Translocation analysis (bcr/abl1) major breakpoint
Medicare pricing data for 198 providers across 33 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
Translocation analysis (bcr/abl1) major breakpoint (HCPCS code 81206) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $160.14, but hospitals typically charge $439.72 — a 2.7x 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 $160.14, your out-of-pocket cost would be approximately $32.03. 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 2.7x more than what Medicare allows for this procedure. Medicare actually pays $160.14 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Arizona | $161 | $300 | 4 | 489 | +0.5% |
| Georgia | $161 | $410 | 1 | 119 | +0.3% |
| Hawaii | $161 | $456 | 2 | 64 | +0.3% |
| Iowa | $161 | $711 | 2 | 33 | +0.3% |
| Kentucky | $161 | $820 | 1 | 189 | +0.3% |
| Maine | $161 | $268 | 2 | 69 | +0.3% |
| Massachusetts | $161 | $600 | 2 | 232 | +0.3% |
| Michigan | $161 | $294 | 12 | 76 | +0.3% |
| North Carolina | $161 | $643 | 2 | 14 | +0.3% |
| Oklahoma | $161 | $430 | 4 | 227 | +0.3% |
| Oregon | $161 | $279 | 3 | 19 | +0.3% |
| South Dakota | $161 | $568 | 2 | 42 | +0.3% |
| Tennessee | $161 | $349 | 5 | 732 | +0.3% |
| Utah | $161 | $328 | 2 | 690 | +0.3% |
| Puerto Rico | $161 | $164 | 1 | 20 | +0.3% |
| Colorado | $161 | $608 | 3 | 187 | +0.3% |
| Connecticut | $161 | $614 | 4 | 698 | +0.3% |
| Texas | $161 | $479 | 17 | 2,901 | +0.3% |
| Florida | $160 | $352 | 17 | 6,571 | +0.2% |
| New York | $160 | $502 | 11 | 434 | +0.1% |
| New Mexico | $160 | $755 | 1 | 127 | +0.1% |
| New Jersey | $160 | $401 | 9 | 4,576 | +0.1% |
| Ohio | $160 | $496 | 5 | 79 | +0.0% |
| Maryland | $160 | $592 | 6 | 413 | -0.1% |
| Minnesota | $160 | $810 | 17 | 1,869 | -0.1% |
| Illinois | $160 | $424 | 6 | 466 | -0.3% |
| Pennsylvania | $160 | $622 | 6 | 422 | -0.3% |
| Washington | $160 | $383 | 6 | 345 | -0.4% |
| California | $160 | $267 | 6 | 2,336 | -0.4% |
| Virginia | $159 | $321 | 2 | 154 | -0.8% |
| Alabama | $159 | $600 | 23 | 371 | -1.0% |
| Wisconsin | $158 | $728 | 5 | 331 | -1.4% |
| Indiana | $120 | $287 | 2 | 55 | -25.0% |
⚠️ 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