COVID-19 PCR test is a laboratory test. Prices are from 2309 US hospitals across 52 states, from their machine-readable files.
Price comparison (median)
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%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| 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.
| Insurer | Hospitals | Negotiated median |
|---|---|---|
| EmblemHealth | 60 |
$31 – $114 |
| Amerigroup | 176 |
$28 – $86 |
| UnitedHealthcare | 1496 |
$34 – $158 |
| Tricare / VA | 446 |
$48 – $161 |
| Medicare | 554 |
$50 – $79 |
| Medicaid | 349 |
$31 – $103 |
| Independent Health | 53 |
$31 – $54 |
| Geisinger | 69 |
$46 – $206 |
| AmeriHealth | 238 |
$35 – $115 |
| MVP Health Care | 80 |
$31 – $166 |
| Humana | 1050 |
$45 – $162 |
| Univera | 15 |
$34 – $76 |
| UPMC Health Plan | 101 |
$44 – $203 |
| Centene / Ambetter | 788 |
$31 – $115 |
| Devoted Health | 251 |
$51 – $58 |
| Molina Healthcare | 559 |
$31 – $102 |
| Highmark | 119 |
$34 – $206 |
| Healthcare Highways | 45 |
$14 – $165 |
| Kaiser Permanente | 231 |
$41 – $200 |
| Bright Health | 62 |
$51 – $90 |
| Anthem | 570 |
$23 – $245 |
| Aetna | 1382 |
$42 – $192 |
| SelectHealth | 45 |
$35 – $164 |
| Priority Health | 55 |
$36 – $173 |
| AvMed | 60 |
$16 – $151 |
| Health Net | 308 |
$50 – $198 |
| Blue Cross Blue Shield | 1284 |
$48 – $216 |
| Cigna | 1136 |
$39 – $210 |
| Sanford Health Plan | 69 |
$51 – $158 |
| Oscar Health | 211 |
$51 – $148 |
| UCare | 64 |
$50 – $157 |
| Security Health Plan | 54 |
$51 – $193 |
| HealthPartners | 276 |
$48 – $182 |
| Workers' Comp / No-Fault | 134 |
$51 – $180 |
| Medica | 245 |
$51 – $190 |
| Harvard Pilgrim | 51 |
$40 – $198 |
| Coventry | 150 |
$51 – $294 |
| MultiPlan / PHCS network | 853 |
$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
| State | Median 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.
| Clinician | Specialty | Location | Medicare services |
|---|---|---|---|
| Bryan Doonan, MD | Family Practice | Newport Beach, CA | 11,326 |
| Roberta Donin, M.D. | Internal Medicine | Bronx, NY | 4,966 |
| Mehbub Kapadia, M.D. | Internal Medicine | Chicago, IL | 4,558 |
| Justin Poling, M.D. | Pathology | Nashville, TN | 2,603 |
| Brownell Payne, MD | Anesthesiology | Los Angeles, CA | 1,077 |
| Robert Mixsell, MD | Family Practice | Davenport, IA | 895 |
| Shauna Conry, M.D. | Emergency Medicine | San Diego, CA | 856 |
| Derek Welch, M.D. | Pathology | Nashville, TN | 626 |
| Randolph Sumner, MD | Family Practice | Rome, GA | 489 |
| Mehran Golpariani, MD | Pain Management | Port Jefferson Station, NY | 469 |
| Arman Hekmati, M.D. | Geriatric Medicine | Los Angeles, CA | 461 |
| Mohammad Qureshi | Pathology | Edison, NJ | 424 |
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?
Does Medicare cover COVID-19 PCR test?
What does Medicare pay for COVID-19 PCR test?
Why do COVID-19 PCR test prices vary between hospitals?
Is the cash price lower than using insurance?
Related Lab Tests
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