Gene analysis (peripheral myelin protein 22), full sequence analysis
Medicare pricing data for 40 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 (peripheral myelin protein 22), full sequence analysis (HCPCS code 81325) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $753.97, but hospitals typically charge $841.92 — a 1.1x 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 $753.97, your out-of-pocket cost would be approximately $150.79. 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 1.1x more than what Medicare allows for this procedure. Medicare actually pays $753.97 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Louisiana | $754 | $860 | 2 | 63 | +0.0% |
| New Jersey | $754 | $940 | 3 | 2,981 | +0.0% |
| Oklahoma | $754 | $929 | 3 | 286 | +0.0% |
| Pennsylvania | $754 | $772 | 1 | 1,102 | +0.0% |
| Arizona | $754 | $1,000 | 1 | 60 | +0.0% |
| Colorado | $754 | $3,336 | 1 | 13 | +0.0% |
| Texas | $754 | $782 | 17 | 6,216 | +0.0% |
| Florida | $751 | $983 | 10 | 593 | -0.3% |
| Maryland | $730 | $1,020 | 1 | 26 | -3.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber