81279

Gene analysis (janus kinase 2) targeted sequence analysis

Medicare pricing data for 262 providers across 27 states

🤖AI Overview

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 (janus kinase 2) targeted sequence analysis (HCPCS code 81279) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $180.61, but hospitals typically charge $272.74 — a 1.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$36.12

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $180.61, your out-of-pocket cost would be approximately $36.12. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$180.61
Average Hospital Charge
$272.74
Markup Ratio
1.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$272.74
Medicare Allowed$180.61
Medicare Payment$180.61

Hospitals charge 1.5x more than what Medicare allows for this procedure. Medicare actually pays $180.61 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$182$463176+0.5%
Hawaii$182$511217+0.5%
Illinois$182$38416142+0.5%
Louisiana$182$283320+0.5%
Massachusetts$182$4263146+0.5%
Mississippi$182$556113+0.5%
Missouri$182$741124+0.5%
New Mexico$182$575131+0.5%
North Carolina$182$565286+0.5%
Oklahoma$182$2774108+0.5%
Utah$182$3701132+0.5%
Virginia$182$5023108+0.5%
Wisconsin$182$554347+0.5%
Arizona$182$5663939+0.5%
Colorado$182$6095210+0.5%
Pennsylvania$181$20272,720+0.5%
Florida$181$2413518,238+0.4%
New Jersey$181$290117,804+0.4%
Connecticut$181$5503289+0.3%
Maryland$181$4203193+0.2%
California$181$35791,013+0.2%
New York$181$78881969+0.2%
Washington$181$562538-0.0%
Arkansas$180$280274-0.2%
Texas$178$2192910,743-1.3%
Michigan$178$4881639-1.6%
Tennessee$164$493313-9.1%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber