How Much Does Genomic analysis panel of 15 genes for detection of abnormalities assocated with mental health disorders Cost on Medicare?

Cost analysis for CPT 0345U — Genomic analysis panel of 15 genes for detection of abnormalities assocated with mental health disorders

Average Medicare Payment

$1323.59

2023 data

Total Payments (2023)

$24.0M

Services (2023)

18.1K

Price Change (2022–2023)

-13.6%

📈 Year-over-Year Cost Trend

Year	Avg Payment	Total Payments	Services	YoY Change
2022	$1532.25	$3.5M	2.3K	—
2023	$1323.59	$24.0M	18.1K	-13.6%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.0x more than the cheapest for this procedure. OH averages $1323.59 vs OH at $1323.59.

State	Avg Payment	Total Payments	Services	Providers
OH	$1323.59	$24.0M	18.1K	1

💰 Who Bills the Most for This Procedure?

Provider	Specialty	State	Payments	Services	Avg/Service
Assurex Health, Inc.	Clinical Laboratory	OH	$24.0M	18.1K	$1323.59

🤔 Is Genomic analysis panel of 15 genes for detection of abnormalities assocated with mental health disorders Overpriced?

Based on the data, CPT 0345U shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.

Costs have decreased 13.6% since 2022. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

• Centers for Medicare & Medicaid Services (CMS)
• Medicare Provider Utilization and Payment Data (2014-2023)
• Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.