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Procedure price report · Pathology

Immunoglobulin heavy chain variable region mutation test

CPT 81263the billing code this page is about

A laboratory test that measures whether the variable region of the immunoglobulin heavy chain gene carries somatic mutations, used in chronic lymphocytic leukemia evaluation.

Hospitals typically charge $604 cash for this outpatient procedure — the median across 1,736 hospitals that filed a usable cash price; the average of the middle 60% is $653. Most fall between $351 and $1,130 (20th–80th percentile).

Hospitals
1,736
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 1,736 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
$282$405$604$1,015$1,541

The most expensive tenth of hospitals charges at least 5.5× what the cheapest tenth charges ($282 vs $1,541).

How the prices are spread

$185 – $235: 53 hospitals$185$235 – $299: 111 hospitals$299 – $380: 158 hospitals$299$380 – $483: 221 hospitals$483 – $614: 255 hospitals$483$614 – $781: 229 hospitals$781 – $993: 175 hospitals$781$993 – $1,262: 181 hospitals$1,262 – $1,604: 113 hospitals$1,262$1,604 – $2,039: 74 hospitals$1,604median $604price bands are equal on a log scale
Hospitals per price band (1,570 of 1,736 — the bands cover the 5th to 95th percentile)
FromToHospitals
$185$23553
$235$299111
$299$380158
$380$483221
$483$614255
$614$781229
$781$993175
$993$1,262181
$1,262$1,604113
$1,604$2,03974

By state

The median cash price in each state, against the national median of $604.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $558 across 20 hospitalsME$558Vermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $550 across 15 hospitalsNH$550Washington: median $652 across 40 hospitalsWA$652Idaho: median $581 across 14 hospitalsID$581Montana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $597 across 52 hospitalsMN$597Illinois: median $960 across 82 hospitalsIL$960Wisconsin: median $1,200 across 72 hospitalsWI$1,200Michigan: median $422 across 59 hospitalsMI$422New York: median $577 across 68 hospitalsNY$577Massachusetts: median $1,040 across 38 hospitalsMA$1,040Oregon: median $703 across 23 hospitalsOR$703Nevada: median $682 across 13 hospitalsNV$682Wyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $656 across 35 hospitalsIA$656Indiana: median $447 across 49 hospitalsIN$447Ohio: median $639 across 113 hospitalsOH$639Pennsylvania: median $804 across 92 hospitalsPA$804New Jersey: median $324 across 42 hospitalsNJ$324Connecticut: median $933 across 15 hospitalsCT$933Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $776 across 40 hospitalsCA$776Utah: median $1,017 across 26 hospitalsUT$1,017Colorado: median $693 across 36 hospitalsCO$693Nebraska: median $990 across 21 hospitalsNE$990Missouri: median $604 across 53 hospitalsMO$604Kentucky: median $547 across 33 hospitalsKY$547West Virginia: median $465 across 26 hospitalsWV$465Virginia: median $547 across 43 hospitalsVA$547Maryland: median $483 across 31 hospitalsMD$483Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,025 across 26 hospitalsAZ$1,025New Mexico: median $947 across 13 hospitalsNM$947Kansas: median $610 across 30 hospitalsKS$610Arkansas: median $560 across 15 hospitalsAR$560Tennessee: median $444 across 43 hospitalsTN$444North Carolina: median $345 across 65 hospitalsNC$345South Carolina: median $635 across 23 hospitalsSC$635Oklahoma: median $536 across 39 hospitalsOK$536Louisiana: median $501 across 29 hospitalsLA$501Mississippi: median $263 across 12 hospitalsMS$263Alabama: median $486 across 13 hospitalsAL$486Georgia: median $500 across 60 hospitalsGA$500Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $675 across 87 hospitalsTX$675Florida: median $404 across 68 hospitalsFL$404
Cash price by state, most expensive first. National median $604. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI72$1,200+99%$565 – $1,704
Massachusetts MA38$1,040+72%$596 – $1,350
Arizona AZ26$1,025+70%$424 – $1,634
Utah UT26$1,017+68%$1,017 – $1,196
Nebraska NE21$990+64%$658 – $1,134
Illinois IL82$960+59%$517 – $1,630
New Mexico NM13$947+57%$373 – $1,130
Connecticut CT15$933+54%$445 – $1,059
Pennsylvania PA92$804+33%$339 – $1,703
California CA40$776+28%$383 – $958
Oregon OR23$703+16%$468 – $896
Colorado CO36$693+15%$521 – $1,112
Nevada NV13$682+13%$280 – $1,515
Texas TX87$675+12%$372 – $705
Iowa IA35$656+9%$283 – $958
Washington WA40$652+8%$422 – $954
Ohio OH113$639+6%$493 – $1,321
South Carolina SC23$635+5%$630 – $999
Kansas KS30$610+1%$309 – $1,428
Missouri MO53$6040%$365 – $901
Minnesota MN52$597−1%$490 – $729
Idaho ID14$581−4%$491 – $984
New York NY68$577−5%$347 – $1,312
Arkansas AR15$560−7%$191 – $580
Maine ME20$558−8%$236 – $1,426
New Hampshire NH15$550−9%$312 – $1,387
Kentucky KY33$547−9%$352 – $1,013
Virginia VA43$547−10%$161 – $1,029
Oklahoma OK39$536−11%$264 – $870
Louisiana LA29$501−17%$347 – $823
Georgia GA60$500−17%$454 – $878
Alabama AL13$486−20%$350 – $2,205
Maryland MD31$483−20%$312 – $627
West Virginia WV26$465−23%$185 – $547
Indiana IN49$447−26%$351 – $671
Tennessee TN43$444−27%$288 – $516
Michigan MI59$422−30%$156 – $764
Florida FL68$404−33%$155 – $884
North Carolina NC65$345−43%$239 – $662
New Jersey NJ42$324−46%$295 – $457
Mississippi MS12$263−57%$173 – $567
North Dakota ND9not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Montana MT6not 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 $604.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,383$576$339 – $1,076
Children’s15fewer than 20 hospitals
Critical access329$692$475 – $1,299
Ownership
For-profit159$675$371 – $1,442
Government234$561$345 – $896
Non-profit1,334$617$353 – $1,175
System affiliation
Part of a system1,498$607$345 – $1,178
Independent238$577$383 – $960

Cash price vs list price

Median list price (chargemaster)$1,104
Median cash price$604
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

1,270 hospitals filed a usable inpatient cash price for this code. The median is $634 and the average of the middle 60% is $676; most fall between $365 and $1,219.

Cash price percentiles, inpatient, across 1,270 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
$279$419$634$1,034$1,634

The most expensive tenth of hospitals charges at least 5.9× what the cheapest tenth charges ($279 vs $1,634).

Of the 1,403 hospitals that filed this code inpatient, 1,270 gave a usable cash price; 79 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 54 a list price only.

How complete is this

1,736 of the 3,956 hospitals with a price file in our corpus (44%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,894 hospitals that filed this code at all gave us
Usable cash price — counted1,736
Cash price carrying a plausibility flag — shown on the compare tool, excluded here100
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 — excluded56
Hospitals that filed this code1,894

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 Igh Somatic Hypermutation in Bcll.

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, “Immunoglobulin heavy chain variable region mutation test (CPT 81263) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81263-immunoglobulin-heavy-chain-variable-region-mutation-test