Notice of Cash Prices for COVID-19 Diagnostic Tests

This notice is posted on a public website as required by 45 C.F.R. Part 182, as authorized by Section 3202 of the “Coronavirus Aid, Relief, and Economic Security Act” or the “CARES Act.”  The prices set forth below are for use solely by group health plans or health insurers who are not contracted with either ºìÌÒÊÓƵ¸ßÇåappÏÂÔØ, Inc., or Total Renal Laboratories, Inc., d/b/a ºìÌÒÊÓƵ¸ßÇåappÏÂÔØ Labs.  Except as required by the CARES Act, no other use is intended.  The cash prices listed below are valid during the COVID-19 public health emergency only.

Billing Code

Plain Language Description

Laboratory Code Long Descriptor

Cash Price

U0003

COVID-19 PCR test of either a nasal swab or saliva specimen performed on high throughput testing machines

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

$100

86769

COVID-19 blood test to detect antibodies

Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])

$42.13