North Carolina · 81381

Hla Class I Typing High Resolution One Allele Or Allele Group in North Carolina

North Carolina Medicare Avg
$166.50
4% above national avg
National Medicare Avg
$160.59
All states combined
Billed Charge (NC)
$425.22
What providers submit
Est. Commercial (NC)
$362.97
National avg: $359.73
Est. Cash / Self-Pay (NC)
$241.81
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

146
Services in NC
2
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in North Carolina

Provider Medicare Services
Laboratory Corporation Of America... $166.50 102
Laboratory Corporation Of America... $166.50 44

North Carolina Pricing in Context

In North Carolina, CPT code 81381 (Hla Class I Typing High Resolution One Allele Or Allele Group) carries an average Medicare payment of $166.50 — 4% above the national benchmark of $160.59. 2 providers across the state submitted claims for this procedure in 2023, performing 146 total services. Individual payments in NC ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in North Carolina is $425.22, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because North Carolina sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Laboratory procedures, the estimated commercial insurance price in North Carolina lands near $362.97, with self-pay cash prices typically around $241.81. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Hla Class I Typing High Resolution One Allele Or Allele Group cost in North Carolina?

The average Medicare payment for Hla Class I Typing High Resolution One Allele Or Allele Group in North Carolina is $166.50, which is 4% above the national average of $160.59. Providers in NC typically bill $425.22 for this procedure.

What does Hla Class I Typing High Resolution One Allele Or Allele Group cost with insurance in North Carolina?

With commercial insurance in North Carolina, Hla Class I Typing High Resolution One Allele Or Allele Group costs an estimated $362.97. Without insurance, the estimated cash price is $241.81. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Hla Class I Typing High Resolution One Allele Or Allele Group in North Carolina?

2 providers in North Carolina billed Medicare for Hla Class I Typing High Resolution One Allele Or Allele Group in 2023, performing 146 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Hla Class I Typing High Resolution One Allele Or Allele Group cheaper in North Carolina than the national average?

No — Hla Class I Typing High Resolution One Allele Or Allele Group costs 4% above the national average in North Carolina. The state average Medicare payment is $166.50 compared to $160.59 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial