Covid Testing and Vaccination Rates
Viral Solutions is committed to price transparency in healthcare. When you visit a Viral Solutions site, you will undergo an evaluation by a licensed healthcare provider (either a physician, physician assistant, or nurse practitioner.)
Our evaluation includes discussing your exposure history and symptoms, and your reasons for concern about COVID-19, so we may determine the medical necessity for testing. Once a test is deemed appropriate, we obtain and interpret vital signs, perform the test, make follow-up contacts as necessary, fill out FMLA paperwork as needed, and perform a visual assessment to ensure you are not in medical distress.
Additionally, our providers are available to answer questions you may have regarding COVID-19 signs and symptoms, when to seek emergency care, quarantine and isolation precautions, and when you may return to work/school if you are positive.
Your insurance will be billed for an office visit following your evaluation at Viral Solutions. While our locations are not traditional medical offices, the circumstances of the pandemic dictate that we quickly meet patients where it is most convenient to them. Drive-through medical tents allow us to provide rapid care to hundreds of people each day, in an efficient, safe, and timely manner.
The CARES Act and subsequent CMS regulations stipulate that there shall be no patient responsibility for COVID19 diagnostic testing and the professional services related to the ordering of COVID19 diagnostic testing. The charges above represent the amount that will be charged by Viral Solutions to your insurance company, medicare, or medicaid (or to HRSA if you are uninsured). The level of service (and consequently the charge) will depend on your acuity, symptoms, exposure, risk, and complexity (per AMA 2021 coding guidelines). Regardless of whether your insurance covers or denies the charge, Viral Solutions will hold you harmless in the billing process.
Following service with us, you will receive an Explanation of Benefits (EOB) from your insurance company, showing how much your insurance was charged and how much the insurance company paid for the visit. This EOB may state an amount you owe for service with us (sometimes in a section entitled "you may owe" or "subscriber responsibility"). EOBs, which are issued by your insurance company, often do not take into account write-offs of cost-sharing related to COVID19 services, which is a special situation.
As long as CMS guidance is in effect, you will NOT have any out-of-pocket cost or money owed to Viral Solutions, regardless of what amount your insurance pays.
Currently, we use third-party reference labs to perform some of our COVID19 RT-PCR testing. The cost of that lab is billed separately by the entity performing the test. The same cost-sharing rules and regulations apply to the test as apply to the evaluation you will receive from us. However, if you have any billing concerns related to that test, please reach out to the lab directly, as they are responsible for their own billing. In general and for your informational purposes, the Medicare rate for an RT-PCR test for COVID19 is between $75-100. This will be billed by the lab directly, not by Viral Solutions.
|E/M||VS Rate||(Medicare Geographically Adjusted Rate)|
|99202||$103||($73.60) *most common|
|99203||$158||($113.14) *most common
|99212||$79||($56.65) *most common|
|99213||$129||($92.04) *most common|
There is no charge for the cost of the vaccine itself, as it is provided free by the Department of Public Health. We do charge an administration fee which is listed below. There are NO out-of-pocket costs for vaccinations, regardless of what your insurance pays.
|Pfizer||0001A / 0002A / 0003A||$40.01|
|Moderna||0011A / 0012A / 0013A||$40.01|
|Johnson & Johnson||0031A||$40.01|
**Rates are discounted by some payors if you were evaluated by a physician assistant or nurse practitioner.