HRHospitalRates.comCompare prices

Procedure price report · Pathology

Lymphoma test for the IGH-BCL2 gene fusion

CPT 81278the billing code this page is about

A laboratory test on blood, marrow, or tissue that detects the joining of the IGH and BCL2 genes seen in some lymphomas, reported as present or as an amount.

Hospitals typically charge $324 cash for this outpatient procedure — the median across 286 hospitals that filed a usable cash price; the average of the middle 60% is $330. Most fall between $207 and $731 (20th–80th percentile).

Hospitals
286
States
36
Filings dated
Jan 2025 – 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 286 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$220$324$498$926

The most expensive tenth of hospitals charges at least 6.8× what the cheapest tenth charges ($137 vs $926).

How the prices are spread

$101 – $128: 24 hospitals$101$128 – $162: 10 hospitals$162 – $205: 4 hospitals$162$205 – $260: 57 hospitals$260 – $329: 48 hospitals$260$329 – $417: 47 hospitals$417 – $528: 24 hospitals$417$528 – $670: 12 hospitals$670 – $848: 8 hospitals$670$848 – $1,075: 39 hospitals$848median $324price bands are equal on a log scale
Hospitals per price band (273 of 286 — the bands cover the 5th to 95th percentile)
FromToHospitals
$101$12824
$128$16210
$162$2054
$205$26057
$260$32948
$329$41747
$417$52824
$528$67012
$670$8488
$848$1,07539

By state

The median cash price in each state, against the national median of $324.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: no hospital in the corpus filed a usable priceMNIllinois: 5 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 4 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $324 across 13 hospitalsMI$324New York: median $207 across 16 hospitalsNY$207Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 3 hospitals filed a usable price — fewer than 10, so no figureORNevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: 1 hospital filed a usable price — fewer than 10, so no figureIAIndiana: 2 hospitals filed a usable price — fewer than 10, so no figureINOhio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $447 across 24 hospitalsPA$447New Jersey: median $228 across 25 hospitalsNJ$228Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $347 across 20 hospitalsCA$347Utah: median $888 across 22 hospitalsUT$888Colorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 1 hospital filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: no hospital in the corpus filed a usable priceKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $343 across 17 hospitalsVA$343Maryland: median $383 across 10 hospitalsMD$383Delaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: median $266 across 11 hospitalsTN$266North Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: 6 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: no hospital in the corpus filed a usable priceLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: median $101 across 34 hospitalsGA$101Hawaii: no hospital in the corpus filed a usable priceHITexas: median $216 across 10 hospitalsTX$216Florida: median $220 across 16 hospitalsFL$220
Cash price by state, most expensive first. National median $324. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT22$888+174%$888 – $1,045
Pennsylvania PA24$447+38%$143 – $2,343
Maryland MD10$383+18%$359 – $490
California CA20$347+7%$347 – $347
Virginia VA17$343+6%$266 – $448
Michigan MI13$3240%$286 – $324
Tennessee TN11$266−18%$266 – $266
New Jersey NJ25$228−30%$207 – $228
Florida FL16$220−32%$107 – $275
Texas TX10$216−33%$216 – $216
New York NY16$207−36%$207 – $249
Georgia GA34$101−69%$101 – $363
Ohio OH8not enough hospitals filed a usable price
Oklahoma OK6not enough hospitals filed a usable price
Illinois IL5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Wisconsin WI4not enough hospitals filed a usable price
Oregon OR3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Indiana IN2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Iowa IA1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Nebraska NE1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Washington WA1not enough hospitals filed a usable price
Wyoming WY1not 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 $324.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care250$324$207 – $622
Children’s4fewer than 20 hospitals
Critical access32$324$216 – $888
Ownership
For-profit16fewer than 20 hospitals
Government34$216$207 – $351
Non-profit236$346$220 – $805
System affiliation
Part of a system263$324$207 – $700
Independent23$332$238 – $805

Cash price vs list price

Median list price (chargemaster)$622
Median cash price$324
Cash as a share of list, median hospital56%

At the typical hospital, asking for the cash price cuts the list price by about 44%. 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

195 hospitals filed a usable inpatient cash price for this code. The median is $347 and the average of the middle 60% is $425; most fall between $261 and $888.

Cash price percentiles, inpatient, across 195 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
$134$266$347$731$1,045

The most expensive tenth of hospitals charges at least 7.8× what the cheapest tenth charges ($134 vs $1,045).

Of the 208 hospitals that filed this code inpatient, 195 gave a usable cash price; 12 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 1 a list price only.

How complete is this

286 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 295 hospitals that filed this code at all gave us
Usable cash price — counted286
Cash price carrying a plausibility flag — shown on the compare tool, excluded here7
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 — excluded1
Hospitals that filed this code295

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 5, 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 IGH@/BCL2 TRANSLOCATION ALYS.

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, “Lymphoma test for the IGH-BCL2 gene fusion (CPT 81278) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81278-lymphoma-test-for-the-igh-bcl2-gene-fusion