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Procedure price report · Pathology

Fragile X gene test to measure repeat size

CPT 81244the billing code this page is about

Laboratory analysis of the FMR1 gene that characterizes an abnormal repeat region, including its size and methylation status. Covers one test on one sample.

Hospitals typically charge $199 cash for this outpatient procedure — the median across 1,232 hospitals that filed a usable cash price; the average of the middle 60% is $222. Most fall between $74 and $462 (20th–80th percentile).

Hospitals
1,232
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 1,232 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
$54$95$199$406$708

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($54 vs $708).

How the prices are spread

$45 – $62: 123 hospitals$45$62 – $86: 101 hospitals$86 – $120: 77 hospitals$86$120 – $166: 205 hospitals$166 – $230: 131 hospitals$166$230 – $320: 102 hospitals$320 – $443: 169 hospitals$320$443 – $615: 116 hospitals$615 – $853: 50 hospitals$615$853 – $1,183: 40 hospitals$853median $199price bands are equal on a log scale
Hospitals per price band (1,114 of 1,232 — the bands cover the 5th to 95th percentile)
FromToHospitals
$45$62123
$62$86101
$86$12077
$120$166205
$166$230131
$230$320102
$320$443169
$443$615116
$615$85350
$853$1,18340

By state

The median cash price in each state, against the national median of $199.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $212 across 11 hospitalsME$212Vermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $124 across 24 hospitalsWA$124Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: median $81 across 12 hospitalsND$81Minnesota: median $163 across 44 hospitalsMN$163Illinois: median $231 across 70 hospitalsIL$231Wisconsin: median $330 across 55 hospitalsWI$330Michigan: median $159 across 46 hospitalsMI$159New York: median $90 across 62 hospitalsNY$90Massachusetts: median $162 across 19 hospitalsMA$162Oregon: median $208 across 23 hospitalsOR$208Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $128 across 28 hospitalsIA$128Indiana: median $112 across 30 hospitalsIN$112Ohio: median $446 across 53 hospitalsOH$446Pennsylvania: median $176 across 53 hospitalsPA$176New Jersey: median $49 across 37 hospitalsNJ$49Connecticut: 9 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 $121 across 41 hospitalsCA$121Utah: median $1,462 across 28 hospitalsUT$1,462Colorado: median $259 across 28 hospitalsCO$259Nebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $177 across 28 hospitalsMO$177Kentucky: median $444 across 21 hospitalsKY$444West Virginia: median $59 across 14 hospitalsWV$59Virginia: median $125 across 24 hospitalsVA$125Maryland: median $343 across 16 hospitalsMD$343Delaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $487 across 17 hospitalsAZ$487New Mexico: median $153 across 10 hospitalsNM$153Kansas: median $343 across 14 hospitalsKS$343Arkansas: median $233 across 15 hospitalsAR$233Tennessee: median $121 across 33 hospitalsTN$121North Carolina: median $110 across 46 hospitalsNC$110South Carolina: median $1,634 across 17 hospitalsSC$1,634Oklahoma: median $135 across 15 hospitalsOK$135Louisiana: median $150 across 26 hospitalsLA$150Mississippi: median $58 across 15 hospitalsMS$58Alabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $364 across 43 hospitalsGA$364Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $392 across 88 hospitalsTX$392Florida: median $135 across 44 hospitalsFL$135
Cash price by state, most expensive first. National median $199. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC17$1,634+722%$89 – $1,634
Utah UT28$1,462+636%$1,204 – $1,720
Arizona AZ17$487+145%$128 – $487
Ohio OH53$446+125%$171 – $696
Kentucky KY21$444+123%$135 – $935
Texas TX88$392+97%$328 – $855
Georgia GA43$364+83%$74 – $430
Maryland MD16$343+73%$45 – $489
Kansas KS14$343+73%$135 – $634
Wisconsin WI55$330+66%$240 – $374
Colorado CO28$259+31%$151 – $808
Arkansas AR15$233+17%$129 – $274
Illinois IL70$231+16%$95 – $514
Maine ME11$212+7%$121 – $358
Oregon OR23$208+5%$158 – $442
Missouri MO28$177−11%$139 – $402
Pennsylvania PA53$176−11%$81 – $383
Minnesota MN44$163−18%$45 – $359
Massachusetts MA19$162−18%$65 – $169
Michigan MI46$159−20%$67 – $210
New Mexico NM10$153−23%$62 – $225
Louisiana LA26$150−24%$49 – $363
Florida FL44$135−32%$75 – $325
Oklahoma OK15$135−32%$105 – $275
Iowa IA28$128−36%$128 – $766
Virginia VA24$125−37%$97 – $246
Washington WA24$124−37%$25 – $165
California CA41$121−39%$76 – $211
Tennessee TN33$121−39%$97 – $181
Indiana IN30$112−44%$65 – $260
North Carolina NC46$110−45%$57 – $283
New York NY62$90−55%$45 – $467
North Dakota ND12$81−59%$75 – $166
West Virginia WV14$59−71%$59 – $614
Mississippi MS15$58−71%$54 – $198
New Jersey NJ37$49−75%$45 – $136
Alabama AL9not enough hospitals filed a usable price
Connecticut CT9not enough hospitals filed a usable price
Idaho ID9not enough hospitals filed a usable price
Nevada NV9not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Rhode Island RI2not 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 $199.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care975$199$72 – $464
Children’s28$265$112 – $1,007
Critical access224$185$95 – $374
Ownership
For-profit106$275$73 – $487
Government166$181$74 – $364
Non-profit955$192$76 – $468
System affiliation
Part of a system1,090$199$74 – $462
Independent142$174$72 – $451

Cash price vs list price

Median list price (chargemaster)$369
Median cash price$199
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

898 hospitals filed a usable inpatient cash price for this code. The median is $210 and the average of the middle 60% is $240; most fall between $105 and $476.

Cash price percentiles, inpatient, across 898 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
$67$121$210$425$766

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($67 vs $766).

Of the 998 hospitals that filed this code inpatient, 898 gave a usable cash price; 62 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 38 a list price only.

How complete is this

1,232 of the 3,956 hospitals with a price file in our corpus (31%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,338 hospitals that filed this code at all gave us
Usable cash price — counted1,232
Cash price carrying a plausibility flag — shown on the compare tool, excluded here64
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded41
Hospitals that filed this code1,338

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 Fragile X Follow Up Analysis.

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, “Fragile X gene test to measure repeat size (CPT 81244) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81244-fragile-x-gene-test-to-measure-repeat-size