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. 2023 Dec;38(16):3640-3643.
doi: 10.1007/s11606-020-06198-y. Epub 2020 Sep 15.

Charges of COVID-19 Diagnostic Testing and Antibody Testing Across Facility Types and States

Mark K Meiselbach  1 , Ge Bai  2   3 , Gerard F Anderson  1   4
Affiliations

Charges of COVID-19 Diagnostic Testing and Antibody Testing Across Facility Types and States

Mark K Meiselbach et al. J Gen Intern Med. 2023 Dec.

Erratum in

No abstract available

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Conflict of interest statement

All authors declare no potential conflicts of interest with respect to the research, authorship, or publication of this article. Mark K. Meiselbach is supported by the T32HS000029 grant from the Agency for Healthcare Research and Quality. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Agency for Healthcare Research and Quality. The data, technology, and services used in the generation of these research findings were generously supplied pro bono by the COVID-19 Research Database partners, who are acknowledged at www.covid19researchdatabase.org. This study is funded by Arnold Ventures.

Figures

Figure 1
Figure 1
Average charges for COVID-19 testing, by facility type. a Diagnostic testing (CPT code: 87635), N = 182,149. Other facilities include ambulatory surgical center, ESRD treatment center, federally qualified health center, intermediate care facility, mobile unit, public health clinic, rural health clinic, skilled nursing facility, telehealth, tribal free-standing clinic, urgent care facility, walk-in retail health clinic, and unspecified settings. The width (degrees) of each slice represents the relative service volume. The data include 411 physician offices, 124 hospital inpatient settings, 64 hospital emergency rooms, 1212 hospital outpatient settings, 226 independent laboratories, and 278 other facilities. The radius of each slice represents the average charge. The Medicare reimbursement rate is $51.31. b Antibody testing (CPT code: 86769), N = 318,546. Other facilities include ambulatory surgical center, ESRD treatment center, federally qualified health center, public health clinic, rural health clinic, skilled nursing facility, telehealth, tribal free-standing clinic, urgent care facility, walk-in retail health clinic, hospital emergency room, and unspecified settings. The data include 165 independent laboratories, 325 hospital outpatient settings, 214 physician offices, and 60 other facilities. The width (degrees) of each slice represents the relative service volume. The radius of each slice represents the average charge. The Medicare reimbursement rate is $42.13.
Figure 2
Figure 2
Average charges for COVID-19 testing, by state. a Diagnostic testing (CPT code: 87635), N = 182,149. States that had ten or fewer claims were classified as “No data.” The Medicare reimbursement rate is $51.31. b Antibody testing (CPT code: 86769), N = 318,546. States that had ten or fewer services were classified as “No data.” The Medicare reimbursement rate is $42.13.
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References

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