Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b
Medicare pricing data for 6,746 providers across 52 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 multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b (HCPCS code 87636) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $138.36, but hospitals typically charge $289.01 — 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 $138.36, your out-of-pocket cost would be approximately $27.67. 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 $138.36 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Vermont | $140 | $405 | 2 | 11 | +1.0% |
| Delaware | $140 | $156 | 22 | 3,234 | +1.0% |
| Illinois | $140 | $197 | 243 | 41,692 | +1.0% |
| New York | $140 | $295 | 551 | 72,199 | +0.9% |
| New Jersey | $140 | $304 | 261 | 21,319 | +0.9% |
| Wyoming | $140 | $163 | 19 | 485 | +0.9% |
| California | $140 | $262 | 409 | 44,874 | +0.8% |
| Wisconsin | $139 | $278 | 43 | 726 | +0.8% |
| Rhode Island | $139 | $353 | 19 | 194 | +0.8% |
| Nevada | $139 | $498 | 9 | 403 | +0.6% |
| Massachusetts | $139 | $370 | 234 | 4,580 | +0.5% |
| Minnesota | $139 | $299 | 204 | 827 | +0.4% |
| Maine | $139 | $178 | 3 | 378 | +0.4% |
| Arkansas | $139 | $160 | 140 | 2,250 | +0.4% |
| Hawaii | $139 | $219 | 8 | 295 | +0.4% |
| Nebraska | $139 | $299 | 34 | 133 | +0.3% |
| Connecticut | $139 | $205 | 152 | 2,406 | +0.2% |
| Missouri | $139 | $419 | 99 | 1,494 | +0.2% |
| West Virginia | $139 | $148 | 21 | 860 | +0.2% |
| Montana | $139 | $241 | 43 | 430 | +0.1% |
| District of Columbia | $138 | $254 | 4 | 97 | -0.0% |
| Mississippi | $138 | $298 | 168 | 4,300 | -0.0% |
| Pennsylvania | $138 | $284 | 62 | 3,139 | -0.2% |
| Louisiana | $138 | $247 | 109 | 2,362 | -0.2% |
| Indiana | $138 | $272 | 97 | 1,023 | -0.3% |
| Colorado | $138 | $273 | 272 | 2,236 | -0.3% |
| Oregon | $138 | $378 | 12 | 220 | -0.4% |
| Kentucky | $137 | $409 | 482 | 9,234 | -0.7% |
| North Dakota | $137 | $448 | 8 | 47 | -0.7% |
| South Carolina | $137 | $258 | 182 | 4,670 | -0.8% |
| Michigan | $137 | $226 | 236 | 3,500 | -0.9% |
| Texas | $137 | $402 | 421 | 37,559 | -1.1% |
| Oklahoma | $137 | $278 | 50 | 820 | -1.1% |
| South Dakota | $137 | $170 | 33 | 212 | -1.1% |
| Tennessee | $137 | $354 | 489 | 10,855 | -1.3% |
| Ohio | $137 | $211 | 193 | 3,584 | -1.3% |
| North Carolina | $136 | $223 | 321 | 5,568 | -1.4% |
| Idaho | $135 | $256 | 29 | 180 | -2.5% |
| New Mexico | $135 | $316 | 39 | 343 | -2.6% |
| Iowa | $135 | $253 | 25 | 978 | -2.7% |
| Washington | $134 | $347 | 178 | 4,627 | -3.0% |
| Alaska | $134 | $388 | 13 | 109 | -3.1% |
| Florida | $134 | $326 | 201 | 4,121 | -3.2% |
| Georgia | $134 | $365 | 96 | 1,627 | -3.4% |
| New Hampshire | $133 | $244 | 44 | 284 | -3.8% |
| Alabama | $132 | $160 | 99 | 1,471 | -4.3% |
| Virginia | $132 | $244 | 109 | 1,710 | -4.7% |
| Maryland | $131 | $270 | 104 | 2,252 | -5.0% |
| Kansas | $131 | $326 | 46 | 572 | -5.6% |
| Utah | $128 | $209 | 43 | 665 | -7.5% |
| Arizona | $126 | $211 | 60 | 2,279 | -9.0% |
| Puerto Rico | $96 | $98 | 3 | 12 | -30.6% |
⚠️ 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