Gene analysis (v-raf murine sarcoma viral oncogene homolog b1)
Medicare pricing data for 95 providers across 22 states
Prices vary significantly by location — from $61 in Indiana to $172 in Georgia. Where you get this procedure matters more than almost any other factor. 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 (v-raf murine sarcoma viral oncogene homolog b1) (HCPCS code 81210) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $171.28, but hospitals typically charge $276.71 — a 1.6x 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 $171.28, your out-of-pocket cost would be approximately $34.26. 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 1.6x more than what Medicare allows for this procedure. Medicare actually pays $171.28 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $172 | $439 | 1 | 116 | +0.4% |
| Illinois | $172 | $403 | 3 | 98 | +0.4% |
| Minnesota | $172 | $1,024 | 2 | 81 | +0.4% |
| New Mexico | $172 | $789 | 1 | 15 | +0.4% |
| North Carolina | $172 | $860 | 1 | 79 | +0.4% |
| Tennessee | $172 | $457 | 2 | 44 | +0.4% |
| Utah | $172 | $661 | 3 | 35 | +0.4% |
| Washington | $172 | $207 | 4 | 89 | +0.4% |
| Wisconsin | $172 | $421 | 3 | 18 | +0.4% |
| Arizona | $172 | $445 | 2 | 80 | +0.4% |
| Arkansas | $172 | $259 | 2 | 11 | +0.4% |
| Connecticut | $172 | $441 | 3 | 246 | +0.4% |
| Florida | $172 | $192 | 19 | 4,925 | +0.3% |
| California | $172 | $271 | 6 | 914 | +0.2% |
| Colorado | $172 | $501 | 4 | 472 | +0.1% |
| New Jersey | $171 | $809 | 3 | 144 | -0.3% |
| Pennsylvania | $170 | $637 | 4 | 12 | -0.7% |
| Maine | $169 | $255 | 2 | 52 | -1.3% |
| Texas | $168 | $473 | 9 | 73 | -1.7% |
| Oklahoma | $168 | $521 | 3 | 13 | -2.0% |
| Maryland | $121 | $249 | 1 | 14 | -29.3% |
| Indiana | $61 | $80 | 1 | 23 | -64.2% |
⚠️ 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