Molecular pathology procedure; physician interpretation and report
Medicare pricing data for 1,506 providers across 40 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
Molecular pathology procedure; physician interpretation and report (HCPCS code G0452) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $47.22, but hospitals typically charge $143.83 — 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 $47.22, your out-of-pocket cost would be approximately $9.44. 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 $36.63 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $51 | $177 | 155 | 21,322 | +7.8% |
| New Jersey | $50 | $210 | 55 | 7,035 | +5.1% |
| Massachusetts | $49 | $180 | 95 | 9,801 | +4.6% |
| Connecticut | $49 | $110 | 22 | 2,753 | +4.2% |
| California | $49 | $122 | 77 | 12,165 | +4.2% |
| Maryland | $49 | $92 | 13 | 1,897 | +2.9% |
| District of Columbia | $48 | $112 | 6 | 587 | +2.1% |
| Rhode Island | $48 | $95 | 4 | 436 | +1.8% |
| Oregon | $48 | $198 | 29 | 1,747 | +1.4% |
| Hawaii | $47 | $75 | 4 | 213 | +0.4% |
| Louisiana | $47 | $70 | 4 | 36 | +0.1% |
| Colorado | $47 | $161 | 11 | 734 | -0.3% |
| Texas | $47 | $218 | 144 | 25,051 | -0.6% |
| Missouri | $47 | $137 | 22 | 2,229 | -0.6% |
| Pennsylvania | $47 | $153 | 122 | 10,104 | -0.7% |
| Utah | $47 | $107 | 15 | 306 | -1.3% |
| Illinois | $46 | $91 | 74 | 7,150 | -2.5% |
| Florida | $46 | $77 | 82 | 6,192 | -2.6% |
| Georgia | $46 | $123 | 16 | 374 | -2.9% |
| Oklahoma | $46 | $88 | 5 | 61 | -3.1% |
| Minnesota | $46 | $123 | 86 | 2,309 | -3.6% |
| Maine | $45 | $50 | 26 | 276 | -3.7% |
| Arizona | $45 | $50 | 12 | 12,445 | -3.8% |
| Michigan | $45 | $115 | 73 | 5,059 | -3.9% |
| Ohio | $45 | $116 | 57 | 2,534 | -4.0% |
| Virginia | $45 | $93 | 19 | 1,818 | -4.1% |
| New Mexico | $45 | $131 | 8 | 774 | -5.7% |
| South Carolina | $44 | $179 | 6 | 1,377 | -5.9% |
| North Carolina | $44 | $125 | 27 | 5,179 | -6.4% |
| Mississippi | $44 | $98 | 4 | 215 | -6.5% |
| Tennessee | $44 | $104 | 80 | 7,861 | -6.6% |
| Kansas | $44 | $113 | 2 | 209 | -6.7% |
| Alabama | $44 | $88 | 13 | 567 | -7.0% |
| Arkansas | $44 | $96 | 8 | 1,385 | -7.4% |
| Iowa | $44 | $127 | 15 | 1,376 | -7.4% |
| Wisconsin | $43 | $85 | 16 | 181 | -8.2% |
| Indiana | $41 | $49 | 25 | 774 | -13.0% |
| Nebraska | $41 | $41 | 5 | 367 | -13.5% |
| Washington | $36 | $62 | 53 | 553 | -24.2% |
| Kentucky | $31 | $32 | 5 | 307 | -33.8% |
⚠️ 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