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Procedure price report · Pathology

Bloom syndrome gene test for one specific variant

CPT 81209the billing code this page is about

A blood or saliva test that looks for a single known change in the BLM gene linked to Bloom syndrome, commonly used in carrier screening.

Hospitals typically charge $109 cash for this outpatient procedure — the median across 514 hospitals that filed a usable cash price; the average of the middle 60% is $114. Most fall between $43 and $285 (20th–80th percentile).

Hospitals
514
States
41
Filings dated
Sep 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 514 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
$31$49$109$190$649

The most expensive tenth of hospitals charges at least 21× what the cheapest tenth charges ($31 vs $649).

How the prices are spread

$25 – $36: 40 hospitals$25$36 – $52: 75 hospitals$52 – $76: 71 hospitals$52$76 – $111: 48 hospitals$111 – $162: 100 hospitals$111$162 – $236: 45 hospitals$236 – $343: 30 hospitals$236$343 – $500: 15 hospitals$500 – $729: 20 hospitals$500$729 – $1,062: 23 hospitals$729median $109price bands are equal on a log scale
Hospitals per price band (467 of 514 — the bands cover the 5th to 95th percentile)
FromToHospitals
$25$3640
$36$5275
$52$7671
$76$11148
$111$162100
$162$23645
$236$34330
$343$50015
$500$72920
$729$1,06223

By state

The median cash price in each state, against the national median of $109.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $55 across 21 hospitalsWA$55Idaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $60 across 17 hospitalsMN$60Illinois: median $140 across 29 hospitalsIL$140Wisconsin: median $155 across 15 hospitalsWI$155Michigan: median $36 across 18 hospitalsMI$36New York: median $39 across 24 hospitalsNY$39Massachusetts: median $147 across 21 hospitalsMA$147Oregon: 3 hospitals filed a usable price — fewer than 10, so no figureORNevada: 4 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 $128 across 11 hospitalsIA$128Indiana: median $70 across 25 hospitalsIN$70Ohio: median $316 across 43 hospitalsOH$316Pennsylvania: median $92 across 34 hospitalsPA$92New Jersey: median $43 across 34 hospitalsNJ$43Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $134 across 29 hospitalsCA$134Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $63 across 11 hospitalsCO$63Nebraska: no hospital in the corpus filed a usable priceNEMissouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: median $1,664 across 13 hospitalsKY$1,664West Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 7 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 7 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $121 across 12 hospitalsTN$121North Carolina: median $556 across 19 hospitalsNC$556South Carolina: median $90 across 11 hospitalsSC$90Oklahoma: 2 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $71 across 32 hospitalsTX$71Florida: median $31 across 10 hospitalsFL$31
Cash price by state, most expensive first. National median $109. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY13$1,664+1427%$44 – $1,664
North Carolina NC19$556+410%$146 – $649
Ohio OH43$316+190%$176 – $733
Wisconsin WI15$155+42%$84 – $155
Massachusetts MA21$147+35%$68 – $418
Illinois IL29$140+28%$91 – $147
California CA29$134+23%$35 – $134
Iowa IA11$128+17%$128 – $128
Tennessee TN12$121+11%$51 – $158
Pennsylvania PA34$92−15%$28 – $1,062
South Carolina SC11$90−18%$90 – $90
Texas TX32$71−35%$24 – $71
Indiana IN25$70−36%$43 – $90
Colorado CO11$63−42%$51 – $168
Minnesota MN17$60−45%$6 – $173
Washington WA21$55−49%$48 – $109
New Jersey NJ34$43−60%$39 – $1,664
New York NY24$39−64%$39 – $123
Michigan MI18$36−67%$31 – $54
Florida FL10$31−71%$28 – $307
Missouri MO9not enough hospitals filed a usable price
Maryland MD7not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
Virginia VA7not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Oregon OR3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Oklahoma OK2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Rhode Island RI1not 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 $109.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care453$109$43 – $285
Children’s18fewer than 20 hospitals
Critical access38$91$63 – $225
Ownership
For-profit27$71$48 – $316
Government43$53$39 – $158
Non-profit439$123$43 – $285
System affiliation
Part of a system464$109$43 – $291
Independent50$104$45 – $158

Cash price vs list price

Median list price (chargemaster)$190
Median cash price$109
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

352 hospitals filed a usable inpatient cash price for this code. The median is $130 and the average of the middle 60% is $131; most fall between $60 and $285.

Cash price percentiles, inpatient, across 352 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
$34$69$130$196$569

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($34 vs $569).

Of the 393 hospitals that filed this code inpatient, 352 gave a usable cash price; 32 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

514 of the 3,956 hospitals with a price file in our corpus (13%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 560 hospitals that filed this code at all gave us
Usable cash price — counted514
Cash price carrying a plausibility flag — shown on the compare tool, excluded here38
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded8
Hospitals that filed this code560

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.

Related procedures

Part of the Pathology family.

Hospitals file this code under descriptions such as BLM GENE.

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, “Bloom syndrome gene test for one specific variant (CPT 81209) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81209-bloom-syndrome-gene-test-for-one-specific-variant