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Procedure price report · Pathology

CALR gene mutation test

CPT 81219the billing code this page is about

A laboratory test that looks for changes in the calreticulin gene, used when evaluating certain bone marrow conditions that cause abnormal blood cell production.

Hospitals typically charge $350 cash for this outpatient procedure — the median across 2,260 hospitals that filed a usable cash price; the average of the middle 60% is $364. Most fall between $185 and $606 (20th–80th percentile).

Hospitals
2,260
States
50
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 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 2,260 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
$128$208$350$545$849

The most expensive tenth of hospitals charges at least 6.6× what the cheapest tenth charges ($128 vs $849).

How the prices are spread

$104 – $134: 125 hospitals$104$134 – $172: 162 hospitals$172 – $220: 255 hospitals$172$220 – $283: 233 hospitals$283 – $364: 276 hospitals$283$364 – $467: 287 hospitals$467 – $600: 336 hospitals$467$600 – $770: 208 hospitals$770 – $990: 97 hospitals$770$990 – $1,271: 61 hospitals$990median $350price bands are equal on a log scale
Hospitals per price band (2,040 of 2,260 — the bands cover the 5th to 95th percentile)
FromToHospitals
$104$134125
$134$172162
$172$220255
$220$283233
$283$364276
$364$467287
$467$600336
$600$770208
$770$99097
$990$1,27161

By state

The median cash price in each state, against the national median of $350.

Alaska: median $296 across 14 hospitalsAK$296Maine: median $313 across 25 hospitalsME$313Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $394 across 18 hospitalsNH$394Washington: median $360 across 54 hospitalsWA$360Idaho: median $415 across 18 hospitalsID$415Montana: median $543 across 11 hospitalsMT$543North Dakota: median $486 across 16 hospitalsND$486Minnesota: median $364 across 77 hospitalsMN$364Illinois: median $487 across 101 hospitalsIL$487Wisconsin: median $498 across 80 hospitalsWI$498Michigan: median $340 across 79 hospitalsMI$340New York: median $273 across 88 hospitalsNY$273Massachusetts: median $487 across 44 hospitalsMA$487Oregon: median $360 across 39 hospitalsOR$360Nevada: median $229 across 12 hospitalsNV$229Wyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $628 across 11 hospitalsSD$628Iowa: median $374 across 41 hospitalsIA$374Indiana: median $231 across 72 hospitalsIN$231Ohio: median $459 across 100 hospitalsOH$459Pennsylvania: median $266 across 101 hospitalsPA$266New Jersey: median $134 across 48 hospitalsNJ$134Connecticut: median $419 across 14 hospitalsCT$419Rhode Island: 9 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $233 across 85 hospitalsCA$233Utah: median $606 across 28 hospitalsUT$606Colorado: median $384 across 44 hospitalsCO$384Nebraska: median $442 across 31 hospitalsNE$442Missouri: median $555 across 62 hospitalsMO$555Kentucky: median $365 across 42 hospitalsKY$365West Virginia: median $200 across 34 hospitalsWV$200Virginia: median $349 across 60 hospitalsVA$349Maryland: median $325 across 36 hospitalsMD$325Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $338 across 33 hospitalsAZ$338New Mexico: median $271 across 13 hospitalsNM$271Kansas: median $500 across 42 hospitalsKS$500Arkansas: median $248 across 25 hospitalsAR$248Tennessee: median $203 across 53 hospitalsTN$203North Carolina: median $267 across 72 hospitalsNC$267South Carolina: median $497 across 45 hospitalsSC$497Oklahoma: median $354 across 48 hospitalsOK$354Louisiana: median $226 across 36 hospitalsLA$226Mississippi: median $122 across 27 hospitalsMS$122Alabama: median $343 across 20 hospitalsAL$343Georgia: median $288 across 77 hospitalsGA$288Hawaii: median $300 across 14 hospitalsHI$300Texas: median $300 across 148 hospitalsTX$300Florida: median $280 across 90 hospitalsFL$280
Cash price by state, most expensive first. National median $350. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Dakota SD11$628+79%$540 – $985
Utah UT28$606+73%$499 – $713
Missouri MO62$555+58%$273 – $756
Montana MT11$543+55%$337 – $567
Kansas KS42$500+43%$316 – $897
Wisconsin WI80$498+42%$414 – $504
South Carolina SC45$497+42%$334 – $603
Illinois IL101$487+39%$351 – $1,055
Massachusetts MA44$487+39%$268 – $717
North Dakota ND16$486+39%$426 – $625
Ohio OH100$459+31%$290 – $545
Nebraska NE31$442+26%$245 – $701
Connecticut CT14$419+20%$323 – $524
Idaho ID18$415+19%$325 – $606
New Hampshire NH18$394+13%$107 – $654
Colorado CO44$384+10%$241 – $787
Iowa IA41$374+7%$128 – $637
Kentucky KY42$365+4%$224 – $884
Minnesota MN77$364+4%$86 – $571
Oregon OR39$360+3%$224 – $458
Washington WA54$360+3%$179 – $538
Oklahoma OK48$354+1%$182 – $603
Virginia VA60$3490%$234 – $596
Alabama AL20$343−2%$158 – $649
Michigan MI79$340−3%$158 – $638
Arizona AZ33$338−3%$140 – $1,271
Maryland MD36$325−7%$262 – $445
Maine ME25$313−11%$130 – $645
Texas TX148$300−14%$200 – $585
Hawaii HI14$300−14%$167 – $340
Alaska AK14$296−15%$193 – $847
Georgia GA77$288−18%$212 – $559
Florida FL90$280−20%$146 – $545
New York NY88$273−22%$122 – $503
New Mexico NM13$271−23%$185 – $391
North Carolina NC72$267−24%$164 – $518
Pennsylvania PA101$266−24%$140 – $697
Arkansas AR25$248−29%$95 – $658
California CA85$233−34%$158 – $1,658
Indiana IN72$231−34%$182 – $407
Nevada NV12$229−35%$116 – $426
Louisiana LA36$226−35%$97 – $346
Tennessee TN53$203−42%$179 – $322
West Virginia WV34$200−43%$125 – $594
New Jersey NJ48$134−62%$122 – $250
Mississippi MS27$122−65%$56 – $262
Rhode Island RI9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Delaware DE6not 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 $350.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,734$316$167 – $580
Children’s23$419$258 – $585
Critical access493$435$239 – $663
Ownership
For-profit260$325$188 – $725
Government338$342$195 – $602
Non-profit1,652$356$182 – $603
System affiliation
Part of a system1,920$344$182 – $612
Independent340$365$200 – $577

Cash price vs list price

Median list price (chargemaster)$608
Median cash price$350
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

1,606 hospitals filed a usable inpatient cash price for this code. The median is $364 and the average of the middle 60% is $374; most fall between $198 and $606.

Cash price percentiles, inpatient, across 1,606 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
$146$213$364$543$833

The most expensive tenth of hospitals charges at least 5.7× what the cheapest tenth charges ($146 vs $833).

Of the 1,776 hospitals that filed this code inpatient, 1,606 gave a usable cash price; 98 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 72 a list price only.

How complete is this

2,260 of the 3,956 hospitals with a price file in our corpus (57%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,470 hospitals that filed this code at all gave us
Usable cash price — counted2,260
Cash price carrying a plausibility flag — shown on the compare tool, excluded here123
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded85
Hospitals that filed this code2,470

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 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 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 HC Calr Ngs.

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, “CALR gene mutation test (CPT 81219) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81219-calr-gene-mutation-test