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Procedure price report · Pathology

Alpha globin gene test for deletions and duplications

CPT 81269the billing code this page is about

A laboratory test that looks for missing or extra copies of segments of the two alpha globin genes, beyond the common deletions.

Hospitals typically charge $414 cash for this outpatient procedure — the median across 1,206 hospitals that filed a usable cash price; the average of the middle 60% is $416. Most fall between $233 and $638 (20th–80th percentile).

Hospitals
1,206
States
50
Filings dated
Jun 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 1,206 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
$187$263$414$596$908

The most expensive tenth of hospitals charges at least 4.9× what the cheapest tenth charges ($187 vs $908).

How the prices are spread

$141 – $176: 42 hospitals$141$176 – $221: 102 hospitals$221 – $277: 127 hospitals$221$277 – $347: 149 hospitals$347 – $435: 162 hospitals$347$435 – $545: 188 hospitals$545 – $683: 155 hospitals$545$683 – $856: 93 hospitals$856 – $1,072: 39 hospitals$856$1,072 – $1,344: 29 hospitals$1,072median $414price bands are equal on a log scale
Hospitals per price band (1,086 of 1,206 — the bands cover the 5th to 95th percentile)
FromToHospitals
$141$17642
$176$221102
$221$277127
$277$347149
$347$435162
$435$545188
$545$683155
$683$85693
$856$1,07239
$1,072$1,34429

By state

The median cash price in each state, against the national median of $414.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $223 across 22 hospitalsWA$223Idaho: median $551 across 12 hospitalsID$551Montana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $391 across 59 hospitalsMN$391Illinois: median $624 across 57 hospitalsIL$624Wisconsin: median $571 across 75 hospitalsWI$571Michigan: median $280 across 40 hospitalsMI$280New York: median $375 across 52 hospitalsNY$375Massachusetts: median $577 across 16 hospitalsMA$577Oregon: median $423 across 14 hospitalsOR$423Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 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 $320 across 28 hospitalsIA$320Indiana: median $323 across 42 hospitalsIN$323Ohio: median $570 across 90 hospitalsOH$570Pennsylvania: median $414 across 45 hospitalsPA$414New Jersey: median $223 across 36 hospitalsNJ$223Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $459 across 33 hospitalsCA$459Utah: median $476 across 24 hospitalsUT$476Colorado: median $368 across 27 hospitalsCO$368Nebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $383 across 36 hospitalsMO$383Kentucky: median $402 across 20 hospitalsKY$402West Virginia: median $280 across 20 hospitalsWV$280Virginia: median $185 across 21 hospitalsVA$185Maryland: median $495 across 22 hospitalsMD$495Delaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $335 across 11 hospitalsAZ$335New Mexico: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $406 across 17 hospitalsAR$406Tennessee: median $141 across 28 hospitalsTN$141North Carolina: median $425 across 35 hospitalsNC$425South Carolina: median $228 across 14 hospitalsSC$228Oklahoma: median $385 across 19 hospitalsOK$385Louisiana: median $268 across 29 hospitalsLA$268Mississippi: median $259 across 12 hospitalsMS$259Alabama: median $820 across 11 hospitalsAL$820Georgia: median $409 across 29 hospitalsGA$409Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $454 across 84 hospitalsTX$454Florida: median $437 across 38 hospitalsFL$437
Cash price by state, most expensive first. National median $414. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alabama AL11$820+98%$803 – $2,555
Illinois IL57$624+51%$350 – $780
Massachusetts MA16$577+39%$320 – $1,128
Wisconsin WI75$571+38%$391 – $773
Ohio OH90$570+38%$368 – $743
Idaho ID12$551+33%$546 – $900
Maryland MD22$495+19%$397 – $2,989
Utah UT24$476+15%$476 – $559
California CA33$459+11%$163 – $459
Texas TX84$454+10%$194 – $480
Florida FL38$437+6%$202 – $1,252
North Carolina NC35$425+3%$277 – $455
Oregon OR14$423+2%$364 – $646
Pennsylvania PA45$4140%$164 – $2,100
Georgia GA29$409−1%$190 – $643
Arkansas AR17$406−2%$231 – $425
Kentucky KY20$402−3%$211 – $607
Minnesota MN59$391−6%$245 – $616
Oklahoma OK19$385−7%$253 – $599
Missouri MO36$383−8%$350 – $504
New York NY52$375−9%$202 – $552
Colorado CO27$368−11%$263 – $514
Arizona AZ11$335−19%$233 – $525
Indiana IN42$323−22%$243 – $410
Iowa IA28$320−23%$194 – $598
Michigan MI40$280−32%$276 – $431
West Virginia WV20$280−33%$280 – $290
Louisiana LA29$268−35%$100 – $637
Mississippi MS12$259−37%$190 – $329
South Carolina SC14$228−45%$228 – $585
Washington WA22$223−46%$203 – $560
New Jersey NJ36$223−46%$202 – $233
Virginia VA21$185−55%$110 – $594
Tennessee TN28$141−66%$110 – $257
Kansas KS9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Vermont VT2not 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 $414.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care977$408$223 – $631
Children’s24$626$359 – $1,082
Critical access199$432$289 – $646
Ownership
For-profit69$450$212 – $810
Government153$364$202 – $598
Non-profit978$424$233 – $638
System affiliation
Part of a system1,070$409$228 – $630
Independent136$431$272 – $797

Cash price vs list price

Median list price (chargemaster)$708
Median cash price$414
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

927 hospitals filed a usable inpatient cash price for this code. The median is $433 and the average of the middle 60% is $429; most fall between $233 and $697.

Cash price percentiles, inpatient, across 927 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
$187$263$433$622$908

The most expensive tenth of hospitals charges at least 4.9× what the cheapest tenth charges ($187 vs $908).

Of the 1,011 hospitals that filed this code inpatient, 927 gave a usable cash price; 55 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 29 a list price only.

How complete is this

1,206 of the 3,956 hospitals with a price file in our corpus (30%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,308 hospitals that filed this code at all gave us
Usable cash price — counted1,206
Cash price carrying a plausibility flag — shown on the compare tool, excluded here69
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 — excluded31
Hospitals that filed this code1,308

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 HBA1/HBA2 GENE DUP/DEL VRNTS.

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, “Alpha globin gene test for deletions and duplications (CPT 81269) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81269-alpha-globin-gene-test-for-deletions-and-duplications