Targeted genomic sequence analysis panel of dna or combine dna and rna of 5-50 genes associated with blood and lymphatic system disorders
Medicare pricing data for 90 providers across 22 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
Targeted genomic sequence analysis panel of dna or combine dna and rna of 5-50 genes associated with blood and lymphatic system disorders (HCPCS code 81450) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $739.50, but hospitals typically charge $2,497 — a 3.4x 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 $739.50, your out-of-pocket cost would be approximately $147.90. 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 3.4x more than what Medicare allows for this procedure. Medicare actually pays $739.50 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Massachusetts | $744 | $2,508 | 2 | 33 | +0.7% |
| Nevada | $744 | $3,257 | 1 | 13 | +0.7% |
| New York | $744 | $2,771 | 5 | 222 | +0.7% |
| North Carolina | $744 | $4,409 | 3 | 630 | +0.7% |
| South Dakota | $744 | $2,639 | 1 | 11 | +0.7% |
| Utah | $744 | $4,115 | 2 | 146 | +0.7% |
| Arizona | $744 | $4,078 | 4 | 442 | +0.7% |
| Minnesota | $744 | $2,522 | 5 | 749 | +0.6% |
| California | $744 | $2,813 | 6 | 2,750 | +0.6% |
| New Jersey | $744 | $2,143 | 5 | 5,605 | +0.5% |
| Kansas | $743 | $3,119 | 1 | 13 | +0.4% |
| Tennessee | $742 | $2,242 | 6 | 1,186 | +0.4% |
| Connecticut | $742 | $4,037 | 3 | 259 | +0.3% |
| Washington | $741 | $2,815 | 5 | 300 | +0.2% |
| Florida | $740 | $2,111 | 9 | 2,189 | +0.1% |
| Missouri | $739 | $2,500 | 2 | 248 | -0.0% |
| Oklahoma | $739 | $1,029 | 1 | 59 | -0.1% |
| New Mexico | $736 | $3,042 | 1 | 15 | -0.5% |
| Pennsylvania | $730 | $2,722 | 3 | 11 | -1.3% |
| Illinois | $724 | $2,780 | 1 | 14 | -2.1% |
| Texas | $700 | $2,160 | 7 | 1,202 | -5.4% |
| Colorado | $620 | $1,833 | 4 | 15 | -16.2% |
⚠️ 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