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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. U0004
  4. Cost Analysis

How Much Does 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r Cost on Medicare?

Cost analysis for CPT U0004 — 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r

Share:

Average Medicare Payment

$73.15

2023 data

Total Payments (2023)

$22.9M

Services (2023)

311.3K

Price Change (2020–2023)

-26.2%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2020$99.07$178.7M1.8M—
2021$74.27$164.3M2.2M-25.0%
2022$73.71$153.5M2.1M-0.8%
2023$73.15$22.9M311.3K-0.8%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.1x more than the cheapest for this procedure. NY averages $73.50 vs WA at $69.45.

StateAvg PaymentTotal PaymentsServicesProviders
NY$73.50$1.8M25.0K16
LA$73.50$1.6M22.3K2
PA$73.50$1.2M15.8K11
NC$73.50$838.0K11.4K3
DE$73.50$684.1K9.3K3
NV$73.50$573.4K7.8K4
MO$73.50$503.1K6.8K4
FL$73.50$187.9K2.6K17
KY$73.50$177.4K2.4K4
UT$73.50$137.6K1.9K2
MI$73.50$126.6K1.7K7
VA$73.50$119.1K1.6K6
OH$73.50$90.0K1.2K5
MS$73.50$85.3K1.2K2
WI$73.50$71.6K9742
AZ$73.50$55.3K7521
CT$73.50$37.9K5162
AR$73.50$27.9K3792
TN$73.50$27.0K3683
KS$73.50$21.4K2911
MA$73.50$19.1K2601
IN$73.50$13.6K1851
NM$73.50$9.2K1251
NJ$73.50$2.3M31.6K20
IL$73.50$5.8M78.3K15
AL$73.49$822.2K11.2K7
SC$73.49$681.9K9.3K5
GA$73.48$200.1K2.7K9
TX$73.47$807.5K11.0K20
CA$73.47$2.8M38.1K38
MD$73.47$313.4K4.3K8
OK$73.40$659.6K9.0K7
OR$73.04$23.6K3233
WA$69.45$39.1K56324

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Lifescan Labs Of Illinois, LlcClinical LaboratoryIL$2.6M34.8K$73.50
Cormeum Lab Services LlcClinical LaboratoryLA$1.6M22.2K$73.50
Northwell Health LaboratoriesClinical LaboratoryNY$954.7K13.0K$73.50
Professional Healthcare IncClinical LaboratoryIL$942.9K12.8K$73.50
Meditech Clinical Services, Inc.Clinical LaboratoryIL$809.1K11.0K$73.49
Medarbor LlcClinical LaboratoryPA$770.5K10.5K$73.50
Purity Diagnostic LlcClinical LaboratoryNJ$692.7K9.4K$73.50
Andor LabsClinical LaboratoryNC$636.8K8.7K$73.50
Delaware Diagnostic Labs, LlcClinical LaboratoryDE$585.6K8.0K$73.50
Accu Reference Medical Lab, LlcClinical LaboratoryNJ$563.2K7.7K$73.50
Criterion Chemistries, LlcClinical LaboratoryAL$499.2K6.8K$73.50
Hannan Lab IncClinical LaboratoryIL$472.2K6.4K$73.50
Star Lab, IncClinical LaboratoryIL$466.4K6.3K$73.50
Sl Consulting LlcClinical LaboratoryNV$465.8K6.3K$73.50
Assure Laboratory IncClinical LaboratorySC$443.4K6.0K$73.50
Acutis Diagnostics IncClinical LaboratoryNY$424.0K5.8K$73.50
Marquis Labs, LlcClinical LaboratoryOK$421.7K5.7K$73.50
Aim Laboratories LlcClinical LaboratoryMO$416.5K5.7K$73.50
Brio Clinical IncClinical LaboratoryCA$397.7K5.4K$73.46
Primex Clinical Laboratories Inc.Clinical LaboratoryCA$384.7K5.2K$73.46

🤔 Is 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r Overpriced?

Based on the data, CPT U0004 shows a 1.1x variation in pricing across states — relatively consistent by Medicare standards.

Costs have decreased 26.2% since 2020. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.