Gene analysis (cytochrome p450, family 2, subfamily d, polypeptide 6) common variants
Medicare pricing data for 121 providers across 22 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 (cytochrome p450, family 2, subfamily d, polypeptide 6) common variants (HCPCS code 81226) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $440.26, but hospitals typically charge $852.92 — a 1.9x 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 $440.26, your out-of-pocket cost would be approximately $88.05. 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 1.9x more than what Medicare allows for this procedure. Medicare actually pays $440.26 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Kentucky | $442 | $734 | 3 | 24 | +0.4% |
| Louisiana | $442 | $501 | 3 | 41 | +0.4% |
| Michigan | $442 | $676 | 1 | 90 | +0.4% |
| Missouri | $442 | $800 | 1 | 15 | +0.4% |
| Nevada | $442 | $451 | 1 | 73 | +0.4% |
| New York | $442 | $902 | 1 | 99 | +0.4% |
| Oklahoma | $442 | $891 | 2 | 40 | +0.4% |
| South Carolina | $442 | $902 | 3 | 332 | +0.4% |
| Tennessee | $442 | $1,500 | 1 | 13 | +0.4% |
| Arizona | $442 | $719 | 3 | 397 | +0.4% |
| Arkansas | $442 | $902 | 1 | 30 | +0.4% |
| California | $442 | $928 | 2 | 60 | +0.4% |
| Colorado | $442 | $1,590 | 2 | 52 | +0.4% |
| Connecticut | $442 | $1,337 | 1 | 43 | +0.4% |
| New Jersey | $442 | $519 | 13 | 2,134 | +0.3% |
| Florida | $442 | $531 | 21 | 4,194 | +0.3% |
| Mississippi | $441 | $664 | 2 | 124 | +0.2% |
| Pennsylvania | $441 | $548 | 5 | 1,070 | +0.1% |
| Ohio | $441 | $1,297 | 4 | 5,874 | +0.1% |
| Texas | $435 | $805 | 46 | 1,940 | -1.2% |
| Virginia | $427 | $564 | 2 | 214 | -3.1% |
| Indiana | $423 | $474 | 1 | 54 | -3.9% |
⚠️ 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