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Procedure price report · Pathology

BRCA1 gene test for a variant already known in the family

CPT 81215the billing code this page is about

A targeted genetic test that checks one sample for the specific BRCA1 change previously identified in a relative.

Hospitals typically charge $450 cash for this outpatient procedure — the median across 336 hospitals that filed a usable cash price; the average of the middle 60% is $563. Most fall between $353 and $887 (20th–80th percentile).

Hospitals
336
States
40
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 336 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
$254$375$450$857$1,149

The most expensive tenth of hospitals charges at least 4.5× what the cheapest tenth charges ($254 vs $1,149).

How the prices are spread

$73 – $98: 12 hospitals$73$98 – $131: 0 hospitals$131 – $174: 1 hospitals$131$174 – $232: 8 hospitals$232 – $310: 18 hospitals$232$310 – $413: 91 hospitals$413 – $551: 54 hospitals$413$551 – $735: 25 hospitals$735 – $981: 63 hospitals$735$981 – $1,308: 41 hospitals$981median $450price bands are equal on a log scale
Hospitals per price band (313 of 336 — the bands cover the 5th to 95th percentile)
FromToHospitals
$73$9812
$98$1310
$131$1741
$174$2328
$232$31018
$310$41391
$413$55154
$551$73525
$735$98163
$981$1,30841

By state

The median cash price in each state, against the national median of $450.

Alaska: 1 hospital 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: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: median $750 across 17 hospitalsWA$750Idaho: 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: median $375 across 17 hospitalsMN$375Illinois: median $867 across 13 hospitalsIL$867Wisconsin: 9 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $442 across 18 hospitalsMI$442New York: median $375 across 18 hospitalsNY$375Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $360 across 13 hospitalsIA$360Indiana: 3 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $887 across 22 hospitalsOH$887Pennsylvania: median $688 across 31 hospitalsPA$688New Jersey: median $413 across 24 hospitalsNJ$413Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $857 across 23 hospitalsCA$857Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital 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: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: median $73 across 12 hospitalsVA$73Maryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: median $73 across 15 hospitalsTN$73North Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 6 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 3 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 $617 across 11 hospitalsGA$617Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $472 across 23 hospitalsTX$472Florida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $450. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH22$887+97%$775 – $1,059
Illinois IL13$867+93%$538 – $867
California CA23$857+90%$857 – $857
Washington WA17$750+67%$529 – $1,109
Pennsylvania PA31$688+53%$236 – $4,080
Georgia GA11$617+37%$617 – $617
Texas TX23$472+5%$336 – $543
Michigan MI18$442−2%$442 – $518
New Jersey NJ24$413−8%$375 – $413
New York NY18$375−17%$375 – $498
Minnesota MN17$375−17%$348 – $440
Iowa IA13$360−20%$360 – $360
Tennessee TN15$73−84%$73 – $209
Virginia VA12$73−84%$73 – $1,308
Kentucky KY9not enough hospitals filed a usable price
Wisconsin WI9not enough hospitals filed a usable price
Oregon OR8not enough hospitals filed a usable price
Oklahoma OK6not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
Indiana IN3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Connecticut CT1not 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
New Hampshire NH1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Wyoming WY1not 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 $450.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care274$450$348 – $870
Children’s4fewer than 20 hospitals
Critical access56$511$375 – $1,013
Ownership
For-profit26$563$375 – $870
Government44$427$319 – $775
Non-profit264$461$352 – $891
System affiliation
Part of a system296$450$348 – $870
Independent40$448$353 – $1,078

Cash price vs list price

Median list price (chargemaster)$869
Median cash price$450
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

226 hospitals filed a usable inpatient cash price for this code. The median is $472 and the average of the middle 60% is $564; most fall between $336 and $887.

Cash price percentiles, inpatient, across 226 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
$213$353$472$857$1,135

The most expensive tenth of hospitals charges at least 5.3× what the cheapest tenth charges ($213 vs $1,135).

Of the 241 hospitals that filed this code inpatient, 226 gave a usable cash price; 3 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 12 a list price only.

How complete is this

336 of the 3,956 hospitals with a price file in our corpus (8%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 372 hospitals that filed this code at all gave us
Usable cash price — counted336
Cash price carrying a plausibility flag — shown on the compare tool, excluded here23
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 — excluded12
Hospitals that filed this code372

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 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 BRCA1 GENE KNOWN FAMIL VRNT.

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, “BRCA1 gene test for a variant already known in the family (CPT 81215) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81215-brca1-gene-test-for-a-variant-already-known-in-the-family