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HCPCS U0003Medical Service

Infectious Agent Detection by Nucleic Acid Dna or Rna Severe Acute Respiratory Syndrome Coronavirus 2 Sars-cov-2 Coronavirus Disease Covid-19

Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r. Clinical pricing breakdown and utilization metrics across 973 practicing doctors nationwide.

$176.05
Peer Median Charge
Gross billed rate
$73.50
Standard Baseline
Customary allowable
2.4x
National Markup
Charge vs baseline
973
Active Physicians
Billing this code
Planning care or already received a bill for CPT U0003?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $176.05. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $73.50 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:
  • "Does Dr. [Name] participate in my specific insurance plan network?"
  • "What is the total self-pay or cash rate for code U0003 if paid upfront?"
  • "Are there separate facility, anesthesia, or pathology fees associated with this procedure?"