Medicare Increases Reimbursement Rate for Administering the COVID-19 Vaccine
April 30, 2021
The Centers for Medicare and Medicaid Services (CMS) has increased the Medicare payment rate for administering the COVID-19 vaccine as part of an effort to expand vaccination.
Effective on or after March 15, 2021:
- For the administration of single-dose vaccines, the national average payment rate for physicians will increase from approximately $28 to $40.
- For the administration of vaccines requiring two doses, the national average payment rate for physicians will increase from approximately $45 to $80.
The exact payment rate for administration of each dose of a COVID-19 vaccine will depend on the type of entity (physician, hospital, pharmacy or other immunizer) providing the service. In addition, the payment rate will be geographically adjusted based on where the service is delivered.
For more information, please visit the Medicare COVID-19 Vaccine Shot Payment webpage.
If you have questions, please contact the ISMS Health Policy Research and Advocacy team by email.