COVID-19 PCR test Cost by Hospital

COVID-19 PCR test is a laboratory test. Prices are from 2309 US hospitals across 52 states, from their machine-readable files.

$100median cash price · 2309 hospitals, 52 statestypically $43–$219 depending on the hospital
≈ 1.9× Medicare · Reasonable vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$171
Cash / self-pay
$100
Insurer-negotiated
$64
Medicare pays
$51
$43$219
Median cash $100  ·  Medicare $51  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $100 — about 1.9× the Medicare rate ($51). Reasonable. A fair cash price is usually within ~2× Medicare ($103).

💡 Asking for the cash price instead of the $171 list price could save about $71 (42%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Johnson Memorial Hospital Franklin, IN $15 $53 ★ 5/5 144 min 14.9%
Wellmont Bristol Regional Medical Center Bristol, TN $15 $53 ★ 2/5 192 min 15.8%
Wellmont Holston Valley Medical Center Kingsport, TN $15 $52 ★ 2/5 207 min 14.8%
Sycamore Shoals Hospital Elizabethton, TN $15 $52 ★ 2/5 154 min 15.0%
Hawkins County Memorial Hospital Rogersville, TN $15 $53 112 min 14.9%
Greeneville Community Hospital Greeneville, TN $15 $53 ★ 2/5 159 min 16.0%
Johnson City Medical Center Johnson City, TN $15 $53 ★ 1/5 208 min 15.5%
Indian Path Community Hospital Kingsport, TN $15 $51 147 min 14.5%
Franklin Woods Community Hospital Johnson City, TN $15 $53 ★ 3/5 176 min 14.2%
Johnson County Community Hospital Mountain City, TN $15 $53 126 min
Russell County Hospital Lebanon, VA $15 $51 ★ 4/5 117 min 15.8%
Smyth County Community Hospital Marion, VA $15 $53 ★ 3/5 142 min 14.7%
Johnston Memorial Hospital Abingdon, VA $15 $51 ★ 3/5 186 min 15.1%
Lonesome Pine Hospital Big Stone Gap, VA $15 $51 ★ 4/5 132 min 15.7%
Saint Rose Dominican Hospitals-North Las Vegas North Las Vegas, NV $18 $29 92 min 15.0%
Ochsner St Mary Morgan City, LA $19 $51 ★ 2/5 81 min 15.4%
Ochsner LSU Health Shreveport-St Mary Medical Cent Shreveport, LA $19 $51 ★ 2/5
Bsa Hospital Amarillo, TX $20 $138 ★ 2/5 217 min 14.8%
St. Vincent's East Birmingham, AL $20 $51 ★ 3/5 156 min 14.6%
St Vincent's Birmingham Birmingham, AL $20 $51 ★ 3/5 245 min 15.3%
St Vincent's St Clair Pell City, AL $20 $51 ★ 3/5 156 min 15.8%
St Vincent's Chilton Clanton, AL $20 $51 164 min 14.8%
San Gorgonio Memorial Hospital Banning, CA $20 $54 ★ 3/5 191 min 14.6%
Ascension St Vincent's Riverside Jacksonville, FL $20 $51 ★ 3/5 161 min 14.6%
Ascension St Vincent's Southside Jacksonville, FL $20 $51 ★ 4/5 123 min 14.5%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated August 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for COVID-19 PCR test

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $100; Medicare pays $51.

InsurerHospitalsNegotiated median
EmblemHealth 60
$49
$31 – $114
Amerigroup 176
$51
$28 – $86
UnitedHealthcare 1496
$51
$34 – $158
Tricare / VA 446
$51
$48 – $161
Medicare 554
$51
$50 – $79
Medicaid 349
$51
$31 – $103
Independent Health 53
$51
$31 – $54
Geisinger 69
$51
$46 – $206
AmeriHealth 238
$51
$35 – $115
MVP Health Care 80
$53
$31 – $166
Humana 1050
$53
$45 – $162
Univera 15
$53
$34 – $76
UPMC Health Plan 101
$53
$44 – $203
Centene / Ambetter 788
$54
$31 – $115
Devoted Health 251
$54
$51 – $58
Molina Healthcare 559
$54
$31 – $102
Highmark 119
$54
$34 – $206
Healthcare Highways 45
$56
$14 – $165
Kaiser Permanente 231
$57
$41 – $200
Bright Health 62
$59
$51 – $90
Anthem 570
$60
$23 – $245
Aetna 1382
$62
$42 – $192
SelectHealth 45
$65
$35 – $164
Priority Health 55
$67
$36 – $173
AvMed 60
$68
$16 – $151
Health Net 308
$68
$50 – $198
Blue Cross Blue Shield 1284
$74
$48 – $216
Cigna 1136
$79
$39 – $210
Sanford Health Plan 69
$82
$51 – $158
Oscar Health 211
$85
$51 – $148
UCare 64
$89
$50 – $157
Security Health Plan 54
$99
$51 – $193
HealthPartners 276
$101
$48 – $182
Workers' Comp / No-Fault 134
$103
$51 – $180
Medica 245
$110
$51 – $190
Harvard Pilgrim 51
$115
$40 – $198
Coventry 150
$118
$51 – $294
MultiPlan / PHCS network 853
$146
$54 – $267

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Mississippi$44
Washington DC$44
Tennessee$55
New Jersey$58
Arizona$63
Nevada$67

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

ClinicianSpecialtyLocationMedicare services
Bryan Doonan, MDFamily PracticeNewport Beach, CA11,326
Roberta Donin, M.D.Internal MedicineBronx, NY4,966
Mehbub Kapadia, M.D.Internal MedicineChicago, IL4,558
Justin Poling, M.D.PathologyNashville, TN2,603
Brownell Payne, MDAnesthesiologyLos Angeles, CA1,077
Robert Mixsell, MDFamily PracticeDavenport, IA895
Shauna Conry, M.D.Emergency MedicineSan Diego, CA856
Derek Welch, M.D.PathologyNashville, TN626
Randolph Sumner, MDFamily PracticeRome, GA489
Mehran Golpariani, MDPain ManagementPort Jefferson Station, NY469
Arman Hekmati, M.D.Geriatric MedicineLos Angeles, CA461
Mohammad QureshiPathologyEdison, NJ424

Browse doctors by specialty & city →

Does Medicare cover COVID-19 PCR test?

Yes — Medicare generally covers COVID-19 PCR test. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $51. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $10 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 2309 US hospitals across 52 states, the typical (median) cash price is $100, versus a chargemaster (list) price around $171, a median insurer-negotiated rate of $64, a Medicare rate of about $51. Most cash prices fall between $43 and $219 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does COVID-19 PCR test cost without insurance?
The median cash (self-pay) price across 2309 US hospitals is $100. Most hospitals fall between $43 and $219. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover COVID-19 PCR test?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $51). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for COVID-19 PCR test?
Medicare pays about $51. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do COVID-19 PCR test prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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