81339

Gene analysis (mpl proto-oncogene, thrombopoietin receptor) sequence analysis of exon 10

Medicare pricing data for 113 providers across 17 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 (mpl proto-oncogene, thrombopoietin receptor) sequence analysis of exon 10 (HCPCS code 81339) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $181.32, but hospitals typically charge $225.41 — a 1.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$36.26

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $181.32, your out-of-pocket cost would be approximately $36.26. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$181.32
Average Hospital Charge
$225.41
Markup Ratio
1.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$225.41
Medicare Allowed$181.32
Medicare Payment$181.32

Hospitals charge 1.2x more than what Medicare allows for this procedure. Medicare actually pays $181.32 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Iowa$182$770114+0.1%
Louisiana$182$257219+0.1%
Massachusetts$182$2622114+0.1%
Mississippi$182$556113+0.1%
New Jersey$182$22076,471+0.1%
New York$182$9142136+0.1%
Oklahoma$182$2394126+0.1%
Pennsylvania$182$19062,677+0.1%
Virginia$182$4932126+0.1%
Colorado$182$5643176+0.1%
Connecticut$182$390112+0.1%
Texas$181$206259,984+0.0%
Florida$181$2183016,076-0.0%
California$181$2265841-0.1%
Minnesota$181$73510404-0.1%
Maryland$181$2603203-0.4%
Illinois$180$3643173-0.5%

⚠️ 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