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Procedure price report · Pathology

Fanconi anemia gene test for a common variant

CPT 81242the billing code this page is about

Laboratory analysis of the FANCC gene for a common variant linked to Fanconi anemia. Covers one test on one sample.

Hospitals typically charge $134 cash for this outpatient procedure — the median across 605 hospitals that filed a usable cash price; the average of the middle 60% is $146. Most fall between $46 and $302 (20th–80th percentile).

Hospitals
605
States
44
Filings dated
Sep 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 605 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
$36$53$134$285$569

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($36 vs $569).

How the prices are spread

$26 – $37: 66 hospitals$26$37 – $54: 60 hospitals$54 – $77: 48 hospitals$54$77 – $112: 44 hospitals$112 – $161: 107 hospitals$112$161 – $232: 86 hospitals$232 – $334: 69 hospitals$232$334 – $481: 21 hospitals$481 – $694: 25 hospitals$481$694 – $1,000: 21 hospitals$694median $134price bands are equal on a log scale
Hospitals per price band (547 of 605 — the bands cover the 5th to 95th percentile)
FromToHospitals
$26$3766
$37$5460
$54$7748
$77$11244
$112$161107
$161$23286
$232$33469
$334$48121
$481$69425
$694$1,00021

By state

The median cash price in each state, against the national median of $134.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $83 across 18 hospitalsWA$83Idaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $173 across 12 hospitalsMN$173Illinois: median $140 across 26 hospitalsIL$140Wisconsin: median $155 across 20 hospitalsWI$155Michigan: median $36 across 22 hospitalsMI$36New York: median $44 across 32 hospitalsNY$44Massachusetts: median $201 across 15 hospitalsMA$201Oregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $128 across 11 hospitalsIA$128Indiana: median $76 across 29 hospitalsIN$76Ohio: median $316 across 45 hospitalsOH$316Pennsylvania: median $144 across 40 hospitalsPA$144New Jersey: median $40 across 34 hospitalsNJ$40Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $134 across 31 hospitalsCA$134Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $63 across 12 hospitalsCO$63Nebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: median $1,664 across 13 hospitalsKY$1,664West Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $205 across 12 hospitalsVA$205Maryland: median $147 across 16 hospitalsMD$147Delaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $179 across 20 hospitalsNC$179South Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 2 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: median $49 across 10 hospitalsLA$49Mississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $490 across 15 hospitalsGA$490Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $302 across 50 hospitalsTX$302Florida: median $80 across 29 hospitalsFL$80
Cash price by state, most expensive first. National median $134. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY13$1,664+1143%$116 – $1,664
Georgia GA15$490+266%$490 – $1,133
Ohio OH45$316+136%$163 – $733
Texas TX50$302+125%$22 – $302
Virginia VA12$205+53%$205 – $285
Massachusetts MA15$201+50%$111 – $351
North Carolina NC20$179+33%$137 – $210
Minnesota MN12$173+30%$110 – $205
Wisconsin WI20$155+16%$84 – $155
Maryland MD16$147+9%$55 – $1,000
Pennsylvania PA40$144+7%$29 – $421
Illinois IL26$140+5%$85 – $153
California CA31$1340%$35 – $134
Iowa IA11$128−4%$128 – $128
Washington WA18$83−38%$51 – $104
Florida FL29$80−40%$29 – $162
Indiana IN29$76−43%$53 – $247
Colorado CO12$63−53%$63 – $168
Louisiana LA10$49−64%$35 – $53
New York NY32$44−67%$37 – $230
New Jersey NJ34$40−70%$37 – $882
Michigan MI22$36−73%$31 – $51
Missouri MO9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
Oregon OR8not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Oklahoma OK2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
North Dakota ND1not 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 $134.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care526$134$44 – $302
Children’s19fewer than 20 hospitals
Critical access54$130$68 – $302
Ownership
For-profit41$155$48 – $490
Government55$80$37 – $264
Non-profit503$140$47 – $302
System affiliation
Part of a system540$140$47 – $302
Independent65$110$44 – $210

Cash price vs list price

Median list price (chargemaster)$238
Median cash price$134
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

429 hospitals filed a usable inpatient cash price for this code. The median is $156 and the average of the middle 60% is $177; most fall between $68 and $316.

Cash price percentiles, inpatient, across 429 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
$39$97$156$302$569

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($39 vs $569).

Of the 469 hospitals that filed this code inpatient, 429 gave a usable cash price; 29 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 11 a list price only.

How complete is this

605 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 661 hospitals that filed this code at all gave us
Usable cash price — counted605
Cash price carrying a plausibility flag — shown on the compare tool, excluded here47
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded9
Hospitals that filed this code661

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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 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 FANCC GENE.

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, “Fanconi anemia gene test for a common variant (CPT 81242) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81242-fanconi-anemia-gene-test-for-a-common-variant