Genetic sequencing localization, each additional procedure
Medicare pricing data for 4,220 providers across 47 states
Prices vary significantly by location — from $31 in Mississippi to $106 in New Jersey. 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
Genetic sequencing localization, each additional procedure (HCPCS code 88364) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $58.75, but hospitals typically charge $171.92 — a 2.9x 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 $58.75, your out-of-pocket cost would be approximately $11.75. 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 2.9x more than what Medicare allows for this procedure. Medicare actually pays $46.76 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $106 | $168 | 82 | 4,209 | +79.7% |
| Connecticut | $94 | $282 | 47 | 725 | +60.2% |
| Florida | $74 | $184 | 262 | 3,919 | +25.8% |
| Texas | $67 | $213 | 328 | 3,364 | +13.7% |
| Nevada | $64 | $122 | 16 | 88 | +9.6% |
| New York | $64 | $215 | 334 | 2,794 | +8.4% |
| California | $57 | $144 | 508 | 10,483 | -2.6% |
| Arizona | $56 | $156 | 136 | 1,240 | -5.3% |
| Massachusetts | $53 | $161 | 178 | 1,328 | -10.5% |
| Washington | $52 | $149 | 103 | 760 | -11.7% |
| Maryland | $51 | $173 | 79 | 366 | -12.8% |
| Oklahoma | $51 | $156 | 37 | 124 | -14.0% |
| Arkansas | $50 | $127 | 57 | 535 | -15.4% |
| Wisconsin | $49 | $209 | 100 | 473 | -15.8% |
| Georgia | $49 | $138 | 65 | 476 | -16.3% |
| Ohio | $49 | $215 | 208 | 1,909 | -16.3% |
| Tennessee | $49 | $162 | 95 | 361 | -17.1% |
| Kansas | $48 | $165 | 30 | 416 | -17.7% |
| Utah | $47 | $154 | 24 | 98 | -19.8% |
| Missouri | $46 | $137 | 92 | 945 | -21.4% |
| New Mexico | $45 | $202 | 30 | 215 | -22.7% |
| Nebraska | $45 | $162 | 48 | 452 | -23.2% |
| Alabama | $44 | $88 | 51 | 193 | -24.6% |
| Virginia | $44 | $173 | 82 | 1,639 | -24.7% |
| Minnesota | $43 | $198 | 130 | 578 | -27.2% |
| Indiana | $42 | $159 | 73 | 413 | -28.1% |
| Oregon | $42 | $167 | 48 | 383 | -28.9% |
| Kentucky | $40 | $139 | 17 | 129 | -31.3% |
| Pennsylvania | $37 | $224 | 205 | 2,070 | -36.6% |
| District of Columbia | $37 | $83 | 6 | 55 | -37.9% |
| North Carolina | $36 | $145 | 118 | 979 | -38.1% |
| Colorado | $36 | $126 | 60 | 444 | -38.2% |
| Iowa | $36 | $139 | 43 | 351 | -39.3% |
| North Dakota | $34 | $96 | 13 | 102 | -41.6% |
| South Carolina | $34 | $164 | 72 | 623 | -41.9% |
| Illinois | $34 | $146 | 144 | 1,157 | -42.1% |
| New Hampshire | $34 | $107 | 3 | 26 | -42.7% |
| Delaware | $34 | $149 | 8 | 80 | -42.8% |
| Hawaii | $34 | $96 | 8 | 43 | -43.0% |
| Michigan | $34 | $201 | 135 | 699 | -43.0% |
| South Dakota | $33 | $134 | 3 | 40 | -43.2% |
| Montana | $33 | $94 | 10 | 64 | -43.5% |
| Maine | $33 | $79 | 13 | 119 | -44.0% |
| Louisiana | $33 | $108 | 39 | 326 | -44.6% |
| Idaho | $32 | $81 | 7 | 32 | -45.2% |
| West Virginia | $32 | $205 | 14 | 83 | -45.6% |
| Mississippi | $31 | $136 | 23 | 94 | -46.6% |
⚠️ 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