New York · 81381

Hla Class I Typing High Resolution One Allele Or Allele Group in New York

New York Medicare Avg
$166.50
4% above national avg
National Medicare Avg
$160.59
All states combined
Billed Charge (NY)
$461.97
What providers submit
Est. Commercial (NY)
$416.25
National avg: $359.73
Est. Cash / Self-Pay (NY)
$251.92
Typical self-pay discount

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

35
Services in NY
3
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in New York

Provider Medicare Services
Northwell Health Laboratories $166.50 23

New York Pricing in Context

In New York, 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. 3 providers across the state submitted claims for this procedure in 2023, performing 35 total services. Individual payments in NY 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 New York is $461.97, 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 New York 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 New York lands near $416.25, with self-pay cash prices typically around $251.92. 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 New York?

The average Medicare payment for Hla Class I Typing High Resolution One Allele Or Allele Group in New York is $166.50, which is 4% above the national average of $160.59. Providers in NY typically bill $461.97 for this procedure.

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

With commercial insurance in New York, Hla Class I Typing High Resolution One Allele Or Allele Group costs an estimated $416.25. Without insurance, the estimated cash price is $251.92. 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 New York?

3 providers in New York billed Medicare for Hla Class I Typing High Resolution One Allele Or Allele Group in 2023, performing 35 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 New York than the national average?

No — Hla Class I Typing High Resolution One Allele Or Allele Group costs 4% above the national average in New York. 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