.0% |
| Connecticut | $67 | $106 | 23 | 249 | -2.7% |
| Indiana | $64 | $89 | 44 | 215 | -7.0% |
⚠️ 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