81329

Gene analysis (survival of motor neuron 1, telomeric) for dosage/deletion

Medicare pricing data for 52 providers across 8 states

🤖AI Overview

This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 (survival of motor neuron 1, telomeric) for dosage/deletion (HCPCS code 81329) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $134.14, but hospitals typically charge $148.60 — a 1.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$26.83

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $134.14, your out-of-pocket cost would be approximately $26.83. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$134.14
Average Hospital Charge
$148.60
Markup Ratio
1.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$148.60
Medicare Allowed$134.14
Medicare Payment$134.14

Hospitals charge 1.1x more than what Medicare allows for this procedure. Medicare actually pays $134.14 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Louisiana$134$156262+0.1%
Oklahoma$134$1894288+0.1%
Arizona$134$175160+0.1%
Texas$134$143165,177+0.1%
Pennsylvania$134$13951,115+0.0%
New Jersey$134$14871,830-0.1%
Florida$134$1579659-0.1%
Maryland$131$426372-2.2%

⚠️ 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

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