CMS: Pricing for CDC and Non-CDC COVID-19 Testing

On March 16, 2020, the Centers for Medicare & Medicaid Services (CMS) is posting a fact sheet to the website to aid Medicare providers with information relating to the pricing of both the CDC and non CDC tests.  You can find the fact sheet here:

Additionally, CMS will be tweeting about this new information.  Tweets can be found below. We encourage relevant stakeholders to retweet.

  • Medicare will be covering  #COVID19 tests, and there is generally no copay for original #Medicare – deductible applies. @CMSGov is also permitting #MedicareAdvantage plans to waive cost sharing for these tests.
  • #Medicare’s initial payment for the @CDCgov test will be about $36 & non-CDC tests will be around $51. These prices may vary slightly depending on the local Medicare Administrative Contractor (MAC). View the full price by MAC list here:

Earlier CMS actions in response to the COVID-19 virus, are part of the ongoing White House Task Force efforts. To keep up with the important work CMS is doing in response to COVID-19, please visit the Current Emergencies Website.