Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus
Medicare pricing data for 4,142 providers across 51 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), influenza virus types a and b, and respiratory syncytial virus (HCPCS code 87637) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $139.61, but hospitals typically charge $342.31 — a 2.5x 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 $139.61, your out-of-pocket cost would be approximately $27.92. 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 2.5x more than what Medicare allows for this procedure. Medicare actually pays $139.61 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 | 8 | 21 | +0.1% |
| Idaho | $140 | $176 | 10 | 81 | +0.1% |
| New Hampshire | $140 | $214 | 25 | 97 | +0.1% |
| New Mexico | $140 | $257 | 17 | 109 | +0.1% |
| North Dakota | $140 | $256 | 14 | 124 | +0.1% |
| Vermont | $140 | $335 | 19 | 142 | +0.1% |
| Wyoming | $140 | $279 | 7 | 21 | +0.1% |
| Puerto Rico | $140 | $200 | 1 | 14 | +0.1% |
| Connecticut | $140 | $304 | 45 | 599 | +0.1% |
| Illinois | $140 | $260 | 120 | 215,571 | +0.1% |
| Pennsylvania | $140 | $311 | 31 | 1,456 | +0.1% |
| Texas | $140 | $481 | 282 | 200,182 | +0.1% |
| California | $140 | $275 | 662 | 83,726 | +0.1% |
| Oklahoma | $140 | $192 | 37 | 2,932 | +0.0% |
| New Jersey | $140 | $280 | 75 | 8,063 | +0.0% |
| Arizona | $140 | $222 | 141 | 6,518 | +0.0% |
| Wisconsin | $140 | $486 | 169 | 2,574 | -0.1% |
| Delaware | $139 | $147 | 11 | 851 | -0.1% |
| Colorado | $139 | $311 | 57 | 505 | -0.1% |
| Michigan | $139 | $269 | 93 | 3,124 | -0.1% |
| New York | $139 | $345 | 296 | 15,648 | -0.2% |
| Rhode Island | $139 | $368 | 6 | 304 | -0.2% |
| Washington | $139 | $294 | 94 | 536 | -0.2% |
| Louisiana | $139 | $261 | 54 | 2,001 | -0.2% |
| Kansas | $139 | $207 | 59 | 690 | -0.3% |
| North Carolina | $139 | $232 | 202 | 7,432 | -0.3% |
| Tennessee | $139 | $323 | 35 | 1,241 | -0.3% |
| Maine | $139 | $258 | 50 | 227 | -0.4% |
| Oregon | $139 | $273 | 46 | 400 | -0.4% |
| West Virginia | $139 | $291 | 61 | 964 | -0.5% |
| Virginia | $139 | $265 | 63 | 1,280 | -0.6% |
| Massachusetts | $139 | $418 | 85 | 900 | -0.6% |
| Arkansas | $139 | $298 | 57 | 1,014 | -0.6% |
| Missouri | $139 | $239 | 56 | 953 | -0.6% |
| Indiana | $139 | $328 | 184 | 4,036 | -0.8% |
| Montana | $139 | $226 | 24 | 125 | -0.8% |
| Florida | $139 | $233 | 79 | 3,194 | -0.8% |
| Iowa | $138 | $374 | 33 | 292 | -0.9% |
| Mississippi | $138 | $207 | 26 | 291 | -1.0% |
| Georgia | $138 | $241 | 54 | 1,113 | -1.1% |
| Ohio | $138 | $303 | 108 | 4,193 | -1.1% |
| Nevada | $138 | $364 | 21 | 70 | -1.3% |
| Kentucky | $138 | $332 | 104 | 981 | -1.4% |
| South Carolina | $138 | $346 | 162 | 7,310 | -1.4% |
| Utah | $138 | $185 | 12 | 48 | -1.4% |
| Maryland | $137 | $239 | 34 | 4,353 | -1.6% |
| Minnesota | $136 | $421 | 140 | 333 | -2.4% |
| South Dakota | $135 | $253 | 7 | 27 | -3.1% |
| Nebraska | $133 | $289 | 34 | 167 | -5.0% |
| Alabama | $131 | $149 | 107 | 686 | -6.2% |
| Alaska | $130 | $302 | 23 | 110 | -6.6% |
⚠️ 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