Laboratory · 81382

Hla Class Ii Typing High Resolution One Locus

Medicare Payment (avg)
$108.91
What Medicare actually pays
Billed Charge (avg)
$288.44
What providers submit
Markup
2.6x
165% above Medicare rate
1.5K
Total Services
813
Beneficiaries
48
Providers
10
States with Data

Price Range Across States

Lowest State Avg
$75.24
Ohio
Highest State Avg
$121.21
Hawaii

What You Might Pay

Est. Commercial Insurance
$243.97
Range: $170.78 – $341.55
Est. Cash / Self-Pay
$161.01
Typical self-pay discount

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

How we estimate these prices

These estimates are based on the RAND Hospital Price Transparency Study (4th Edition, 2024), which found that commercial insurance prices average 224% of Medicare rates nationally. We apply category-specific ratios: Laboratory procedures average 2.24x Medicare rates. Cash/self-pay estimates blend typical cash discounts (55% of billed charges) with Medicare-based estimates (150% of allowed amounts). These are statistical estimates, not quotes. Contact your insurer or provider for actual costs.

Prices by State

State Medicare Payment Billed Charge
Hawaii $121.21 $486.94
Minnesota $121.21 $689.77
New York $121.21 $519.76
California $119.31 $301.90
New Jersey $119.07 $503.51
Arizona $118.65 $207.52
Florida $98.24 $224.33
Illinois $93.60 $96.46
Massachusetts $87.48 $89.26
Ohio $75.24 $179.42

What the Data Says About Hla Class Ii Typing High Resolution One Locus

Across 10 states with reporting providers, CPT code 81382 (Hla Class Ii Typing High Resolution One Locus) shows a national average Medicare payment of $108.91 against an average billed charge of $288.44. That gap — a 2.6x markup, or 165% above the Medicare allowed amount — reflects chargemaster pricing, not what most insured patients actually pay. Medicare's negotiated rate is the statutory benchmark; commercial insurers typically settle between the two figures based on network contracts.

Laboratory procedures like this one saw 1.5K services billed to Medicare in 2023 by 48 distinct providers, serving 813 unique beneficiaries. State-level variation is significant: Ohio reports the lowest average payment at $75.24, while Hawaii reports the highest at $121.21. Geographic Practice Cost Indices (GPCIs) explain much of that spread — local malpractice premiums, practice expense, and physician work adjustments all shift the allowed amount even when the procedure is identical.

Applying RAND 2024 commercial-to-Medicare ratios specific to the Laboratory category (2.24x), the estimated commercial insurance price lands near $243.97, with self-pay cash discounts commonly bringing the figure closer to $161.01. Uninsured patients facing the full billed charge have the strongest leverage to negotiate — the Hospital Price Transparency Rule (effective January 2021) requires providers to publish standard charges, cash rates, and payer-specific negotiated prices. This data is for educational reference; confirm coverage and out-of-pocket exposure with your insurer before any procedure.

Frequently Asked Questions

How much does Hla Class Ii Typing High Resolution One Locus cost?

The national average Medicare payment for Hla Class Ii Typing High Resolution One Locus (CPT 81382) is $108.91, while providers typically bill $288.44. Prices vary significantly by state, ranging from $75.24 to $121.21.

Why do providers charge more than Medicare pays?

Providers set their own chargemaster rates (billed charges), which are typically much higher than what any insurer pays. Medicare pays a fixed rate based on the procedure code and geographic location. The billed charge is relevant mainly for uninsured patients, who may face prices closer to the submitted charge.

How much does Hla Class Ii Typing High Resolution One Locus cost with insurance?

With commercial insurance, Hla Class Ii Typing High Resolution One Locus costs an estimated $243.97 on average (range: $170.78 – $341.55). Without insurance, the estimated cash price is $161.01. These estimates are based on RAND 2024 research on commercial-to-Medicare price ratios. Your actual cost depends on your insurer, plan, and provider.

Which state has the lowest cost for Hla Class Ii Typing High Resolution One Locus?

Ohio has the lowest average Medicare payment for Hla Class Ii Typing High Resolution One Locus at $75.24, while Hawaii has the highest at $121.21. This $45.97 difference reflects geographic variation in healthcare costs, local cost of living, and provider market dynamics.

How many providers perform Hla Class Ii Typing High Resolution One Locus?

Nationally, 48 providers billed Medicare for Hla Class Ii Typing High Resolution One Locus in 2023, performing 1.5K total services for 813 beneficiaries across 10 states and territories.

What is the billed-to-Medicare markup for Hla Class Ii Typing High Resolution One Locus?

Providers bill 2.6x what Medicare pays for Hla Class Ii Typing High Resolution One Locus — a 165% markup. This gap between billed charges and actual payment is common across healthcare. Uninsured patients may face charges closer to the billed amount, while insured patients pay negotiated rates between the Medicare and billed figures.

Related

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