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Procedure price report · Pathology

APC gene test for missing or duplicated segments

CPT 81203the billing code this page is about

Laboratory test that looks for deleted or duplicated pieces of the APC gene, which standard sequencing may not detect.

Hospitals typically charge $377 cash for this outpatient procedure — the median across 494 hospitals that filed a usable cash price; the average of the middle 60% is $410. Most fall between $167 and $918 (20th–80th percentile).

Hospitals
494
States
40
Filings dated
Jan 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 494 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
$105$200$377$780$1,400

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($105 vs $1,400).

How the prices are spread

$84 – $115: 37 hospitals$84$115 – $158: 28 hospitals$158 – $217: 65 hospitals$158$217 – $297: 54 hospitals$297 – $408: 55 hospitals$297$408 – $560: 74 hospitals$560 – $768: 31 hospitals$560$768 – $1,053: 55 hospitals$1,053 – $1,444: 26 hospitals$1,053$1,444 – $1,981: 23 hospitals$1,444median $377price bands are equal on a log scale
Hospitals per price band (448 of 494 — the bands cover the 5th to 95th percentile)
FromToHospitals
$84$11537
$115$15828
$158$21765
$217$29754
$297$40855
$408$56074
$560$76831
$768$1,05355
$1,053$1,44426
$1,444$1,98123

By state

The median cash price in each state, against the national median of $377.

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: 2 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $455 across 16 hospitalsWA$455Idaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $377 across 20 hospitalsIL$377Wisconsin: 6 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 8 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $200 across 28 hospitalsNY$200Massachusetts: median $565 across 11 hospitalsMA$565Oregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: 5 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 $192 across 15 hospitalsIA$192Indiana: median $290 across 16 hospitalsIN$290Ohio: median $463 across 22 hospitalsOH$463Pennsylvania: median $1,528 across 37 hospitalsPA$1,528New Jersey: median $220 across 32 hospitalsNJ$220Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $980 across 30 hospitalsCA$980Utah: 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: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: median $780 across 17 hospitalsKY$780West Virginia: no hospital in the corpus filed a usable priceWVVirginia: median $105 across 22 hospitalsVA$105Maryland: 8 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: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $106 across 24 hospitalsTN$106North Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $1,832 across 11 hospitalsSC$1,832Oklahoma: median $204 across 17 hospitalsOK$204Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $103 across 10 hospitalsMS$103Alabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: 5 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $469 across 61 hospitalsTX$469Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $377. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC11$1,832+385%$1,832 – $1,832
Pennsylvania PA37$1,528+305%$164 – $2,299
California CA30$980+160%$248 – $980
Kentucky KY17$780+107%$154 – $900
Massachusetts MA11$565+50%$444 – $875
Texas TX61$469+24%$235 – $1,250
Ohio OH22$463+23%$420 – $487
Washington WA16$455+21%$313 – $622
Illinois IL20$3770%$183 – $377
Indiana IN16$290−23%$254 – $408
New Jersey NJ32$220−42%$200 – $1,157
Oklahoma OK17$204−46%$108 – $490
New York NY28$200−47%$200 – $471
Iowa IA15$192−49%$192 – $192
Tennessee TN24$106−72%$97 – $232
Virginia VA22$105−72%$97 – $1,692
Mississippi MS10$103−73%$74 – $127
Florida FL9not enough hospitals filed a usable price
North Carolina NC9not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
Maryland MD8not enough hospitals filed a usable price
Michigan MI8not enough hospitals filed a usable price
Oregon OR8not enough hospitals filed a usable price
Wisconsin WI6not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
New Hampshire NH2not enough hospitals filed a usable price
Alabama AL1not 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 $377.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care425$358$174 – $980
Children’s15fewer than 20 hospitals
Critical access54$400$130 – $670
Ownership
For-profit43$469$183 – $1,348
Government64$248$129 – $635
Non-profit387$382$179 – $980
System affiliation
Part of a system445$377$164 – $980
Independent49$321$172 – $708

Cash price vs list price

Median list price (chargemaster)$725
Median cash price$377
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

308 hospitals filed a usable inpatient cash price for this code. The median is $466 and the average of the middle 60% is $492; most fall between $167 and $980.

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
$114$192$466$980$1,832

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($114 vs $1,832).

Of the 354 hospitals that filed this code inpatient, 308 gave a usable cash price; 28 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 18 a list price only.

How complete is this

494 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 549 hospitals that filed this code at all gave us
Usable cash price — counted494
Cash price carrying a plausibility flag — shown on the compare tool, excluded here36
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded18
Hospitals that filed this code549

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 APC GENE DUP/DELET VARIANTS.

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, “APC gene test for missing or duplicated segments (CPT 81203) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81203-apc-gene-test-for-missing-or-duplicated-segments