Gene analysis (calcium voltage-gated channel subunit alpha1 a) of full sequence
Medicare pricing data for 39 providers across 8 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Gene analysis (calcium voltage-gated channel subunit alpha1 a) of full sequence (HCPCS code 81185) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $822.71, but hospitals typically charge $896.06 — a 1.1x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $822.71, your out-of-pocket cost would be approximately $164.54. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 1.1x more than what Medicare allows for this procedure. Medicare actually pays $822.71 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Louisiana | $829 | $931 | 2 | 78 | +0.8% |
| Pennsylvania | $829 | $849 | 1 | 1,100 | +0.8% |
| Oklahoma | $829 | $1,032 | 3 | 296 | +0.7% |
| New Jersey | $828 | $886 | 4 | 1,785 | +0.6% |
| Texas | $822 | $885 | 15 | 9,949 | -0.1% |
| Florida | $822 | $1,013 | 11 | 797 | -0.1% |
| Maryland | $813 | $1,270 | 1 | 96 | -1.2% |
| Arizona | $665 | $1,000 | 1 | 79 | -19.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber