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Procedure price report · Pathology

Cell identity comparison using DNA markers, first specimen

CPT 81265the billing code this page is about

A laboratory test that compares repeating DNA markers between a patient sample and one comparison sample, used for engraftment, twin testing, or checking for maternal cell contamination.

Hospitals typically charge $474 cash for this outpatient procedure — the median across 1,257 hospitals that filed a usable cash price; the average of the middle 60% is $520. Most fall between $252 and $984 (20th–80th percentile).

Hospitals
1,257
States
50
Filings dated
Feb 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 1,257 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
$190$275$474$882$1,412

The most expensive tenth of hospitals charges at least 7.5× what the cheapest tenth charges ($190 vs $1,412).

How the prices are spread

$109 – $147: 23 hospitals$109$147 – $199: 58 hospitals$199 – $269: 166 hospitals$199$269 – $363: 162 hospitals$363 – $491: 180 hospitals$363$491 – $663: 147 hospitals$663 – $896: 154 hospitals$663$896 – $1,212: 151 hospitals$1,212 – $1,638: 61 hospitals$1,212$1,638 – $2,214: 33 hospitals$1,638median $474price bands are equal on a log scale
Hospitals per price band (1,135 of 1,257 — the bands cover the 5th to 95th percentile)
FromToHospitals
$109$14723
$147$19958
$199$269166
$269$363162
$363$491180
$491$663147
$663$896154
$896$1,212151
$1,212$1,63861
$1,638$2,21433

By state

The median cash price in each state, against the national median of $474.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $558 across 36 hospitalsWA$558Idaho: median $960 across 12 hospitalsID$960Montana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $377 across 49 hospitalsMN$377Illinois: median $670 across 54 hospitalsIL$670Wisconsin: median $800 across 68 hospitalsWI$800Michigan: median $322 across 42 hospitalsMI$322New York: median $409 across 36 hospitalsNY$409Massachusetts: median $1,008 across 16 hospitalsMA$1,008Oregon: median $284 across 18 hospitalsOR$284Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $224 across 19 hospitalsIA$224Indiana: median $409 across 27 hospitalsIN$409Ohio: median $520 across 89 hospitalsOH$520Pennsylvania: median $268 across 60 hospitalsPA$268New Jersey: median $256 across 42 hospitalsNJ$256Connecticut: 7 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 9 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $882 across 56 hospitalsCA$882Utah: median $601 across 29 hospitalsUT$601Colorado: median $502 across 24 hospitalsCO$502Nebraska: 1 hospital filed a usable price — fewer than 10, so no figureNEMissouri: median $598 across 31 hospitalsMO$598Kentucky: median $804 across 23 hospitalsKY$804West Virginia: median $242 across 22 hospitalsWV$242Virginia: median $551 across 39 hospitalsVA$551Maryland: median $426 across 26 hospitalsMD$426Delaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $343 across 13 hospitalsAZ$343New Mexico: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $679 across 14 hospitalsAR$679Tennessee: median $298 across 21 hospitalsTN$298North Carolina: median $405 across 46 hospitalsNC$405South Carolina: median $480 across 33 hospitalsSC$480Oklahoma: median $811 across 17 hospitalsOK$811Louisiana: median $292 across 19 hospitalsLA$292Mississippi: 8 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $311 across 46 hospitalsGA$311Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $555 across 78 hospitalsTX$555Florida: median $359 across 45 hospitalsFL$359
Cash price by state, most expensive first. National median $474. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA16$1,008+113%$519 – $1,198
Idaho ID12$960+103%$472 – $960
California CA56$882+86%$234 – $4,099
Oklahoma OK17$811+71%$327 – $856
Kentucky KY23$804+70%$345 – $1,321
Wisconsin WI68$800+69%$380 – $1,132
Arkansas AR14$679+43%$152 – $703
Illinois IL54$670+41%$283 – $987
Utah UT29$601+27%$354 – $707
Missouri MO31$598+26%$388 – $777
Washington WA36$558+18%$435 – $879
Texas TX78$555+17%$175 – $984
Virginia VA39$551+16%$199 – $734
Ohio OH89$520+10%$360 – $1,045
Colorado CO24$502+6%$302 – $619
South Carolina SC33$480+1%$341 – $1,412
Maryland MD26$426−10%$298 – $528
Indiana IN27$409−14%$344 – $699
New York NY36$409−14%$233 – $788
North Carolina NC46$405−15%$105 – $1,724
Minnesota MN49$377−20%$190 – $947
Florida FL45$359−24%$250 – $520
Arizona AZ13$343−28%$250 – $1,961
Michigan MI42$322−32%$198 – $387
Georgia GA46$311−34%$311 – $1,477
Tennessee TN21$298−37%$271 – $396
Louisiana LA19$292−38%$70 – $1,001
Oregon OR18$284−40%$280 – $872
Pennsylvania PA60$268−43%$233 – $505
New Jersey NJ42$256−46%$233 – $1,819
West Virginia WV22$242−49%$81 – $551
Iowa IA19$224−53%$224 – $1,241
Alaska AK9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Rhode Island RI9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Mississippi MS8not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Nebraska NE1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Vermont VT1not 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 $474.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,024$454$252 – $999
Children’s41$364$152 – $840
Critical access186$589$280 – $960
Ownership
For-profit97$480$300 – $984
Government131$349$233 – $960
Non-profit1,023$493$255 – $987
System affiliation
Part of a system1,159$480$255 – $984
Independent98$401$219 – $989

Cash price vs list price

Median list price (chargemaster)$840
Median cash price$474
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

933 hospitals filed a usable inpatient cash price for this code. The median is $505 and the average of the middle 60% is $571; most fall between $271 and $1,045.

Cash price percentiles, inpatient, across 933 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
$199$311$505$956$1,477

The most expensive tenth of hospitals charges at least 7.4× what the cheapest tenth charges ($199 vs $1,477).

Of the 1,028 hospitals that filed this code inpatient, 933 gave a usable cash price; 61 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 34 a list price only.

How complete is this

1,257 of the 3,956 hospitals with a price file in our corpus (32%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,371 hospitals that filed this code at all gave us
Usable cash price — counted1,257
Cash price carrying a plausibility flag — shown on the compare tool, excluded here73
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded39
Hospitals that filed this code1,371

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 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 STR MARKERS SPECIMEN ANAL.

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, “Cell identity comparison using DNA markers, first specimen (CPT 81265) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81265-cell-identity-comparison-using-dna-markers-first-specimen