Covid-19 vaccine administration inside a patient's home; reported only once per individual home per date of service when only covid-19 vaccine administration is performed at the patient's home
Medicare pricing data for 852 providers across 44 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
Covid-19 vaccine administration inside a patient's home; reported only once per individual home per date of service when only covid-19 vaccine administration is performed at the patient's home (HCPCS code M0201) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $36.22, but hospitals typically charge $62.19 — a 1.7x 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 $36.22, your out-of-pocket cost would be approximately $7.24. 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 1.7x more than what Medicare allows for this procedure. Medicare actually pays $36.22 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $41 | $59 | 2 | 528 | +14.5% |
| Massachusetts | $39 | $84 | 27 | 3,051 | +8.9% |
| Maryland | $39 | $69 | 44 | 1,855 | +7.2% |
| California | $39 | $83 | 73 | 3,338 | +7.2% |
| New York | $38 | $67 | 66 | 1,798 | +6.0% |
| Illinois | $38 | $42 | 19 | 2,279 | +5.1% |
| Hawaii | $38 | $102 | 1 | 22 | +4.9% |
| Connecticut | $38 | $65 | 11 | 161 | +4.4% |
| New Jersey | $38 | $79 | 41 | 1,121 | +3.6% |
| Virginia | $37 | $40 | 15 | 456 | +1.6% |
| Delaware | $36 | $59 | 14 | 118 | +0.1% |
| Oregon | $36 | $57 | 10 | 775 | -0.1% |
| Colorado | $36 | $94 | 15 | 364 | -0.2% |
| Washington | $36 | $41 | 11 | 2,701 | -0.4% |
| Pennsylvania | $36 | $67 | 66 | 2,499 | -1.2% |
| Minnesota | $35 | $74 | 14 | 1,240 | -2.8% |
| North Dakota | $35 | $40 | 5 | 79 | -2.9% |
| Montana | $35 | $38 | 11 | 1,213 | -3.4% |
| Texas | $35 | $53 | 39 | 809 | -3.5% |
| Missouri | $35 | $174 | 10 | 40 | -3.7% |
| New Mexico | $35 | $45 | 1 | 58 | -4.1% |
| Michigan | $35 | $53 | 55 | 1,053 | -4.3% |
| Florida | $35 | $58 | 35 | 1,370 | -4.6% |
| North Carolina | $35 | $46 | 23 | 1,077 | -4.7% |
| Ohio | $35 | $75 | 24 | 677 | -4.7% |
| Arizona | $34 | $94 | 14 | 533 | -4.9% |
| Wyoming | $34 | $35 | 2 | 23 | -5.2% |
| Louisiana | $34 | $68 | 7 | 123 | -5.3% |
| Wisconsin | $34 | $84 | 26 | 606 | -5.7% |
| South Carolina | $34 | $40 | 13 | 4,677 | -5.8% |
| Oklahoma | $34 | $63 | 13 | 626 | -6.3% |
| West Virginia | $34 | $323 | 10 | 207 | -6.7% |
| Iowa | $34 | $56 | 13 | 441 | -6.8% |
| Kansas | $34 | $51 | 6 | 236 | -6.9% |
| Tennessee | $34 | $49 | 20 | 739 | -7.1% |
| Georgia | $34 | $75 | 16 | 594 | -7.3% |
| Kentucky | $34 | $68 | 11 | 131 | -7.3% |
| Nebraska | $34 | $59 | 5 | 319 | -7.3% |
| Utah | $34 | $63 | 7 | 104 | -7.4% |
| Idaho | $34 | $55 | 8 | 124 | -7.5% |
| Mississippi | $33 | $41 | 7 | 177 | -8.8% |
| Arkansas | $33 | $45 | 13 | 252 | -9.1% |
| Indiana | $33 | $90 | 10 | 49 | -9.8% |
| Alabama | $33 | $44 | 13 | 262 | -9.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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