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Procedure price report · Pathology

DPYD gene test for chemotherapy drug sensitivity

CPT 81232the billing code this page is about

Laboratory analysis of the DPYD gene for a set of common variants that affect how the body breaks down certain chemotherapy drugs. Covers one test on one sample.

Hospitals typically charge $360 cash for this outpatient procedure — the median across 1,380 hospitals that filed a usable cash price; the average of the middle 60% is $376. Most fall between $201 and $662 (20th–80th percentile).

Hospitals
1,380
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 1,380 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
$168$224$360$592$979

The most expensive tenth of hospitals charges at least 5.8× what the cheapest tenth charges ($168 vs $979).

How the prices are spread

$128 – $161: 53 hospitals$128$161 – $204: 175 hospitals$204 – $258: 161 hospitals$204$258 – $327: 181 hospitals$327 – $413: 199 hospitals$327$413 – $523: 109 hospitals$523 – $662: 159 hospitals$523$662 – $837: 95 hospitals$837 – $1,059: 50 hospitals$837$1,059 – $1,340: 62 hospitals$1,059median $360price bands are equal on a log scale
Hospitals per price band (1,244 of 1,380 — the bands cover the 5th to 95th percentile)
FromToHospitals
$128$16153
$161$204175
$204$258161
$258$327181
$327$413199
$413$523109
$523$662159
$662$83795
$837$1,05950
$1,059$1,34062

By state

The median cash price in each state, against the national median of $360.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $437 across 13 hospitalsME$437Vermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $258 across 15 hospitalsNH$258Washington: median $313 across 30 hospitalsWA$313Idaho: median $353 across 14 hospitalsID$353Montana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $528 across 49 hospitalsMN$528Illinois: median $306 across 57 hospitalsIL$306Wisconsin: median $540 across 63 hospitalsWI$540Michigan: median $241 across 38 hospitalsMI$241New York: median $295 across 57 hospitalsNY$295Massachusetts: median $514 across 40 hospitalsMA$514Oregon: median $344 across 24 hospitalsOR$344Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $282 across 28 hospitalsIA$282Indiana: median $252 across 44 hospitalsIN$252Ohio: median $354 across 88 hospitalsOH$354Pennsylvania: median $809 across 55 hospitalsPA$809New Jersey: median $192 across 39 hospitalsNJ$192Connecticut: median $378 across 11 hospitalsCT$378Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,210 across 35 hospitalsCA$1,210Utah: median $314 across 23 hospitalsUT$314Colorado: median $291 across 38 hospitalsCO$291Nebraska: median $455 across 12 hospitalsNE$455Missouri: median $469 across 27 hospitalsMO$469Kentucky: median $360 across 25 hospitalsKY$360West Virginia: median $625 across 24 hospitalsWV$625Virginia: median $245 across 46 hospitalsVA$245Maryland: median $290 across 27 hospitalsMD$290Delaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $201 across 13 hospitalsAZ$201New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $492 across 17 hospitalsKS$492Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $224 across 34 hospitalsTN$224North Carolina: median $381 across 63 hospitalsNC$381South Carolina: median $244 across 24 hospitalsSC$244Oklahoma: median $266 across 18 hospitalsOK$266Louisiana: median $313 across 25 hospitalsLA$313Mississippi: median $204 across 22 hospitalsMS$204Alabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $298 across 52 hospitalsGA$298Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $413 across 68 hospitalsTX$413Florida: median $363 across 58 hospitalsFL$363
Cash price by state, most expensive first. National median $360. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA35$1,210+236%$131 – $1,210
Pennsylvania PA55$809+125%$262 – $1,767
West Virginia WV24$625+74%$178 – $635
Wisconsin WI63$540+50%$175 – $723
Minnesota MN49$528+47%$406 – $890
Massachusetts MA40$514+43%$246 – $852
Kansas KS17$492+37%$231 – $976
Missouri MO27$469+30%$263 – $950
Nebraska NE12$455+26%$387 – $705
Maine ME13$437+21%$180 – $1,076
Texas TX68$413+15%$233 – $763
North Carolina NC63$381+6%$176 – $394
Connecticut CT11$378+5%$288 – $619
Florida FL58$363+1%$270 – $524
Kentucky KY25$3600%$165 – $943
Ohio OH88$354−2%$286 – $784
Idaho ID14$353−2%$313 – $620
Oregon OR24$344−4%$286 – $663
Utah UT23$314−13%$314 – $369
Washington WA30$313−13%$168 – $505
Louisiana LA25$313−13%$197 – $397
Illinois IL57$306−15%$175 – $599
Georgia GA52$298−17%$264 – $584
New York NY57$295−18%$175 – $546
Colorado CO38$291−19%$84 – $475
Maryland MD27$290−19%$192 – $479
Iowa IA28$282−22%$168 – $1,671
Oklahoma OK18$266−26%$219 – $475
New Hampshire NH15$258−29%$80 – $660
Indiana IN44$252−30%$173 – $371
Virginia VA46$245−32%$145 – $514
South Carolina SC24$244−32%$244 – $638
Michigan MI38$241−33%$195 – $575
Tennessee TN34$224−38%$179 – $269
Mississippi MS22$204−43%$175 – $242
Arizona AZ13$201−44%$132 – $608
New Jersey NJ39$192−47%$175 – $315
Alabama AL9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
South Dakota SD2not 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 $360.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,130$342$192 – $638
Children’s14fewer than 20 hospitals
Critical access230$481$267 – $723
Ownership
For-profit120$363$204 – $620
Government185$381$220 – $617
Non-profit1,069$354$195 – $674
System affiliation
Part of a system1,217$360$195 – $670
Independent163$360$214 – $611

Cash price vs list price

Median list price (chargemaster)$660
Median cash price$360
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

1,039 hospitals filed a usable inpatient cash price for this code. The median is $363 and the average of the middle 60% is $397; most fall between $210 and $723.

Cash price percentiles, inpatient, across 1,039 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
$168$232$363$617$1,108

The most expensive tenth of hospitals charges at least 6.6× what the cheapest tenth charges ($168 vs $1,108).

Of the 1,140 hospitals that filed this code inpatient, 1,039 gave a usable cash price; 57 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 44 a list price only.

How complete is this

1,380 of the 3,956 hospitals with a price file in our corpus (35%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,496 hospitals that filed this code at all gave us
Usable cash price — counted1,380
Cash price carrying a plausibility flag — shown on the compare tool, excluded here67
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 — excluded47
Hospitals that filed this code1,496

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 Dihydropyrimidine Dehydrogenase (Dpyd).

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, “DPYD gene test for chemotherapy drug sensitivity (CPT 81232) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81232-dpyd-gene-test-for-chemotherapy-drug-sensitivity