Detection test by immunoassay with direct visual observation for respiratory syncytial virus
Medicare pricing data for 9,896 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 immunoassay with direct visual observation for respiratory syncytial virus (HCPCS code 87807) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $12.76, but hospitals typically charge $45.48 — a 3.6x 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 $12.76, your out-of-pocket cost would be approximately $2.55. 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 3.6x more than what Medicare allows for this procedure. Medicare actually pays $12.73 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $13 | $44 | 35 | 101 | +0.6% |
| Hawaii | $13 | $38 | 12 | 71 | +0.6% |
| Idaho | $13 | $23 | 39 | 132 | +0.6% |
| Kansas | $13 | $56 | 95 | 165 | +0.6% |
| Minnesota | $13 | $45 | 43 | 65 | +0.6% |
| Montana | $13 | $34 | 12 | 25 | +0.6% |
| Oregon | $13 | $50 | 43 | 85 | +0.6% |
| South Dakota | $13 | $51 | 11 | 16 | +0.6% |
| Wyoming | $13 | $64 | 45 | 155 | +0.6% |
| Colorado | $13 | $43 | 163 | 308 | +0.6% |
| Massachusetts | $13 | $37 | 267 | 2,174 | +0.5% |
| Michigan | $13 | $35 | 217 | 550 | +0.4% |
| Rhode Island | $13 | $31 | 29 | 178 | +0.4% |
| Florida | $13 | $43 | 508 | 1,835 | +0.3% |
| Maryland | $13 | $37 | 288 | 1,213 | +0.3% |
| New Jersey | $13 | $58 | 173 | 734 | +0.3% |
| Arizona | $13 | $55 | 126 | 340 | +0.3% |
| Arkansas | $13 | $34 | 216 | 549 | +0.3% |
| California | $13 | $39 | 718 | 3,200 | +0.3% |
| Nebraska | $13 | $47 | 84 | 169 | +0.2% |
| New York | $13 | $55 | 377 | 1,840 | +0.2% |
| North Carolina | $13 | $68 | 448 | 1,372 | +0.2% |
| Iowa | $13 | $37 | 117 | 198 | +0.2% |
| Missouri | $13 | $47 | 182 | 350 | +0.2% |
| New Mexico | $13 | $48 | 75 | 222 | +0.2% |
| Connecticut | $13 | $38 | 129 | 300 | +0.2% |
| Ohio | $13 | $42 | 250 | 592 | +0.1% |
| West Virginia | $13 | $50 | 67 | 190 | +0.1% |
| Oklahoma | $13 | $52 | 329 | 1,089 | 0.0% |
| Texas | $13 | $55 | 909 | 3,945 | 0.0% |
| Virginia | $13 | $44 | 465 | 1,814 | 0.0% |
| Illinois | $13 | $42 | 372 | 1,027 | -0.2% |
| Louisiana | $13 | $51 | 248 | 615 | -0.2% |
| Delaware | $13 | $42 | 24 | 112 | -0.2% |
| Mississippi | $13 | $36 | 195 | 554 | -0.2% |
| Nevada | $13 | $56 | 46 | 113 | -0.2% |
| Washington | $13 | $39 | 117 | 280 | -0.2% |
| Indiana | $13 | $35 | 358 | 1,419 | -0.4% |
| Georgia | $13 | $44 | 421 | 1,277 | -0.5% |
| South Carolina | $13 | $53 | 270 | 1,261 | -0.5% |
| Pennsylvania | $13 | $42 | 87 | 224 | -0.6% |
| Kentucky | $13 | $37 | 417 | 968 | -0.8% |
| Alabama | $13 | $31 | 297 | 736 | -0.9% |
| Alaska | $13 | $52 | 20 | 96 | -0.9% |
| New Hampshire | $13 | $62 | 86 | 188 | -0.9% |
| Wisconsin | $13 | $67 | 43 | 123 | -0.9% |
| Tennessee | $13 | $39 | 318 | 680 | -1.0% |
| Maine | $13 | $42 | 13 | 50 | -1.1% |
| Utah | $13 | $35 | 57 | 94 | -2.0% |
| North Dakota | $12 | $57 | 4 | 11 | -7.8% |
| Vermont | $12 | $25 | 24 | 36 | -8.8% |
⚠️ 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