Nevada · K1034

Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count in Nevada

Nevada Medicare Avg
$11.70
1% above national avg
National Medicare Avg
$11.62
All states combined
Billed Charge (NV)
$12.13
What providers submit
Est. Commercial (NV)
$28.07
National avg: $26.03
Est. Cash / Self-Pay (NV)
$12.11
Typical self-pay discount

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

2.3M
Services in NV
276
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Nevada

Provider Medicare Services
Dna Analytical Laboratory Lv Llc $11.76 2.1M

Nevada Pricing in Context

In Nevada, CPT code K1034 (Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count) carries an average Medicare payment of $11.70 — 1% above the national benchmark of $11.62. 276 providers across the state submitted claims for this procedure in 2023, performing 2.3M total services. Individual payments in NV 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 Nevada is $12.13, 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 Nevada 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 DME (Temporary) procedures, the estimated commercial insurance price in Nevada lands near $28.07, with self-pay cash prices typically around $12.11. 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 Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count cost in Nevada?

The average Medicare payment for Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count in Nevada is $11.70, which is 1% above the national average of $11.62. Providers in NV typically bill $12.13 for this procedure.

What does Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count cost with insurance in Nevada?

With commercial insurance in Nevada, Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count costs an estimated $28.07. Without insurance, the estimated cash price is $12.11. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count in Nevada?

276 providers in Nevada billed Medicare for Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count in 2023, performing 2.3M total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count cheaper in Nevada than the national average?

No — Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count costs 1% above the national average in Nevada. The state average Medicare payment is $11.70 compared to $11.62 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