Genetic sequencing localization, initial procedure
Medicare pricing data for 6,636 providers across 50 states
Prices vary significantly by location — from $40 in Mississippi to $180 in Puerto Rico. 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, initial procedure (HCPCS code 88365) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $76.64, but hospitals typically charge $228.83 — a 3.0x 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 $76.64, your out-of-pocket cost would be approximately $15.33. 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 3.0x more than what Medicare allows for this procedure. Medicare actually pays $61.02 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $180 | $182 | 8 | 53 | +134.5% |
| New Jersey | $119 | $247 | 135 | 2,258 | +54.7% |
| Connecticut | $110 | $308 | 90 | 878 | +44.1% |
| California | $105 | $213 | 775 | 14,643 | +36.8% |
| Arizona | $101 | $164 | 165 | 3,149 | +31.8% |
| Florida | $89 | $242 | 403 | 5,237 | +16.2% |
| Texas | $78 | $252 | 515 | 5,091 | +1.7% |
| New York | $77 | $301 | 519 | 4,579 | +0.0% |
| Delaware | $75 | $270 | 12 | 122 | -1.7% |
| Nevada | $73 | $166 | 28 | 99 | -4.3% |
| Maryland | $73 | $248 | 146 | 955 | -4.7% |
| Hawaii | $66 | $157 | 37 | 118 | -14.2% |
| Arkansas | $64 | $191 | 72 | 705 | -16.2% |
| Virginia | $64 | $213 | 117 | 2,012 | -16.3% |
| Massachusetts | $62 | $223 | 290 | 2,594 | -18.9% |
| Georgia | $62 | $209 | 118 | 788 | -19.3% |
| Washington | $62 | $163 | 168 | 1,244 | -19.5% |
| Ohio | $61 | $211 | 311 | 2,916 | -21.0% |
| Oklahoma | $59 | $183 | 46 | 209 | -22.6% |
| Tennessee | $59 | $178 | 153 | 881 | -23.0% |
| New Mexico | $58 | $277 | 39 | 299 | -24.0% |
| Minnesota | $57 | $257 | 247 | 1,234 | -25.3% |
| Missouri | $57 | $213 | 150 | 1,305 | -25.5% |
| Wisconsin | $56 | $324 | 158 | 899 | -26.3% |
| Nebraska | $56 | $197 | 58 | 567 | -26.8% |
| Kansas | $56 | $271 | 60 | 610 | -27.1% |
| Alabama | $54 | $200 | 72 | 370 | -29.0% |
| Oregon | $54 | $275 | 71 | 511 | -29.1% |
| Indiana | $52 | $171 | 97 | 613 | -32.1% |
| Utah | $51 | $171 | 54 | 259 | -33.8% |
| Kentucky | $50 | $165 | 50 | 450 | -34.3% |
| Colorado | $49 | $200 | 99 | 768 | -35.9% |
| North Carolina | $49 | $182 | 188 | 1,798 | -36.2% |
| Illinois | $47 | $228 | 264 | 1,784 | -38.9% |
| Pennsylvania | $47 | $280 | 309 | 3,286 | -39.1% |
| District of Columbia | $46 | $286 | 17 | 145 | -40.4% |
| South Carolina | $45 | $239 | 92 | 871 | -41.0% |
| Iowa | $45 | $217 | 51 | 440 | -41.9% |
| Idaho | $44 | $133 | 12 | 70 | -42.6% |
| Rhode Island | $43 | $359 | 13 | 67 | -43.7% |
| North Dakota | $43 | $218 | 15 | 129 | -43.7% |
| Michigan | $42 | $223 | 206 | 1,463 | -45.0% |
| Montana | $42 | $138 | 15 | 148 | -45.0% |
| South Dakota | $42 | $228 | 5 | 46 | -45.0% |
| New Hampshire | $42 | $417 | 16 | 64 | -45.4% |
| Maine | $42 | $134 | 16 | 134 | -45.7% |
| Vermont | $41 | $230 | 12 | 47 | -46.0% |
| Louisiana | $41 | $203 | 56 | 426 | -46.4% |
| West Virginia | $41 | $156 | 20 | 126 | -47.1% |
| Mississippi | $40 | $168 | 29 | 120 | -48.0% |
⚠️ 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