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Procedure price report · Pathology

Dystrophin gene test for missing or extra copies

CPT 81161the billing code this page is about

A DNA test of the dystrophin gene that looks for deleted or duplicated sections, the changes behind Duchenne and Becker muscular dystrophy.

Hospitals typically charge $616 cash for this outpatient procedure — the median across 479 hospitals that filed a usable cash price; the average of the middle 60% is $592. Most fall between $307 and $1,091 (20th–80th percentile).

Hospitals
479
States
44
Filings dated
Dec 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 479 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$219$330$616$893$1,892

The most expensive tenth of hospitals charges at least 8.6× what the cheapest tenth charges ($219 vs $1,892).

How the prices are spread

$174 – $225: 26 hospitals$174$225 – $293: 39 hospitals$293 – $380: 63 hospitals$293$380 – $493: 44 hospitals$493 – $640: 91 hospitals$493$640 – $831: 54 hospitals$831 – $1,079: 35 hospitals$831$1,079 – $1,401: 24 hospitals$1,401 – $1,819: 32 hospitals$1,401$1,819 – $2,361: 25 hospitals$1,819median $616price bands are equal on a log scale
Hospitals per price band (433 of 479 — the bands cover the 5th to 95th percentile)
FromToHospitals
$174$22526
$225$29339
$293$38063
$380$49344
$493$64091
$640$83154
$831$1,07935
$1,079$1,40124
$1,401$1,81932
$1,819$2,36125

By state

The median cash price in each state, against the national median of $616.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: median $423 across 14 hospitalsWA$423Idaho: no hospital in the corpus filed a usable priceIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $364 across 20 hospitalsMN$364Illinois: median $737 across 21 hospitalsIL$737Wisconsin: median $630 across 15 hospitalsWI$630Michigan: median $385 across 11 hospitalsMI$385New York: median $279 across 15 hospitalsNY$279Massachusetts: median $842 across 11 hospitalsMA$842Oregon: median $664 across 13 hospitalsOR$664Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $268 across 13 hospitalsIA$268Indiana: median $442 across 17 hospitalsIN$442Ohio: median $1,261 across 56 hospitalsOH$1,261Pennsylvania: median $601 across 24 hospitalsPA$601New Jersey: median $307 across 26 hospitalsNJ$307Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $638 across 21 hospitalsCA$638Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $858 across 11 hospitalsMO$858Kentucky: median $1,081 across 11 hospitalsKY$1,081West Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $323 across 21 hospitalsVA$323Maryland: 8 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $219 across 16 hospitalsTN$219North Carolina: median $629 across 16 hospitalsNC$629South Carolina: median $780 across 11 hospitalsSC$780Oklahoma: 5 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: 5 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,807 across 30 hospitalsTX$1,807Florida: median $321 across 20 hospitalsFL$321
Cash price by state, most expensive first. National median $616. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Texas TX30$1,807+193%$528 – $1,807
Ohio OH56$1,261+105%$496 – $2,106
Kentucky KY11$1,081+76%$463 – $1,081
Missouri MO11$858+39%$622 – $1,456
Massachusetts MA11$842+37%$776 – $866
South Carolina SC11$780+27%$780 – $780
Illinois IL21$737+20%$645 – $1,501
Oregon OR13$664+8%$379 – $664
California CA21$638+4%$638 – $638
Wisconsin WI15$630+2%$368 – $630
North Carolina NC16$629+2%$419 – $629
Pennsylvania PA24$601−2%$360 – $3,147
Indiana IN17$442−28%$354 – $1,081
Washington WA14$423−31%$182 – $833
Michigan MI11$385−37%$360 – $956
Minnesota MN20$364−41%$344 – $616
Virginia VA21$323−48%$219 – $419
Florida FL20$321−48%$113 – $700
New Jersey NJ26$307−50%$279 – $307
New York NY15$279−55%$279 – $438
Iowa IA13$268−57%$268 – $268
Tennessee TN16$219−64%$219 – $586
Maryland MD8not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
Oklahoma OK5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Hampshire NH1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $616.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care392$598$298 – $1,081
Children’s23$444$208 – $1,357
Critical access62$630$443 – $1,107
Ownership
For-profit37$1,213$419 – $3,412
Government52$629$279 – $817
Non-profit388$573$302 – $1,031
System affiliation
Part of a system427$616$307 – $1,170
Independent52$573$321 – $966

Cash price vs list price

Median list price (chargemaster)$963
Median cash price$616
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

320 hospitals filed a usable inpatient cash price for this code. The median is $638 and the average of the middle 60% is $675; most fall between $344 and $1,501.

Cash price percentiles, inpatient, across 320 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$228$379$638$1,075$2,008

The most expensive tenth of hospitals charges at least 8.8× what the cheapest tenth charges ($228 vs $2,008).

Of the 367 hospitals that filed this code inpatient, 320 gave a usable cash price; 37 carried a plausibility flag, 2 filed a number their own filing marks as not a price, 0 gave an estimate, and 8 a list price only.

How complete is this

479 of the 3,956 hospitals with a price file in our corpus (12%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 541 hospitals that filed this code at all gave us
Usable cash price — counted479
Cash price carrying a plausibility flag — shown on the compare tool, excluded here51
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded3
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded8
Hospitals that filed this code541

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Pathology family.

Hospitals file this code under descriptions such as DMD DUP/DELET ANALYSIS.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Dystrophin gene test for missing or extra copies (CPT 81161) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81161-dystrophin-gene-test-for-missing-or-extra-copies