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Procedure price report · Pathology

Full sequencing of the Friedreich ataxia gene

CPT 81286the billing code this page is about

A laboratory test on a blood sample that reads the entire coding sequence of the FXN gene, rather than only checking the repeated segment.

Hospitals typically charge $384 cash for this outpatient procedure — the median across 200 hospitals that filed a usable cash price; the average of the middle 60% is $409. Most fall between $216 and $627 (20th–80th percentile).

Hospitals
200
States
30
Filings dated
Nov 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 200 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
$135$275$384$627$838

The most expensive tenth of hospitals charges at least 6.2× what the cheapest tenth charges ($135 vs $838).

How the prices are spread

$94 – $120: 3 hospitals$94$120 – $155: 10 hospitals$155 – $198: 7 hospitals$155$198 – $255: 19 hospitals$255 – $327: 38 hospitals$255$327 – $420: 20 hospitals$420 – $539: 19 hospitals$420$539 – $692: 35 hospitals$692 – $889: 25 hospitals$692$889 – $1,141: 6 hospitals$889median $384price bands are equal on a log scale
Hospitals per price band (182 of 200 — the bands cover the 5th to 95th percentile)
FromToHospitals
$94$1203
$120$15510
$155$1987
$198$25519
$255$32738
$327$42020
$420$53919
$539$69235
$692$88925
$889$1,1416

By state

The median cash price in each state, against the national median of $384.

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: median $440 across 11 hospitalsWA$440Idaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 1 hospital filed a usable price — fewer than 10, so no figureMNIllinois: median $577 across 11 hospitalsIL$577Wisconsin: median $838 across 19 hospitalsWI$838Michigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $275 across 16 hospitalsNY$275Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 1 hospital filed a usable price — fewer than 10, so no figureORNevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: no hospital in the corpus filed a usable priceIAIndiana: median $396 across 12 hospitalsIN$396Ohio: 4 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $190 across 11 hospitalsPA$190New Jersey: median $302 across 22 hospitalsNJ$302Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $627 across 20 hospitalsCA$627Utah: no hospital in the corpus filed a usable priceUTColorado: no hospital in the corpus filed a usable priceCONebraska: no hospital in the corpus filed a usable priceNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $216 across 10 hospitalsVA$216Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $216 across 15 hospitalsTN$216North Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: 3 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: no hospital in the corpus filed a usable priceTXFlorida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $384. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI19$838+118%$619 – $838
California CA20$627+64%$627 – $627
Illinois IL11$577+50%$577 – $713
Washington WA11$440+15%$440 – $440
Indiana IN12$396+3%$348 – $535
New Jersey NJ22$302−21%$275 – $302
New York NY16$275−28%$275 – $330
Tennessee TN15$216−44%$83 – $216
Virginia VA10$216−44%$212 – $424
Pennsylvania PA11$190−51%$181 – $222
Georgia GA9not enough hospitals filed a usable price
Massachusetts MA8not enough hospitals filed a usable price
Michigan MI7not enough hospitals filed a usable price
Ohio OH4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Oklahoma OK3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Oregon OR1not 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 $384.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care160$338$216 – $627
Children’s10fewer than 20 hospitals
Critical access30$577$398 – $838
Ownership
For-profit10fewer than 20 hospitals
Government18fewer than 20 hospitals
Non-profit172$424$216 – $713
System affiliation
Part of a system184$396$216 – $713
Independent16fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$1,099
Median cash price$384
Cash as a share of list, median hospital48%

At the typical hospital, asking for the cash price cuts the list price by about 52%. 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

117 hospitals filed a usable inpatient cash price for this code. The median is $550 and the average of the middle 60% is $535; most fall between $216 and $838.

Cash price percentiles, inpatient, across 117 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
$135$216$550$825$956

The most expensive tenth of hospitals charges at least 7.1× what the cheapest tenth charges ($135 vs $956).

Of the 128 hospitals that filed this code inpatient, 117 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 2 a list price only.

How complete is this

200 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 213 hospitals that filed this code at all gave us
Usable cash price — counted200
Cash price carrying a plausibility flag — shown on the compare tool, excluded here10
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 — excluded2
Hospitals that filed this code213

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 23, 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 FXN GENE FULL GENE SEQUENCE.

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, “Full sequencing of the Friedreich ataxia gene (CPT 81286) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81286-full-sequencing-of-the-friedreich-ataxia-gene