81334

Gene analysis (runt related transcription factor 1) targeted sequence analysis

Medicare pricing data for 34 providers across 5 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 (runt related transcription factor 1) targeted sequence analysis (HCPCS code 81334) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $322.56, but hospitals typically charge $362.50 — a 1.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$64.51

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $322.56, your out-of-pocket cost would be approximately $64.51. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$322.56
Average Hospital Charge
$362.50
Markup Ratio
1.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$362.50
Medicare Allowed$322.56
Medicare Payment$322.56

Hospitals charge 1.1x more than what Medicare allows for this procedure. Medicare actually pays $322.56 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$323$330228+0.1%
Pennsylvania$323$330232+0.1%
Florida$323$3602116,513+0.0%
Texas$321$374314-0.6%
Connecticut$315$989261-2.3%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber