Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants
Medicare pricing data for 154 providers across 14 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 (5, 10-methylenetetrahydrofolate reductase) common variants (HCPCS code 81291) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $63.93, but hospitals typically charge $125.71 — a 2.0x 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 $63.93, your out-of-pocket cost would be approximately $12.79. 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 2.0x more than what Medicare allows for this procedure. Medicare actually pays $63.93 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $64 | $333 | 4 | 55 | +0.2% |
| Mississippi | $64 | $97 | 3 | 129 | +0.2% |
| New Mexico | $64 | $275 | 1 | 13 | +0.2% |
| Ohio | $64 | $466 | 4 | 162 | +0.2% |
| Oklahoma | $64 | $144 | 7 | 219 | +0.2% |
| Arizona | $64 | $201 | 3 | 61 | +0.2% |
| Arkansas | $64 | $131 | 1 | 28 | +0.2% |
| Colorado | $64 | $349 | 3 | 131 | +0.2% |
| Texas | $64 | $100 | 52 | 8,630 | +0.1% |
| Florida | $64 | $115 | 23 | 5,010 | +0.1% |
| Pennsylvania | $64 | $139 | 10 | 388 | -0.1% |
| Virginia | $64 | $98 | 3 | 268 | -0.5% |
| New Jersey | $64 | $190 | 15 | 2,701 | -0.6% |
| Louisiana | $63 | $103 | 7 | 92 | -2.0% |
⚠️ 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