Procedure price report · Pathology
Cystic fibrosis gene test, common variants panel
CPT code CPT 81220the billing code this page is about
A genetic test of the CFTR gene that screens for a standard panel of the more frequently seen cystic fibrosis variants rather than reading the entire gene.
Hospitals typically charge $500 cash for this outpatient procedure — the median across 2,508 hospitals that filed a usable cash price; the average of the middle 60% is $542. Most fall between $206 and $1,129 (20th–80th percentile).
- Hospitals
- 2,508
- States
- 50
- Filings dated
- Dec 2022 – 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
| 10th | 25th | Median | 75th | 90th |
|---|---|---|---|---|
| $119 | $247 | $500 | $961 | $1,670 |
The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($119 vs $1,670).
How the prices are spread
| From | To | Hospitals |
|---|---|---|
| $74 | $106 | 89 |
| $106 | $150 | 140 |
| $150 | $213 | 182 |
| $213 | $303 | 253 |
| $303 | $431 | 324 |
| $431 | $612 | 367 |
| $612 | $870 | 340 |
| $870 | $1,236 | 252 |
| $1,236 | $1,757 | 213 |
| $1,757 | $2,497 | 109 |
By state
The median cash price in each state, against the national median of $500.
| State | Hospitals | Median | vs national | 20th–80th |
|---|---|---|---|---|
| New Hampshire NH | 22 | $1,178 | +136% | $684 – $1,525 |
| Massachusetts MA | 44 | $1,066 | +113% | $662 – $1,920 |
| Connecticut CT | 15 | $1,029 | +106% | $455 – $1,742 |
| North Dakota ND | 15 | $1,002 | +100% | $207 – $1,336 |
| Rhode Island RI | 10 | $956 | +91% | $712 – $1,790 |
| Wyoming WY | 15 | $904 | +81% | $352 – $1,480 |
| South Carolina SC | 45 | $896 | +79% | $389 – $965 |
| Virginia VA | 63 | $843 | +69% | $166 – $1,500 |
| Arizona AZ | 26 | $748 | +50% | $202 – $5,724 |
| Alaska AK | 13 | $731 | +46% | $501 – $1,737 |
| Pennsylvania PA | 114 | $730 | +46% | $243 – $3,094 |
| New Mexico NM | 10 | $717 | +43% | $273 – $1,192 |
| Indiana IN | 82 | $695 | +39% | $344 – $1,026 |
| Kansas KS | 37 | $686 | +37% | $284 – $2,324 |
| New York NY | 113 | $668 | +34% | $282 – $1,632 |
| Washington WA | 52 | $629 | +26% | $421 – $844 |
| Alabama AL | 28 | $626 | +25% | $254 – $836 |
| New Jersey NJ | 55 | $612 | +22% | $557 – $645 |
| Illinois IL | 124 | $559 | +12% | $286 – $836 |
| Montana MT | 16 | $557 | +11% | $189 – $970 |
| Vermont VT | 13 | $530 | +6% | $323 – $1,473 |
| Colorado CO | 61 | $527 | +5% | $332 – $921 |
| Michigan MI | 57 | $521 | +4% | $145 – $1,174 |
| Ohio OH | 129 | $514 | +3% | $339 – $1,192 |
| Iowa IA | 46 | $503 | +1% | $216 – $792 |
| Missouri MO | 66 | $490 | −2% | $328 – $836 |
| Arkansas AR | 20 | $488 | −2% | $180 – $565 |
| Nebraska NE | 30 | $464 | −7% | $210 – $1,064 |
| Utah UT | 33 | $460 | −8% | $328 – $541 |
| Louisiana LA | 38 | $460 | −8% | $232 – $1,062 |
| Kentucky KY | 49 | $427 | −15% | $199 – $964 |
| Wisconsin WI | 92 | $419 | −16% | $253 – $2,011 |
| Oklahoma OK | 51 | $416 | −17% | $300 – $704 |
| Nevada NV | 16 | $404 | −19% | $98 – $1,059 |
| Tennessee TN | 53 | $401 | −20% | $182 – $1,511 |
| North Carolina NC | 74 | $360 | −28% | $114 – $970 |
| Texas TX | 179 | $338 | −32% | $168 – $806 |
| Oregon OR | 40 | $327 | −35% | $197 – $551 |
| Maine ME | 25 | $308 | −38% | $206 – $1,274 |
| Georgia GA | 87 | $300 | −40% | $187 – $786 |
| Mississippi MS | 39 | $284 | −43% | $147 – $516 |
| Minnesota MN | 64 | $279 | −44% | $188 – $558 |
| California CA | 118 | $242 | −52% | $70 – $868 |
| Idaho ID | 17 | $238 | −52% | $229 – $1,007 |
| Maryland MD | 34 | $197 | −61% | $114 – $463 |
| West Virginia WV | 36 | $178 | −64% | $125 – $1,159 |
| Florida FL | 118 | $175 | −65% | $63 – $455 |
| South Dakota SD | 9 | not enough hospitals filed a usable price | ||
| Hawaii HI | 8 | not enough hospitals filed a usable price | ||
| Delaware DE | 7 | not 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 $500.
| Segment | Hospitals | Median | 20th–80th |
|---|---|---|---|
| Hospital type | |||
| Acute care | 1,910 | $524 | $197 – $1,145 |
| Children’s | 40 | $565 | $254 – $846 |
| Critical access | 549 | $469 | $222 – $1,063 |
| Ownership | |||
| For-profit | 319 | $459 | $167 – $1,192 |
| Government | 406 | $431 | $165 – $904 |
| Non-profit | 1,774 | $533 | $220 – $1,172 |
| System affiliation | |||
| Part of a system | 2,088 | $490 | $207 – $1,130 |
| Independent | 420 | $522 | $192 – $1,113 |
Cash price vs list price
At the typical hospital, asking for the cash price cuts the list price by about 38%. 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
1,769 hospitals filed a usable inpatient cash price for this code. The median is $526 and the average of the middle 60% is $567; most fall between $218 and $1,185.
| 10th | 25th | Median | 75th | 90th |
|---|---|---|---|---|
| $135 | $256 | $526 | $996 | $1,749 |
The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($135 vs $1,749).
Of the 1,959 hospitals that filed this code inpatient, 1,769 gave a usable cash price; 109 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 81 a list price only.
How complete is this
2,508 of the 3,956 hospitals with a price file in our corpus (63%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.
| Usable cash price — counted | 2,508 |
|---|---|
| Cash price carrying a plausibility flag — shown on the compare tool, excluded here | 150 |
| A number the filing itself marks as not a price (a placeholder, a ratio) — excluded | 1 |
| An estimate rather than a filed cash price — excluded | 1 |
| A list price only, no cash figure — excluded | 97 |
| Hospitals that filed this code | 2,757 |
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 July 20, 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 Cystic Fibrosis Scn
.
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, “Cystic fibrosis gene test, common variants panel (CPT 81220) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81220-cystic-fibrosis-gene-test-common-variants-panel