0345U

Genomic analysis panel of 15 genes for detection of abnormalities assocated with mental health disorders

Medicare pricing data for 1 providers across 1 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

Genomic analysis panel of 15 genes for detection of abnormalities assocated with mental health disorders (HCPCS code 0345U) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,324, but hospitals typically charge $5,504 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$264.72

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,324, your out-of-pocket cost would be approximately $264.72. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,324
Average Hospital Charge
$5,504
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$5,504.48
Medicare Allowed$1,323.59
Medicare Payment$1,323.59

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $1,324 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Ohio$1,324$5,504118,1190.0%

⚠️ 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