Gene analysis (muts homolog 6 [e coli]) full sequence analysis
Medicare pricing data for 84 providers across 9 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 (muts homolog 6 [e coli]) full sequence analysis (HCPCS code 81298) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $628.67, but hospitals typically charge $745.79 — a 1.2x 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 $628.67, your out-of-pocket cost would be approximately $125.73. 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 1.2x more than what Medicare allows for this procedure. Medicare actually pays $628.67 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Louisiana | $629 | $872 | 3 | 160 | +0.1% |
| New York | $629 | $1,819 | 2 | 12 | +0.1% |
| Oklahoma | $629 | $749 | 2 | 98 | +0.1% |
| Pennsylvania | $629 | $643 | 2 | 3,220 | +0.1% |
| Texas | $629 | $712 | 28 | 9,279 | +0.0% |
| Colorado | $629 | $2,590 | 3 | 91 | +0.0% |
| Florida | $629 | $841 | 24 | 2,739 | +0.0% |
| Maryland | $628 | $1,188 | 3 | 164 | -0.1% |
| New Jersey | $628 | $760 | 15 | 7,040 | -0.1% |
⚠️ 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