Gene analysis (calreticulin), common variants
Medicare pricing data for 241 providers across 25 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
Gene analysis (calreticulin), common variants (HCPCS code 81219) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $118.99, but hospitals typically charge $415.81 — a 3.5x 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 $118.99, your out-of-pocket cost would be approximately $23.80. 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 3.5x more than what Medicare allows for this procedure. Medicare actually pays $118.99 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $119 | $304 | 1 | 85 | +0.2% |
| Illinois | $119 | $328 | 18 | 205 | +0.2% |
| Iowa | $119 | $506 | 1 | 13 | +0.2% |
| Maryland | $119 | $380 | 4 | 75 | +0.2% |
| Massachusetts | $119 | $367 | 4 | 124 | +0.2% |
| Missouri | $119 | $490 | 1 | 24 | +0.2% |
| New Jersey | $119 | $426 | 5 | 704 | +0.2% |
| New Mexico | $119 | $409 | 1 | 34 | +0.2% |
| North Carolina | $119 | $612 | 3 | 126 | +0.2% |
| Oklahoma | $119 | $284 | 3 | 17 | +0.2% |
| Pennsylvania | $119 | $366 | 4 | 104 | +0.2% |
| Tennessee | $119 | $332 | 3 | 449 | +0.2% |
| Utah | $119 | $245 | 2 | 192 | +0.2% |
| Virginia | $119 | $368 | 2 | 40 | +0.2% |
| Wisconsin | $119 | $559 | 3 | 42 | +0.2% |
| Colorado | $119 | $395 | 3 | 28 | +0.2% |
| Arizona | $119 | $623 | 3 | 970 | +0.1% |
| Connecticut | $119 | $493 | 3 | 450 | +0.0% |
| Texas | $119 | $333 | 10 | 815 | +0.0% |
| California | $119 | $339 | 10 | 1,027 | 0.0% |
| Minnesota | $119 | $744 | 21 | 443 | -0.0% |
| New York | $119 | $528 | 81 | 1,105 | -0.1% |
| Washington | $119 | $450 | 9 | 88 | -0.1% |
| Florida | $119 | $321 | 15 | 2,935 | -0.1% |
| Michigan | $116 | $314 | 16 | 33 | -2.2% |
⚠️ 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