HRHospitalRates.comCompare prices

Procedure price report · Pathology

Both breast cancer genes checked for missing or extra pieces

CPT 81164the billing code this page is about

Laboratory analysis of the BRCA1 and BRCA2 genes looking only for large deleted or duplicated segments, without reading the full genetic sequence.

Hospitals typically charge $961 cash for this outpatient procedure — the median across 240 hospitals that filed a usable cash price; the average of the middle 60% is $1,161. Most fall between $584 and $2,287 (20th–80th percentile).

Hospitals
240
States
35
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 240 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
$584$585$961$2,249$3,909

The most expensive tenth of hospitals charges at least 6.7× what the cheapest tenth charges ($584 vs $3,909).

How the prices are spread

$413 – $517: 10 hospitals$413$517 – $647: 60 hospitals$647 – $810: 21 hospitals$647$810 – $1,014: 19 hospitals$1,014 – $1,270: 21 hospitals$1,014$1,270 – $1,590: 5 hospitals$1,590 – $1,991: 25 hospitals$1,590$1,991 – $2,493: 27 hospitals$2,493 – $3,122: 10 hospitals$2,493$3,122 – $3,909: 22 hospitals$3,122median $961price bands are equal on a log scale
Hospitals per price band (220 of 240 — the bands cover the 5th to 95th percentile)
FromToHospitals
$413$51710
$517$64760
$647$81021
$810$1,01419
$1,014$1,27021
$1,270$1,5905
$1,590$1,99125
$1,991$2,49327
$2,493$3,12210
$3,122$3,90922

By state

The median cash price in each state, against the national median of $961.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 9 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: no hospital in the corpus filed a usable priceMNIllinois: 8 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 1 hospital filed a usable price — fewer than 10, so no figureWIMichigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $585 across 23 hospitalsNY$585Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 1 hospital filed a usable price — fewer than 10, so no figureORNevada: 1 hospital 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: no hospital in the corpus filed a usable priceIAIndiana: median $2,358 across 11 hospitalsIN$2,358Ohio: 5 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $2,035 across 37 hospitalsPA$2,035New Jersey: median $643 across 27 hospitalsNJ$643Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,909 across 21 hospitalsCA$3,909Utah: no hospital in the corpus filed a usable priceUTColorado: no hospital in the corpus filed a usable priceCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $750 across 10 hospitalsVA$750Maryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: 6 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $961 across 10 hospitalsGA$961Hawaii: no hospital in the corpus filed a usable priceHITexas: median $585 across 15 hospitalsTX$585Florida: 1 hospital filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $961. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA21$3,909+307%$3,909 – $3,909
Indiana IN11$2,358+145%$2,249 – $2,756
Pennsylvania PA37$2,035+112%$407 – $5,784
Georgia GA10$9610%$961 – $961
Virginia VA10$750−22%$430 – $1,666
New Jersey NJ27$643−33%$584 – $643
Texas TX15$585−39%$585 – $585
New York NY23$585−39%$584 – $1,026
Kentucky KY9not enough hospitals filed a usable price
Washington WA9not enough hospitals filed a usable price
Illinois IL8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Michigan MI7not enough hospitals filed a usable price
Oklahoma OK6not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Ohio OH5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Florida FL1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Oregon OR1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
Wisconsin WI1not 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 $961.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care219$1,026$584 – $2,287
Children’s3fewer than 20 hospitals
Critical access18fewer than 20 hospitals
Ownership
For-profit16fewer than 20 hospitals
Government25$876$584 – $1,307
Non-profit199$1,064$585 – $2,342
System affiliation
Part of a system213$1,026$584 – $2,287
Independent27$884$584 – $1,753

Cash price vs list price

Median list price (chargemaster)$2,887
Median cash price$961
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

155 hospitals filed a usable inpatient cash price for this code. The median is $1,197 and the average of the middle 60% is $1,391; most fall between $585 and $2,756.

Cash price percentiles, inpatient, across 155 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
$430$717$1,197$2,358$3,909

The most expensive tenth of hospitals charges at least 9.1× what the cheapest tenth charges ($430 vs $3,909).

Of the 161 hospitals that filed this code inpatient, 155 gave a usable cash price; 1 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 5 a list price only.

How complete is this

240 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 252 hospitals that filed this code at all gave us
Usable cash price — counted240
Cash price carrying a plausibility flag — shown on the compare tool, excluded here6
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 — excluded4
Hospitals that filed this code252

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 5, 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.

Related procedures

Part of the Pathology family.

Hospitals file this code under descriptions such as BRCA1&2 GEN FUL DUP/DEL 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, “Both breast cancer genes checked for missing or extra pieces (CPT 81164) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81164-both-breast-cancer-genes-checked-for-missing-or-extra-pieces