Translocation analysis (bcr/abl1) minor breakpoint
Medicare pricing data for 147 providers across 21 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) minor breakpoint (HCPCS code 81207) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $141.61, but hospitals typically charge $311.63 — a 2.2x 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 $141.61, your out-of-pocket cost would be approximately $28.32. 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 2.2x more than what Medicare allows for this procedure. Medicare actually pays $141.61 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $142 | $240 | 6 | 224 | +0.6% |
| Hawaii | $142 | $410 | 1 | 20 | +0.2% |
| Illinois | $142 | $208 | 2 | 213 | +0.2% |
| Massachusetts | $142 | $210 | 2 | 104 | +0.2% |
| New Mexico | $142 | $411 | 1 | 41 | +0.2% |
| New York | $142 | $479 | 6 | 188 | +0.2% |
| Oklahoma | $142 | $279 | 1 | 58 | +0.2% |
| Texas | $142 | $303 | 15 | 781 | +0.2% |
| Utah | $142 | $290 | 1 | 91 | +0.2% |
| Wisconsin | $142 | $389 | 5 | 31 | +0.2% |
| Arizona | $142 | $260 | 3 | 155 | +0.2% |
| Colorado | $142 | $252 | 3 | 72 | +0.2% |
| Connecticut | $142 | $554 | 3 | 671 | +0.2% |
| Minnesota | $142 | $421 | 9 | 429 | +0.2% |
| Florida | $142 | $285 | 16 | 2,950 | +0.1% |
| New Jersey | $142 | $264 | 9 | 3,908 | +0.0% |
| Maryland | $141 | $338 | 5 | 225 | -0.1% |
| Washington | $141 | $265 | 5 | 165 | -0.5% |
| Alabama | $140 | $540 | 23 | 367 | -1.2% |
| Virginia | $139 | $315 | 2 | 30 | -1.9% |
| Pennsylvania | $138 | $279 | 5 | 106 | -2.6% |
⚠️ 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