Molecular pathology procedure
Medicare pricing data for 134 providers across 28 states
Prices vary significantly by location — from $12 in Louisiana to $5,804 in Washington. Where you get this procedure matters more than almost any other factor. 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
Molecular pathology procedure (HCPCS code 81479) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $2,325, but hospitals typically charge $3,640 — a 1.6x 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 $2,325, your out-of-pocket cost would be approximately $464.99. 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 1.6x more than what Medicare allows for this procedure. Medicare actually pays $2,325 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Washington | $5,804 | $7,821 | 6 | 3,810 | +149.6% |
| Arizona | $3,213 | $3,408 | 5 | 26,856 | +38.2% |
| Pennsylvania | $2,953 | $3,891 | 4 | 2,913 | +27.0% |
| Massachusetts | $2,861 | $5,800 | 1 | 480 | +23.1% |
| Michigan | $2,692 | $4,513 | 4 | 305 | +15.8% |
| Hawaii | $2,532 | $2,861 | 2 | 94 | +8.9% |
| Missouri | $2,489 | $3,913 | 1 | 23 | +7.0% |
| California | $2,290 | $3,557 | 24 | 137,832 | -1.5% |
| Kansas | $2,275 | $2,602 | 3 | 5,984 | -2.2% |
| Utah | $1,685 | $5,362 | 3 | 18,570 | -27.5% |
| Texas | $1,222 | $1,776 | 8 | 606 | -47.4% |
| Tennessee | $933 | $2,774 | 10 | 3,734 | -59.8% |
| Kentucky | $814 | $3,922 | 3 | 98 | -65.0% |
| Connecticut | $780 | $870 | 2 | 35 | -66.4% |
| Illinois | $738 | $906 | 4 | 26 | -68.3% |
| Indiana | $598 | $1,207 | 4 | 79 | -74.3% |
| North Carolina | $536 | $1,367 | 7 | 6,257 | -77.0% |
| Florida | $502 | $1,267 | 7 | 35 | -78.4% |
| Nevada | $413 | $807 | 3 | 360 | -82.2% |
| Minnesota | $360 | $920 | 4 | 121 | -84.5% |
| Ohio | $343 | $1,120 | 6 | 239 | -85.3% |
| Maryland | $310 | $1,223 | 2 | 33 | -86.7% |
| Virginia | $301 | $1,074 | 3 | 41 | -87.0% |
| Georgia | $280 | $579 | 2 | 1,120 | -88.0% |
| Alabama | $230 | $955 | 2 | 179 | -90.1% |
| Colorado | $187 | $299 | 2 | 16 | -92.0% |
| New Jersey | $132 | $289 | 4 | 229 | -94.3% |
| Louisiana | $12 | $600 | 1 | 11 | -99.5% |
⚠️ 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