CPT 81413 Pathology/Laboratory
Test for detecting genes associated with heart disease, genomic sequence Cost
Body System: General
Medicare Facility Rate
$585
CMS PFS CY2026
Medicare Non-Facility Rate
$585
Office/clinic setting
Frequently Asked Questions
How much does Test for detecting genes associated with heart disease, genomic sequence cost?
The Medicare facility rate is $585. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Test for detecting genes associated with heart disease, genomic sequence cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $585.