Ocean maya royale covid testing cost10/11/2023 The free-standing ER was out of network for Warner's plan. So they passed legislation that required insurers to pay for these tests - without copays or cost sharing for the patient.įor in-network providers, insurers can negotiate prices for the tests, and for out-of-network providers, they're generally required to pay whatever price the providers list publicly on their websites. When the pandemic hit, lawmakers worried that people might avoid necessary testing for fear of the cost. Testing for the coronavirus has been in a special category, however. For coronavirus tests - like much else in American health care - there is no cap to what providers can charge, says Loren Adler, associate director of the USC-Brookings Schaeffer Initiative for Health Policy. A recent report from an insurance trade association notes that "price gouging by certain providers continues to be a widespread problem." Warner's PCR bill of $54,000 was "astronomical" and "egregious," according to health policy researchers we talked to. What gives: Throughout the COVID-19 pandemic, stories of shockingly high prices for coronavirus tests have abounded. Service provider: SignatureCare Emergency Center in Lewisville, one of more than a dozen free-standing ERs the company owns across Texas. Molina's negotiated rate for both tests and the facility fee totaled $16,915.20, which the insurer paid in full. Total bill: $56,384, including $54,000 for the PCR test and the balance for the antigen test and an ER facility fee. Medical service: Two "COVID tests" for the coronavirus - a diagnostic PCR test, which typically takes a few days to process and is quite accurate, and a rapid antigen test, which is less accurate but produces results in minutes. The patient: Travis Warner, 36, is self-employed and bought his health plan from Molina Healthcare via.
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