Test for detecting genes associated with rheumatoid arthritis using immunoassay technique
Medicare pricing data for 32 providers across 12 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
Test for detecting genes associated with rheumatoid arthritis using immunoassay technique (HCPCS code 81490) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $823.73, but hospitals typically charge $985.60 — a 1.2x 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 $823.73, your out-of-pocket cost would be approximately $164.75. 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 1.2x more than what Medicare allows for this procedure. Medicare actually pays $823.73 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Kansas | $824 | $998 | 1 | 76 | +0.0% |
| Tennessee | $824 | $989 | 1 | 43 | +0.0% |
| Washington | $824 | $997 | 2 | 199 | +0.0% |
| Arizona | $824 | $998 | 1 | 207 | +0.0% |
| Florida | $824 | $913 | 5 | 2,241 | +0.0% |
| Alabama | $824 | $997 | 1 | 853 | +0.0% |
| New Jersey | $824 | $1,001 | 1 | 1,841 | +0.0% |
| California | $824 | $990 | 2 | 11,557 | +0.0% |
| Texas | $824 | $991 | 3 | 547 | +0.0% |
| Colorado | $824 | $997 | 1 | 54 | +0.0% |
| North Carolina | $823 | $996 | 3 | 2,171 | -0.0% |
| Ohio | $823 | $1,007 | 3 | 1,258 | -0.1% |
⚠️ 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