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Procedure price report · Pathology

Huntington disease gene repeat test

CPT 81271the billing code this page is about

A laboratory test that measures the length of the repeated DNA segment in the HTT gene to detect expansions linked to Huntington disease.

Hospitals typically charge $293 cash for this outpatient procedure — the median across 1,178 hospitals that filed a usable cash price; the average of the middle 60% is $299. Most fall between $168 and $503 (20th–80th percentile).

Hospitals
1,178
States
49
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 1,178 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
$137$183$293$448$685

The most expensive tenth of hospitals charges at least 5.0× what the cheapest tenth charges ($137 vs $685).

How the prices are spread

$107 – $135: 41 hospitals$107$135 – $170: 141 hospitals$170 – $213: 164 hospitals$170$213 – $269: 148 hospitals$269 – $338: 142 hospitals$269$338 – $425: 155 hospitals$425 – $535: 111 hospitals$425$535 – $673: 97 hospitals$673 – $846: 39 hospitals$673$846 – $1,065: 24 hospitals$846median $293price bands are equal on a log scale
Hospitals per price band (1,062 of 1,178 — the bands cover the 5th to 95th percentile)
FromToHospitals
$107$13541
$135$170141
$170$213164
$213$269148
$269$338142
$338$425155
$425$535111
$535$67397
$673$84639
$846$1,06524

By state

The median cash price in each state, against the national median of $293.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $449 across 11 hospitalsNH$449Washington: median $276 across 30 hospitalsWA$276Idaho: median $306 across 11 hospitalsID$306Montana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: median $247 across 13 hospitalsND$247Minnesota: median $311 across 43 hospitalsMN$311Illinois: median $368 across 56 hospitalsIL$368Wisconsin: median $360 across 61 hospitalsWI$360Michigan: median $215 across 39 hospitalsMI$215New York: median $241 across 54 hospitalsNY$241Massachusetts: median $401 across 20 hospitalsMA$401Oregon: median $271 across 13 hospitalsOR$271Nevada: 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: 4 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $154 across 19 hospitalsIA$154Indiana: median $203 across 41 hospitalsIN$203Ohio: median $346 across 96 hospitalsOH$346Pennsylvania: median $443 across 61 hospitalsPA$443New Jersey: median $151 across 38 hospitalsNJ$151Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $314 across 30 hospitalsCA$314Utah: 5 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $260 across 26 hospitalsCO$260Nebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $304 across 28 hospitalsMO$304Kentucky: median $411 across 32 hospitalsKY$411West Virginia: median $218 across 18 hospitalsWV$218Virginia: median $187 across 49 hospitalsVA$187Maryland: 7 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $158 across 10 hospitalsAZ$158New Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,163 across 14 hospitalsKS$1,163Arkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $176 across 27 hospitalsTN$176North Carolina: median $273 across 27 hospitalsNC$273South Carolina: median $593 across 15 hospitalsSC$593Oklahoma: median $152 across 24 hospitalsOK$152Louisiana: median $192 across 20 hospitalsLA$192Mississippi: median $192 across 14 hospitalsMS$192Alabama: median $278 across 12 hospitalsAL$278Georgia: median $178 across 43 hospitalsGA$178Hawaii: no hospital in the corpus filed a usable priceHITexas: median $383 across 71 hospitalsTX$383Florida: median $316 across 46 hospitalsFL$316
Cash price by state, most expensive first. National median $293. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kansas KS14$1,163+297%$313 – $1,532
South Carolina SC15$593+102%$250 – $593
New Hampshire NH11$449+53%$203 – $650
Pennsylvania PA61$443+51%$205 – $1,334
Kentucky KY32$411+40%$183 – $1,099
Massachusetts MA20$401+37%$188 – $513
Texas TX71$383+31%$165 – $600
Illinois IL56$368+25%$160 – $511
Wisconsin WI61$360+23%$195 – $635
Ohio OH96$346+18%$220 – $552
Florida FL46$316+8%$157 – $632
California CA30$314+7%$165 – $314
Minnesota MN43$311+6%$222 – $352
Idaho ID11$306+4%$283 – $454
Missouri MO28$304+4%$247 – $432
Alabama AL12$278−5%$146 – $512
Washington WA30$276−6%$151 – $379
North Carolina NC27$273−7%$213 – $350
Oregon OR13$271−8%$223 – $417
Colorado CO26$260−11%$227 – $374
North Dakota ND13$247−16%$230 – $418
New York NY54$241−18%$137 – $764
West Virginia WV18$218−26%$218 – $685
Michigan MI39$215−27%$183 – $293
Indiana IN41$203−31%$148 – $324
Louisiana LA20$192−34%$114 – $418
Mississippi MS14$192−35%$115 – $793
Virginia VA49$187−36%$176 – $390
Georgia GA43$178−39%$94 – $383
Tennessee TN27$176−40%$173 – $212
Arizona AZ10$158−46%$47 – $218
Iowa IA19$154−48%$154 – $420
Oklahoma OK24$152−48%$114 – $378
New Jersey NJ38$151−49%$137 – $213
Nevada NV9not enough hospitals filed a usable price
Maryland MD7not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Utah UT5not enough hospitals filed a usable price
South Dakota SD4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Rhode Island RI1not 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 $293.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care940$278$158 – $500
Children’s15fewer than 20 hospitals
Critical access217$327$218 – $553
Ownership
For-profit108$263$157 – $600
Government157$283$158 – $468
Non-profit907$295$173 – $511
System affiliation
Part of a system1,018$280$165 – $488
Independent160$339$204 – $602

Cash price vs list price

Median list price (chargemaster)$514
Median cash price$293
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

891 hospitals filed a usable inpatient cash price for this code. The median is $311 and the average of the middle 60% is $315; most fall between $182 and $527.

Cash price percentiles, inpatient, across 891 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
$147$195$311$462$710

The most expensive tenth of hospitals charges at least 4.8× what the cheapest tenth charges ($147 vs $710).

Of the 974 hospitals that filed this code inpatient, 891 gave a usable cash price; 47 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 36 a list price only.

How complete is this

1,178 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 1,273 hospitals that filed this code at all gave us
Usable cash price — counted1,178
Cash price carrying a plausibility flag — shown on the compare tool, excluded here59
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded35
Hospitals that filed this code1,273

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 HTT GENE DETC ABNOR ALLELES.

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, “Huntington disease gene repeat test (CPT 81271) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81271-huntington-disease-gene-repeat-test