COVID-19 PCR test Cost by Hospital

COVID-19 PCR test is a laboratory test. Prices are from 2323 US hospitals across 52 states, from their machine-readable files.

$100median cash price · 2323 hospitals, 52 statestypically $43–$221 depending on the hospital
≈ 1.9× Medicare · Reasonable vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$172
Cash / self-pay
$100
Insurer-negotiated
$64
Medicare pays
$51
$43$221
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 $172 list price could save about $72 (42%).

Estimate what you’ll pay
Quick fill:

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 ★ 5/5 139 min —
Wellmont Bristol Regional Medical Center Bristol, TN $15 $53 ★ 2/5 196 min —
Wellmont Holston Valley Medical Center Kingsport, TN $15 $52 ★ 2/5 204 min —
Sycamore Shoals Hospital Elizabethton, TN $15 $52 ★ 2/5 142 min —
Hawkins County Memorial Hospital Rogersville, TN $15 $53 — 113 min —
Greeneville Community Hospital Greeneville, TN $15 $53 ★ 2/5 154 min —
Johnson City Medical Center Johnson City, TN $15 $53 ★ 1/5 211 min —
Indian Path Community Hospital Kingsport, TN $15 $51 — 136 min —
Franklin Woods Community Hospital Johnson City, TN $15 $53 ★ 3/5 178 min —
Johnson County Community Hospital Mountain City, TN $15 $53 — 131 min —
Russell County Hospital Lebanon, VA $15 $51 ★ 4/5 130 min —
Smyth County Community Hospital Marion, VA $15 $53 ★ 3/5 141 min —
Johnston Memorial Hospital Abingdon, VA $15 $51 ★ 3/5 192 min —
Lonesome Pine Hospital Big Stone Gap, VA $15 $51 ★ 4/5 131 min —
Saint Rose Dominican Hospitals-North Las Vegas North Las Vegas, NV $18 $29 — 91 min —
Ochsner St Mary Morgan City, LA $19 $51 ★ 2/5 89 min —
Ochsner LSU Health Shreveport-St Mary Medical Cent Shreveport, LA $19 $51 ★ 2/5 — —
Bsa Hospital Amarillo, TX $20 $138 ★ 2/5 215 min —
St. Vincent's East Birmingham, AL $20 $51 ★ 3/5 158 min —
St Vincent's Birmingham Birmingham, AL $20 $51 ★ 3/5 243 min —
St Vincent's St Clair Pell City, AL $20 $51 ★ 3/5 154 min —
St Vincent's Chilton Clanton, AL $20 $51 — 164 min —
San Gorgonio Memorial Hospital Banning, CA $20 $54 ★ 3/5 194 min —
Ascension St Vincent's Riverside Jacksonville, FL $20 $51 ★ 3/5 162 min —
Ascension St Vincent's Southside Jacksonville, FL $20 $51 ★ 4/5 126 min —

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 October 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
Amerigroup 178
$51
$28 – $86
UnitedHealthcare 1529
$51
$34 – $158
Tricare / VA 451
$51
$48 – $166
Medicare 563
$51
$50 – $79
Medicaid 355
$51
$31 – $103
Independent Health 53
$51
$31 – $54
Geisinger 69
$51
$46 – $206
EmblemHealth 73
$51
$31 – $115
AmeriHealth 240
$51
$35 – $115
Humana 1065
$53
$45 – $162
Univera 15
$53
$34 – $76
UPMC Health Plan 101
$53
$44 – $203
Centene / Ambetter 808
$54
$31 – $115
Devoted Health 254
$54
$51 – $58
MVP Health Care 81
$54
$31 – $166
Molina Healthcare 566
$54
$31 – $102
Highmark 122
$54
$34 – $208
Healthcare Highways 45
$56
$14 – $165
Kaiser Permanente 232
$56
$41 – $200
Bright Health 63
$59
$51 – $89
Aetna 1408
$62
$42 – $191
Anthem 589
$64
$23 – $244
SelectHealth 45
$65
$35 – $164
AvMed 62
$66
$16 – $152
Priority Health 54
$67
$36 – $173
Health Net 311
$68
$50 – $197
Blue Cross Blue Shield 1292
$72
$48 – $215
Cigna 1155
$79
$39 – $210
Sanford Health Plan 71
$82
$51 – $161
Oscar Health 226
$85
$51 – $148
UCare 65
$89
$50 – $157
Security Health Plan 54
$99
$51 – $193
HealthPartners 277
$101
$48 – $182
Workers' Comp / No-Fault 135
$103
$51 – $185
Medica 247
$110
$51 – $191
Harvard Pilgrim 51
$115
$40 – $198
Coventry 154
$115
$51 – $294
MultiPlan / PHCS network 868
$145
$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
Washington DC$44
Tennessee$55
Mississippi$58
New Jersey$59
Arizona$63
Nevada$69

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 2323 US hospitals across 52 states, the typical (median) cash price is $100, versus a chargemaster (list) price around $172, a median insurer-negotiated rate of $64, a Medicare rate of about $51. Most cash prices fall between $43 and $221 — 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 2323 US hospitals is $100. Most hospitals fall between $43 and $221. 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.

Related Lab Tests

See more Lab Tests.