81302

Gene analysis (methyl cpg binding protein 2) full sequence analysis

Medicare pricing data for 39 providers across 7 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 (methyl cpg binding protein 2) full sequence analysis (HCPCS code 81302) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $517.16, but hospitals typically charge $552.86 — a 1.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$103.43

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $517.16, your out-of-pocket cost would be approximately $103.43. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$517.16
Average Hospital Charge
$552.86
Markup Ratio
1.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$552.86
Medicare Allowed$517.16
Medicare Payment$517.16

Hospitals charge 1.1x more than what Medicare allows for this procedure. Medicare actually pays $517.16 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Louisiana$517$539296+0.0%
New Jersey$517$53131,874+0.0%
Oklahoma$517$7343440+0.0%
Pennsylvania$517$52911,107+0.0%
Texas$517$539148,371+0.0%
Arizona$517$7001128+0.0%
Florida$516$595131,856-0.2%

⚠️ 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