What do doctors typically charge for 2019-ncov Coronavirus?

The nationwide median physician charge for 2019-ncov Coronavirus (HCPCS U0004) is $150.25. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS U0004?

The standard insurance baseline reimbursement rate is $73.50. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/2019-ncov Coronavirus

HCPCS U0004Medical Service

2019-ncov Coronavirus

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. Clinical pricing breakdown and utilization metrics across 259 practicing doctors nationwide.

$150.25

Peer Median Charge

Gross billed rate

$73.50

Standard Baseline

Customary allowable

2.0x

National Markup

Charge vs baseline

259

Active Physicians

Billing this code

Planning care or already received a bill for CPT U0004?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $150.25. 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 U0004 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"