81192

Gene analysis (neurotrophic receptor tyrosine kinase 2) translocation analysis

Medicare pricing data for 35 providers across 8 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

Gene analysis (neurotrophic receptor tyrosine kinase 2) translocation analysis (HCPCS code 81192) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $203.15, but hospitals typically charge $226.02 — a 1.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$40.63

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $203.15, your out-of-pocket cost would be approximately $40.63. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$203.15
Average Hospital Charge
$226.02
Markup Ratio
1.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$226.02
Medicare Allowed$203.15
Medicare Payment$203.15

Hospitals charge 1.1x more than what Medicare allows for this procedure. Medicare actually pays $203.15 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Louisiana$203$238265+0.0%
New Jersey$203$25233,037+0.0%
Oklahoma$203$2603245+0.0%
Pennsylvania$203$20711,106+0.0%
Texas$203$213126,270+0.0%
Arizona$203$300160+0.0%
Colorado$203$911114+0.0%
Florida$203$229121,106-0.0%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber