Gene analysis (mpl proto-oncogene, thrombopoietin receptor) for detection of common variants
Medicare pricing data for 190 providers across 21 states
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 (mpl proto-oncogene, thrombopoietin receptor) for detection of common variants (HCPCS code 81338) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $141.91, but hospitals typically charge $492.25 — a 3.5x 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 $141.91, your out-of-pocket cost would be approximately $28.38. 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 3.5x more than what Medicare allows for this procedure. Medicare actually pays $141.91 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $147 | $340 | 1 | 88 | +3.8% |
| Illinois | $147 | $242 | 14 | 29 | +3.8% |
| Louisiana | $147 | $228 | 2 | 116 | +3.8% |
| Minnesota | $147 | $479 | 7 | 11 | +3.8% |
| Missouri | $147 | $602 | 1 | 24 | +3.8% |
| New Mexico | $147 | $538 | 1 | 40 | +3.8% |
| North Carolina | $147 | $664 | 2 | 115 | +3.8% |
| Oklahoma | $147 | $245 | 1 | 21 | +3.8% |
| Utah | $147 | $301 | 1 | 134 | +3.8% |
| Wisconsin | $147 | $502 | 2 | 36 | +3.8% |
| Arizona | $147 | $679 | 2 | 924 | +3.8% |
| Arkansas | $147 | $230 | 2 | 74 | +3.8% |
| California | $147 | $604 | 4 | 25 | +3.8% |
| Colorado | $147 | $633 | 2 | 12 | +3.8% |
| Connecticut | $147 | $456 | 2 | 278 | +3.6% |
| New York | $147 | $669 | 80 | 1,001 | +3.5% |
| New Jersey | $147 | $513 | 5 | 1,264 | +3.5% |
| Florida | $146 | $394 | 14 | 731 | +3.1% |
| Washington | $146 | $475 | 7 | 67 | +2.9% |
| Michigan | $144 | $385 | 16 | 34 | +1.4% |
| Texas | $111 | $226 | 8 | 810 | -22.1% |
⚠️ 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