Gene analysis (ataxin 7) for abnormal alleles
Medicare pricing data for 30 providers across 9 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 (ataxin 7) for abnormal alleles (HCPCS code 81181) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $134.26, but hospitals typically charge $162.11 — a 1.2x 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 $134.26, your out-of-pocket cost would be approximately $26.85. 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 1.2x more than what Medicare allows for this procedure. Medicare actually pays $134.26 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $134 | $176 | 12 | 604 | 0.0% |
| Louisiana | $134 | $156 | 2 | 84 | 0.0% |
| Maryland | $134 | $253 | 1 | 113 | 0.0% |
| New Jersey | $134 | $166 | 4 | 3,049 | 0.0% |
| Oklahoma | $134 | $203 | 2 | 315 | 0.0% |
| Pennsylvania | $134 | $137 | 1 | 1,103 | 0.0% |
| Texas | $134 | $143 | 6 | 1,173 | 0.0% |
| Arizona | $134 | $200 | 1 | 31 | 0.0% |
| Colorado | $134 | $602 | 1 | 14 | 0.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber