Chromosome analysis for genetic defects, analyze 20-25 cells
Medicare pricing data for 166 providers across 29 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
Chromosome analysis for genetic defects, analyze 20-25 cells (HCPCS code 88264) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $141.32, but hospitals typically charge $433.02 — a 3.1x 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 $141.32, your out-of-pocket cost would be approximately $28.26. 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 3.1x more than what Medicare allows for this procedure. Medicare actually pays $141.32 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $142 | $423 | 3 | 14 | +0.3% |
| Illinois | $142 | $391 | 4 | 88 | +0.3% |
| Indiana | $142 | $231 | 2 | 40 | +0.3% |
| Maryland | $142 | $587 | 2 | 60 | +0.3% |
| Massachusetts | $142 | $591 | 2 | 62 | +0.3% |
| Michigan | $142 | $308 | 3 | 25 | +0.3% |
| Nevada | $142 | $636 | 1 | 116 | +0.3% |
| New Mexico | $142 | $842 | 1 | 19 | +0.3% |
| North Carolina | $142 | $562 | 4 | 45 | +0.3% |
| Oklahoma | $142 | $471 | 2 | 138 | +0.3% |
| Utah | $142 | $431 | 9 | 32 | +0.3% |
| Virginia | $142 | $410 | 4 | 172 | +0.3% |
| Wisconsin | $142 | $930 | 9 | 43 | +0.3% |
| Puerto Rico | $142 | $145 | 2 | 21 | +0.3% |
| Arizona | $142 | $576 | 4 | 1,537 | +0.3% |
| New York | $142 | $638 | 5 | 695 | +0.2% |
| Pennsylvania | $142 | $671 | 5 | 474 | +0.2% |
| Texas | $142 | $331 | 14 | 3,051 | +0.2% |
| Tennessee | $141 | $529 | 16 | 2,334 | +0.1% |
| Florida | $141 | $382 | 17 | 4,144 | +0.0% |
| New Jersey | $141 | $713 | 3 | 1,100 | +0.0% |
| California | $141 | $237 | 10 | 2,912 | +0.0% |
| Minnesota | $141 | $220 | 8 | 717 | +0.0% |
| Georgia | $141 | $367 | 3 | 474 | -0.0% |
| Washington | $141 | $509 | 6 | 387 | -0.3% |
| Connecticut | $141 | $578 | 4 | 1,180 | -0.4% |
| Kansas | $141 | $627 | 4 | 87 | -0.4% |
| Missouri | $134 | $605 | 1 | 12 | -5.0% |
| Ohio | $122 | $304 | 4 | 66 | -13.9% |
⚠️ 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