G2024

Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source

Medicare pricing data for 119 providers across 22 states

🤖AI Overview

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

Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source (HCPCS code G2024) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $24.93, but hospitals typically charge $69.58 — a 2.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.99

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $24.93, your out-of-pocket cost would be approximately $4.99. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$24.93
Average Hospital Charge
$69.58
Markup Ratio
2.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$69.58
Medicare Allowed$24.93
Medicare Payment$24.93

Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $24.93 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$25$511713+0.1%
Florida$25$37125,286+0.1%
Georgia$25$792372+0.1%
Illinois$25$85970,434+0.1%
Indiana$25$282941+0.1%
Kansas$25$483103+0.1%
Kentucky$25$9013,841+0.1%
Mississippi$25$381263+0.1%
Missouri$25$2523,666+0.1%
New Jersey$25$53814,966+0.1%
New York$25$1001139+0.1%
North Carolina$25$481481+0.1%
Ohio$25$643631+0.1%
Rhode Island$25$501219+0.1%
South Carolina$25$6413,142+0.1%
Texas$25$59123,457+0.1%
Washington$25$511175+0.1%
California$25$683451,869+0.1%
Connecticut$25$751251+0.1%
Alabama$25$3767,320+0.0%
Utah$25$721261-1.4%
Pennsylvania$23$2422,021-6.4%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber