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Procedure price report · Pathology

PALB2 gene test for a known family variant

CPT 81308the billing code this page is about

A test that looks only for a specific PALB2 gene change already identified in a relative, rather than sequencing the whole gene.

Hospitals typically charge $495 cash for this outpatient procedure — the median across 190 hospitals that filed a usable cash price; the average of the middle 60% is $538. Most fall between $306 and $1,136 (20th–80th percentile).

Hospitals
190
States
27
Filings dated
Dec 2025 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 190 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
$301$331$495$905$1,437

The most expensive tenth of hospitals charges at least 4.8× what the cheapest tenth charges ($301 vs $1,437).

How the prices are spread

$191 – $247: 5 hospitals$191$247 – $319: 26 hospitals$319 – $412: 30 hospitals$319$412 – $532: 57 hospitals$532 – $687: 3 hospitals$532$687 – $887: 9 hospitals$887 – $1,146: 26 hospitals$887$1,146 – $1,480: 6 hospitals$1,480 – $1,912: 0 hospitals$1,480$1,912 – $2,470: 19 hospitals$1,912median $495price bands are equal on a log scale
Hospitals per price band (181 of 190 — the bands cover the 5th to 95th percentile)
FromToHospitals
$191$2475
$247$31926
$319$41230
$412$53257
$532$6873
$687$8879
$887$1,14626
$1,146$1,4806
$1,480$1,9120
$1,912$2,47019

By state

The median cash price in each state, against the national median of $495.

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: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 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: median $440 across 11 hospitalsMN$440Illinois: 2 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 7 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $495 across 13 hospitalsMI$495New York: median $301 across 12 hospitalsNY$301Massachusetts: no hospital in the corpus filed a usable priceMAOregon: no hospital in the corpus filed a usable priceORNevada: 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: no hospital in the corpus filed a usable priceINOhio: median $1,136 across 17 hospitalsOH$1,136Pennsylvania: median $183 across 12 hospitalsPA$183New Jersey: median $331 across 23 hospitalsNJ$331Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $2,470 across 33 hospitalsCA$2,470Utah: 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: 3 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: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: median $1,136 across 10 hospitalsAZ$1,136New Mexico: no hospital in the corpus filed a usable priceNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: 6 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: median $497 across 12 hospitalsGA$497Hawaii: no hospital in the corpus filed a usable priceHITexas: 1 hospital filed a usable price — fewer than 10, so no figureTXFlorida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $495. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA33$2,470+399%$525 – $2,470
Ohio OH17$1,136+129%$1,136 – $1,169
Arizona AZ10$1,136+129%$375 – $1,136
Georgia GA12$4970%$497 – $499
Michigan MI13$4950%$416 – $495
Minnesota MN11$440−11%$375 – $440
New Jersey NJ23$331−33%$301 – $331
New York NY12$301−39%$301 – $301
Pennsylvania PA12$183−63%$175 – $281
Virginia VA9not enough hospitals filed a usable price
Wisconsin WI7not enough hospitals filed a usable price
Oklahoma OK6not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Illinois IL2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Alabama AL1not 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
Louisiana LA1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
Tennessee TN1not enough hospitals filed a usable price
Texas TX1not 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 $495.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care159$495$301 – $1,136
Children’s7fewer than 20 hospitals
Critical access22$450$379 – $497
Ownership
For-profit9fewer than 20 hospitals
Government25$484$301 – $499
Non-profit154$450$306 – $1,136
System affiliation
Part of a system174$495$306 – $1,136
Independent16fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$1,009
Median cash price$495
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

137 hospitals filed a usable inpatient cash price for this code. The median is $525 and the average of the middle 60% is $664; most fall between $379 and $1,136.

Cash price percentiles, inpatient, across 137 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
$281$440$525$1,136$2,470

The most expensive tenth of hospitals charges at least 8.8× what the cheapest tenth charges ($281 vs $2,470).

Of the 141 hospitals that filed this code inpatient, 137 gave a usable cash price; 3 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

190 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 196 hospitals that filed this code at all gave us
Usable cash price — counted190
Cash price carrying a plausibility flag — shown on the compare tool, excluded here4
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 code196

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 23, 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 PALB2 GENE KNOWN FAMIL VRNT.

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, “PALB2 gene test for a known family variant (CPT 81308) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81308-palb2-gene-test-for-a-known-family-variant