Gene analysis (hemochromatosis) common variants
Medicare pricing data for 225 providers across 32 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 (hemochromatosis) common variants (HCPCS code 81256) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $64.02, but hospitals typically charge $264.11 — a 4.1x 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 $64.02, your out-of-pocket cost would be approximately $12.80. 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 4.1x more than what Medicare allows for this procedure. Medicare actually pays $64.02 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Illinois | $64 | $510 | 2 | 98 | +0.0% |
| Indiana | $64 | $384 | 4 | 25 | +0.0% |
| Iowa | $64 | $270 | 3 | 43 | +0.0% |
| Louisiana | $64 | $83 | 5 | 81 | +0.0% |
| Massachusetts | $64 | $542 | 4 | 221 | +0.0% |
| Michigan | $64 | $259 | 6 | 13 | +0.0% |
| Minnesota | $64 | $655 | 27 | 288 | +0.0% |
| Nevada | $64 | $552 | 1 | 101 | +0.0% |
| New Mexico | $64 | $938 | 1 | 19 | +0.0% |
| New York | $64 | $452 | 4 | 188 | +0.0% |
| Ohio | $64 | $336 | 10 | 330 | +0.0% |
| Oklahoma | $64 | $204 | 8 | 411 | +0.0% |
| Pennsylvania | $64 | $122 | 7 | 1,227 | +0.0% |
| South Carolina | $64 | $131 | 1 | 12 | +0.0% |
| Tennessee | $64 | $203 | 4 | 306 | +0.0% |
| Utah | $64 | $135 | 2 | 496 | +0.0% |
| Virginia | $64 | $434 | 4 | 272 | +0.0% |
| Washington | $64 | $339 | 5 | 223 | +0.0% |
| Wisconsin | $64 | $570 | 5 | 27 | +0.0% |
| Alabama | $64 | $270 | 2 | 249 | +0.0% |
| Arizona | $64 | $392 | 5 | 825 | +0.0% |
| California | $64 | $452 | 12 | 1,476 | +0.0% |
| Colorado | $64 | $386 | 10 | 280 | +0.0% |
| Texas | $64 | $100 | 30 | 10,582 | +0.0% |
| North Carolina | $64 | $300 | 6 | 4,355 | 0.0% |
| New Jersey | $64 | $377 | 13 | 5,553 | -0.0% |
| Florida | $64 | $335 | 18 | 2,652 | -0.1% |
| Georgia | $64 | $527 | 2 | 601 | -0.2% |
| Kansas | $64 | $522 | 3 | 295 | -0.2% |
| Maryland | $63 | $502 | 4 | 155 | -0.8% |
| Oregon | $63 | $236 | 4 | 84 | -0.9% |
| Hawaii | $63 | $186 | 2 | 51 | -1.4% |
⚠️ 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