Kentucky · G2024

Specimen Collection For Severe Acute Respiratory Syndrome Coronavirus 2 (sars-Cov-2) (coronavirus Disease [covid-19]) From An Individual In A Snf Or By A Laboratory On Behalf Of A Hha, Any Specimen Source in Kentucky

Kentucky Medicare Avg
$24.95
0% above national avg
National Medicare Avg
$24.93
All states combined
Billed Charge (KY)
$90.00
What providers submit
Est. Commercial (KY)
$52.40
National avg: $55.84
Est. Cash / Self-Pay (KY)
$43.46
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

3.8K
Services in KY
1
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Kentucky

Provider Medicare Services
Pinnacle Health Management, Llc $24.95 3.8K

Kentucky Pricing in Context

In Kentucky, CPT code G2024 (Specimen Collection For Severe Acute Respiratory Syndrome Coronavirus 2 (sars-Cov-2) (coronavirus Disease [covid-19]) From An Individual In A Snf Or By A Laboratory On Behalf Of A Hha, Any Specimen Source) carries an average Medicare payment of $24.95 — 0% above the national benchmark of $24.93. 1 providers across the state submitted claims for this procedure in 2023, performing 3.8K total services. Individual payments in KY ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Kentucky is $90.00, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Kentucky sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Temporary Procedures procedures, the estimated commercial insurance price in Kentucky lands near $52.40, with self-pay cash prices typically around $43.46. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Specimen Collection For Severe Acute Respiratory Syndrome Coronavirus 2 (sars-Cov-2) (coronavirus Disease [covid-19]) From An Individual In A Snf Or By A Laboratory On Behalf Of A Hha, Any Specimen Source cost in Kentucky?

The average Medicare payment for Specimen Collection For Severe Acute Respiratory Syndrome Coronavirus 2 (sars-Cov-2) (coronavirus Disease [covid-19]) From An Individual In A Snf Or By A Laboratory On Behalf Of A Hha, Any Specimen Source in Kentucky is $24.95, which is 0% above the national average of $24.93. Providers in KY typically bill $90.00 for this procedure.

What does Specimen Collection For Severe Acute Respiratory Syndrome Coronavirus 2 (sars-Cov-2) (coronavirus Disease [covid-19]) From An Individual In A Snf Or By A Laboratory On Behalf Of A Hha, Any Specimen Source cost with insurance in Kentucky?

With commercial insurance in Kentucky, Specimen Collection For Severe Acute Respiratory Syndrome Coronavirus 2 (sars-Cov-2) (coronavirus Disease [covid-19]) From An Individual In A Snf Or By A Laboratory On Behalf Of A Hha, Any Specimen Source costs an estimated $52.40. Without insurance, the estimated cash price is $43.46. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Specimen Collection For Severe Acute Respiratory Syndrome Coronavirus 2 (sars-Cov-2) (coronavirus Disease [covid-19]) From An Individual In A Snf Or By A Laboratory On Behalf Of A Hha, Any Specimen Source in Kentucky?

1 providers in Kentucky billed Medicare for Specimen Collection For Severe Acute Respiratory Syndrome Coronavirus 2 (sars-Cov-2) (coronavirus Disease [covid-19]) From An Individual In A Snf Or By A Laboratory On Behalf Of A Hha, Any Specimen Source in 2023, performing 3.8K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Specimen Collection For Severe Acute Respiratory Syndrome Coronavirus 2 (sars-Cov-2) (coronavirus Disease [covid-19]) From An Individual In A Snf Or By A Laboratory On Behalf Of A Hha, Any Specimen Source cheaper in Kentucky than the national average?

No — Specimen Collection For Severe Acute Respiratory Syndrome Coronavirus 2 (sars-Cov-2) (coronavirus Disease [covid-19]) From An Individual In A Snf Or By A Laboratory On Behalf Of A Hha, Any Specimen Source costs 0% above the national average in Kentucky. The state average Medicare payment is $24.95 compared to $24.93 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial