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Procedure price report · Pathology

CYP3A4 drug-processing gene test, common variants

CPT 81230the billing code this page is about

A genetic test of the CYP3A4 gene that checks for the common variants affecting how the body breaks down certain medicines.

Hospitals typically charge $245 cash for this outpatient procedure — the median across 562 hospitals that filed a usable cash price; the average of the middle 60% is $284. Most fall between $123 and $535 (20th–80th percentile).

Hospitals
562
States
46
Filings dated
Dec 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 562 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
$77$142$245$507$693

The most expensive tenth of hospitals charges at least 9.0× what the cheapest tenth charges ($77 vs $693).

How the prices are spread

$38 – $53: 18 hospitals$38$53 – $74: 12 hospitals$74 – $103: 21 hospitals$74$103 – $144: 75 hospitals$144 – $201: 88 hospitals$144$201 – $280: 97 hospitals$280 – $391: 42 hospitals$280$391 – $546: 104 hospitals$546 – $763: 37 hospitals$546$763 – $1,065: 23 hospitals$763median $245price bands are equal on a log scale
Hospitals per price band (517 of 562 — the bands cover the 5th to 95th percentile)
FromToHospitals
$38$5318
$53$7412
$74$10321
$103$14475
$144$20188
$201$28097
$280$39142
$391$546104
$546$76337
$763$1,06523

By state

The median cash price in each state, against the national median of $245.

Alaska: 2 hospitals 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: no hospital in the corpus filed a usable priceNHWashington: 9 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $528 across 15 hospitalsMN$528Illinois: median $210 across 20 hospitalsIL$210Wisconsin: median $540 across 33 hospitalsWI$540Michigan: median $249 across 19 hospitalsMI$249New York: median $307 across 28 hospitalsNY$307Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $168 across 15 hospitalsIA$168Indiana: median $222 across 27 hospitalsIN$222Ohio: median $290 across 60 hospitalsOH$290Pennsylvania: median $201 across 31 hospitalsPA$201New Jersey: median $192 across 25 hospitalsNJ$192Connecticut: 6 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 $1,210 across 27 hospitalsCA$1,210Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $162 across 10 hospitalsCO$162Nebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $395 across 21 hospitalsMO$395Kentucky: median $535 across 12 hospitalsKY$535West Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $262 across 20 hospitalsVA$262Maryland: median $342 across 14 hospitalsMD$342Delaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $439 across 12 hospitalsAR$439Tennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: 8 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $214 across 11 hospitalsMS$214Alabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $245 across 18 hospitalsGA$245Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $75 across 50 hospitalsTX$75Florida: median $142 across 10 hospitalsFL$142
Cash price by state, most expensive first. National median $245. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA27$1,210+393%$123 – $1,210
Wisconsin WI33$540+120%$494 – $549
Kentucky KY12$535+118%$153 – $535
Minnesota MN15$528+115%$402 – $528
Arkansas AR12$439+79%$47 – $509
Missouri MO21$395+61%$263 – $499
Maryland MD14$342+39%$63 – $944
New York NY28$307+25%$175 – $546
Ohio OH60$290+18%$122 – $1,002
Virginia VA20$262+7%$146 – $524
Michigan MI19$249+1%$241 – $549
Georgia GA18$2450%$35 – $245
Indiana IN27$222−10%$131 – $277
Mississippi MS11$214−13%$137 – $239
Illinois IL20$210−14%$139 – $420
Pennsylvania PA31$201−18%$121 – $343
New Jersey NJ25$192−22%$175 – $192
Iowa IA15$168−32%$168 – $168
Colorado CO10$162−34%$49 – $306
Florida FL10$142−42%$142 – $142
Texas TX50$75−69%$38 – $174
Washington WA9not enough hospitals filed a usable price
Oklahoma OK8not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
Tennessee TN1not enough hospitals filed a usable price
Utah UT1not 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 $245.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care435$230$122 – $528
Children’s10fewer than 20 hospitals
Critical access114$345$157 – $540
Ownership
For-profit36$174$38 – $345
Government65$201$137 – $387
Non-profit458$249$131 – $535
System affiliation
Part of a system503$245$133 – $535
Independent59$201$77 – $449

Cash price vs list price

Median list price (chargemaster)$525
Median cash price$245
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

378 hospitals filed a usable inpatient cash price for this code. The median is $249 and the average of the middle 60% is $290; most fall between $120 and $540.

Cash price percentiles, inpatient, across 378 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
$68$123$249$528$888

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($68 vs $888).

Of the 437 hospitals that filed this code inpatient, 378 gave a usable cash price; 43 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 16 a list price only.

How complete is this

562 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 639 hospitals that filed this code at all gave us
Usable cash price — counted562
Cash price carrying a plausibility flag — shown on the compare tool, excluded here59
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 — excluded17
Hospitals that filed this code639

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 CYP3A4 GENE COMMON 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, “CYP3A4 drug-processing gene test, common variants (CPT 81230) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81230-cyp3a4-drug-processing-gene-test-common-variants