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Procedure price report · Pathology

Urine PCA3 and PSA gene marker test for prostate cancer

CPT 81313the billing code this page is about

A test measuring PCA3 and PSA gene activity in a urine sample and reporting the ratio between them, used in prostate cancer assessment.

Hospitals typically charge $458 cash for this outpatient procedure — the median across 370 hospitals that filed a usable cash price; the average of the middle 60% is $469. Most fall between $255 and $873 (20th–80th percentile).

Hospitals
370
States
45
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 370 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
$236$274$458$714$1,046

The most expensive tenth of hospitals charges at least 4.4× what the cheapest tenth charges ($236 vs $1,046).

How the prices are spread

$159 – $199: 7 hospitals$159$199 – $250: 30 hospitals$250 – $313: 80 hospitals$250$313 – $392: 41 hospitals$392 – $491: 24 hospitals$392$491 – $615: 54 hospitals$615 – $770: 34 hospitals$615$770 – $965: 34 hospitals$965 – $1,209: 26 hospitals$965$1,209 – $1,515: 5 hospitals$1,209median $458price bands are equal on a log scale
Hospitals per price band (335 of 370 — the bands cover the 5th to 95th percentile)
FromToHospitals
$159$1997
$199$25030
$250$31380
$313$39241
$392$49124
$491$61554
$615$77034
$770$96534
$965$1,20926
$1,209$1,5155

By state

The median cash price in each state, against the national median of $458.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: median $282 across 17 hospitalsWA$282Idaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $900 across 24 hospitalsIL$900Wisconsin: median $2,052 across 16 hospitalsWI$2,052Michigan: 9 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $255 across 15 hospitalsNY$255Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 4 hospitals filed a usable price — fewer than 10, so no figureORNevada: 5 hospitals 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: median $245 across 13 hospitalsIA$245Indiana: median $368 across 14 hospitalsIN$368Ohio: median $865 across 21 hospitalsOH$865Pennsylvania: median $255 across 24 hospitalsPA$255New Jersey: median $281 across 23 hospitalsNJ$281Connecticut: 4 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 $582 across 30 hospitalsCA$582Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 1 hospital filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $274 across 14 hospitalsVA$274Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureNCSouth 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: median $301 across 10 hospitalsLA$301Mississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $695 across 20 hospitalsTX$695Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $458. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI16$2,052+348%$1,189 – $2,052
Illinois IL24$900+96%$594 – $991
Ohio OH21$865+89%$298 – $1,573
Texas TX20$695+52%$475 – $695
California CA30$582+27%$250 – $582
Indiana IN14$368−20%$319 – $523
Louisiana LA10$301−34%$212 – $512
Washington WA17$282−39%$236 – $667
New Jersey NJ23$281−39%$255 – $281
Virginia VA14$274−40%$274 – $519
New York NY15$255−44%$255 – $255
Pennsylvania PA24$255−44%$36 – $918
Iowa IA13$245−47%$245 – $245
Michigan MI9not enough hospitals filed a usable price
North Carolina NC9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
Oklahoma OK6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
Oregon OR4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Nebraska NE1not enough hospitals filed a usable price
New Hampshire NH1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
Utah UT1not 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 $458.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care318$391$255 – $842
Children’s3fewer than 20 hospitals
Critical access49$579$333 – $957
Ownership
For-profit27$490$255 – $1,093
Government52$388$255 – $846
Non-profit291$458$255 – $873
System affiliation
Part of a system323$458$255 – $882
Independent47$449$255 – $653

Cash price vs list price

Median list price (chargemaster)$872
Median cash price$458
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

237 hospitals filed a usable inpatient cash price for this code. The median is $557 and the average of the middle 60% is $556; most fall between $274 and $912.

Cash price percentiles, inpatient, across 237 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
$223$298$557$873$1,189

The most expensive tenth of hospitals charges at least 5.3× what the cheapest tenth charges ($223 vs $1,189).

Of the 255 hospitals that filed this code inpatient, 237 gave a usable cash price; 6 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 12 a list price only.

How complete is this

370 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 398 hospitals that filed this code at all gave us
Usable cash price — counted370
Cash price carrying a plausibility flag — shown on the compare tool, excluded here14
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded12
Hospitals that filed this code398

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 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 PCA3/KLK3 ANTIGEN.

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, “Urine PCA3 and PSA gene marker test for prostate cancer (CPT 81313) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81313-urine-pca3-and-psa-gene-marker-test-for-prostate-cancer