Gene analysis (fragile x mental retardation 2) for abnormal alleles
Medicare pricing data for 31 providers across 7 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
Gene analysis (fragile x mental retardation 2) for abnormal alleles (HCPCS code 81171) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $134.13, but hospitals typically charge $150.16 — a 1.1x 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 $134.13, your out-of-pocket cost would be approximately $26.83. 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 1.1x more than what Medicare allows for this procedure. Medicare actually pays $134.13 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $134 | $155 | 8 | 820 | +0.1% |
| Louisiana | $134 | $156 | 2 | 63 | +0.1% |
| New Jersey | $134 | $166 | 3 | 3,020 | +0.1% |
| Oklahoma | $134 | $183 | 3 | 242 | +0.1% |
| Pennsylvania | $134 | $137 | 1 | 1,101 | +0.1% |
| Arizona | $134 | $200 | 1 | 60 | +0.1% |
| Texas | $134 | $141 | 12 | 6,233 | -0.1% |
⚠️ 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