81270

Gene analysis (janus kinase 2) variant

Medicare pricing data for 324 providers across 32 states

🤖AI Overview

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 (janus kinase 2) variant (HCPCS code 81270) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $89.69, but hospitals typically charge $398.44 — a 4.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$17.94

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $89.69, your out-of-pocket cost would be approximately $17.94. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$89.69
Average Hospital Charge
$398.44
Markup Ratio
4.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$398.44
Medicare Allowed$89.69
Medicare Payment$89.69

Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $89.69 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Hawaii$90$248231+0.2%
Indiana$90$505322+0.2%
Iowa$90$467227+0.2%
Maine$90$395119+0.2%
Massachusetts$90$5123240+0.2%
Minnesota$90$73333850+0.2%
Missouri$90$370124+0.2%
New Mexico$90$502167+0.2%
North Carolina$90$51031,179+0.2%
Oklahoma$90$391662+0.2%
Oregon$90$367333+0.2%
Pennsylvania$90$5584194+0.2%
South Dakota$90$445124+0.2%
Tennessee$90$3796421+0.2%
Virginia$90$325451+0.2%
Washington$90$4416171+0.2%
Wisconsin$90$7814136+0.2%
Arkansas$90$140211+0.2%
Arizona$90$48341,104+0.1%
Florida$90$330214,017+0.1%
Texas$90$339191,133+0.0%
New Jersey$90$45091,267-0.0%
New York$90$427871,267-0.1%
Utah$90$1872402-0.1%
California$90$304111,742-0.1%
Connecticut$90$2753619-0.1%
Illinois$90$37821310-0.2%
Maryland$89$4176151-0.5%
Georgia$89$2291171-0.6%
Alabama$89$31422214-1.1%
Colorado$89$512355-1.3%
Michigan$88$2431943-1.7%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber