Procedure price report · Pathology

Full gene reading of both breast cancer genes

CPT code CPT 81163the billing code this page is about

Laboratory analysis that reads the complete genetic sequence of the BRCA1 and BRCA2 genes; it does not include testing for large missing or duplicated sections.

Hospitals typically charge $914 cash for this outpatient procedure — the median across 414 hospitals that filed a usable cash price; the average of the middle 60% is $982. Most fall between $469 and $1,813 (20th–80th percentile).

Hospitals
414
States
44
Filings dated
Aug 2024 – 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 414 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
$455$515$914$1,573$2,808

The most expensive tenth of hospitals charges at least 6.2× what the cheapest tenth charges ($455 vs $2,808).

How the prices are spread

$333 – $425: 23 hospitals$333$425 – $544: 92 hospitals$544 – $696: 57 hospitals$544$696 – $891: 22 hospitals$891 – $1,140: 35 hospitals$891$1,140 – $1,459: 54 hospitals$1,459 – $1,866: 42 hospitals$1,459$1,866 – $2,388: 18 hospitals$2,388 – $3,055: 23 hospitals$2,388$3,055 – $3,909: 28 hospitals$3,055median $914price bands are equal on a log scale
Hospitals per price band (394 of 414 — the bands cover the 5th to 95th percentile)
FromToHospitals
$333$42523
$425$54492
$544$69657
$696$89122
$891$1,14035
$1,140$1,45954
$1,459$1,86642
$1,866$2,38818
$2,388$3,05523
$3,055$3,90928

By state

The median cash price in each state, against the national median of $914.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: median $1,276 across 20 hospitalsWA$1,276Idaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 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 $1,408 across 11 hospitalsMN$1,408Illinois: 6 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 9 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 9 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $468 across 15 hospitalsNY$468Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: 1 hospital filed a usable price — fewer than 10, so no figureIAIndiana: median $2,358 across 12 hospitalsIN$2,358Ohio: median $2,730 across 33 hospitalsOH$2,730Pennsylvania: median $459 across 20 hospitalsPA$459New Jersey: median $515 across 24 hospitalsNJ$515Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,909 across 25 hospitalsCA$3,909Utah: no hospital in the corpus filed a usable priceUTColorado: 8 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $538 across 10 hospitalsWV$538Virginia: median $333 across 21 hospitalsVA$333Maryland: 7 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 2 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,404 across 12 hospitalsOK$1,404Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $770 across 16 hospitalsGA$770Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $670 across 55 hospitalsTX$670Florida: median $468 across 24 hospitalsFL$468
Cash price by state, most expensive first. National median $914. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA25$3,909+328%$1,248 – $3,909
Ohio OH33$2,730+199%$1,072 – $2,730
Indiana IN12$2,358+158%$2,175 – $2,872
Minnesota MN11$1,408+54%$1,200 – $1,408
Oklahoma OK12$1,404+54%$1,164 – $1,492
Washington WA20$1,276+40%$565 – $1,296
Georgia GA16$770−16%$649 – $770
Texas TX55$670−27%$469 – $1,123
West Virginia WV10$538−41%$507 – $848
New Jersey NJ24$515−44%$468 – $515
Florida FL24$468−49%$426 – $620
New York NY15$468−49%$468 – $562
Pennsylvania PA20$459−50%$344 – $1,363
Virginia VA21$333−64%$333 – $1,335
Michigan MI9not enough hospitals filed a usable price
North Carolina NC9not enough hospitals filed a usable price
Wisconsin WI9not enough hospitals filed a usable price
Colorado CO8not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Maryland MD7not enough hospitals filed a usable price
Illinois IL6not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Iowa IA1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Maine ME1not 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

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 $914.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care355$770$468 – $1,823
Children’s5fewer than 20 hospitals
Critical access52$1,440$682 – $1,791
Ownership
For-profit33$900$469 – $1,530
Government49$561$468 – $1,253
Non-profit330$1,072$469 – $2,076
System affiliation
Part of a system386$914$469 – $1,813
Independent28$760$468 – $1,525

Cash price vs list price

Median list price (chargemaster)$1,800
Median cash price$914
Cash as a share of list, median hospital56%

At the typical hospital, asking for the cash price cuts the list price by about 44%. 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

308 hospitals filed a usable inpatient cash price for this code. The median is $1,200 and the average of the middle 60% is $1,215; most fall between $562 and $2,342.

Cash price percentiles, inpatient, across 308 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
$469$649$1,200$1,813$3,417

The most expensive tenth of hospitals charges at least 7.3× what the cheapest tenth charges ($469 vs $3,417).

Of the 338 hospitals that filed this code inpatient, 308 gave a usable cash price; 21 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 9 a list price only.

How complete is this

414 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 441 hospitals that filed this code at all gave us
Usable cash price — counted414
Cash price carrying a plausibility flag — shown on the compare tool, excluded here16
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded9
Hospitals that filed this code441

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 23, 2026. The percentiles and averages use only the “counted” row.

Hospitals file this code under descriptions such as BRCA1&2 GENE FULL SEQ ALYS.

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, “Full gene reading of both breast cancer genes (CPT 81163) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81163-full-gene-reading-of-both-breast-cancer-genes