Gene analysis (cystic fibrosis transmembrane conductance regular) full gene sequence
Medicare pricing data for 100 providers across 12 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 (cystic fibrosis transmembrane conductance regular) full gene sequence (HCPCS code 81223) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $474.68, but hospitals typically charge $576.78 — a 1.2x 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 $474.68, your out-of-pocket cost would be approximately $94.94. 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 1.2x more than what Medicare allows for this procedure. Medicare actually pays $474.68 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Louisiana | $489 | $661 | 2 | 179 | +3.0% |
| Maryland | $489 | $2,494 | 2 | 11 | +3.0% |
| Mississippi | $489 | $1,500 | 1 | 30 | +3.0% |
| New Jersey | $489 | $595 | 9 | 5,755 | +3.0% |
| New York | $489 | $2,196 | 2 | 13 | +3.0% |
| Pennsylvania | $489 | $504 | 4 | 2,401 | +3.0% |
| Colorado | $489 | $2,042 | 4 | 90 | +3.0% |
| Florida | $489 | $607 | 28 | 15,516 | +2.9% |
| Oklahoma | $487 | $667 | 2 | 237 | +2.5% |
| Arizona | $466 | $650 | 1 | 102 | -1.9% |
| Minnesota | $464 | $1,499 | 2 | 18 | -2.2% |
| Texas | $446 | $521 | 39 | 11,989 | -6.0% |
⚠️ 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