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Procedure price report · Pathology

PML/RARA fusion gene test for leukemia

CPT 81315the billing code this page is about

A test of blood or bone marrow that detects and can measure the amount of the PML/RARA fusion gene found in acute promyelocytic leukemia.

Hospitals typically charge $448 cash for this outpatient procedure — the median across 1,649 hospitals that filed a usable cash price; the average of the middle 60% is $469. Most fall between $237 and $845 (20th–80th percentile).

Hospitals
1,649
States
50
Filings dated
Dec 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 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 1,649 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
$185$259$448$732$1,190

The most expensive tenth of hospitals charges at least 6.4× what the cheapest tenth charges ($185 vs $1,190).

How the prices are spread

$138 – $178: 72 hospitals$138$178 – $229: 162 hospitals$229 – $295: 163 hospitals$229$295 – $381: 216 hospitals$381 – $491: 240 hospitals$381$491 – $634: 218 hospitals$634 – $817: 154 hospitals$634$817 – $1,054: 118 hospitals$1,054 – $1,359: 96 hospitals$1,054$1,359 – $1,752: 47 hospitals$1,359median $448price bands are equal on a log scale
Hospitals per price band (1,486 of 1,649 — the bands cover the 5th to 95th percentile)
FromToHospitals
$138$17872
$178$229162
$229$295163
$295$381216
$381$491240
$491$634218
$634$817154
$817$1,054118
$1,054$1,35996
$1,359$1,75247

By state

The median cash price in each state, against the national median of $448.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $303 across 12 hospitalsME$303Vermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $534 across 41 hospitalsWA$534Idaho: median $350 across 11 hospitalsID$350Montana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $516 across 61 hospitalsMN$516Illinois: median $571 across 73 hospitalsIL$571Wisconsin: median $600 across 78 hospitalsWI$600Michigan: median $320 across 57 hospitalsMI$320New York: median $404 across 69 hospitalsNY$404Massachusetts: median $770 across 33 hospitalsMA$770Oregon: median $518 across 21 hospitalsOR$518Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $571 across 25 hospitalsIA$571Indiana: median $346 across 56 hospitalsIN$346Ohio: median $666 across 101 hospitalsOH$666Pennsylvania: median $416 across 65 hospitalsPA$416New Jersey: median $228 across 44 hospitalsNJ$228Connecticut: median $516 across 14 hospitalsCT$516Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $513 across 50 hospitalsCA$513Utah: median $1,591 across 25 hospitalsUT$1,591Colorado: median $438 across 40 hospitalsCO$438Nebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $483 across 44 hospitalsMO$483Kentucky: median $537 across 27 hospitalsKY$537West Virginia: median $165 across 20 hospitalsWV$165Virginia: median $448 across 46 hospitalsVA$448Maryland: median $371 across 21 hospitalsMD$371Delaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $428 across 19 hospitalsAZ$428New Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $496 across 24 hospitalsKS$496Arkansas: median $439 across 15 hospitalsAR$439Tennessee: median $338 across 37 hospitalsTN$338North Carolina: median $436 across 53 hospitalsNC$436South Carolina: median $345 across 26 hospitalsSC$345Oklahoma: median $324 across 31 hospitalsOK$324Louisiana: median $338 across 26 hospitalsLA$338Mississippi: median $183 across 27 hospitalsMS$183Alabama: median $430 across 21 hospitalsAL$430Georgia: median $439 across 63 hospitalsGA$439Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $491 across 119 hospitalsTX$491Florida: median $220 across 72 hospitalsFL$220
Cash price by state, most expensive first. National median $448. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT25$1,591+256%$1,591 – $1,872
Massachusetts MA33$770+72%$379 – $946
Ohio OH101$666+49%$389 – $1,001
Wisconsin WI78$600+34%$438 – $1,307
Iowa IA25$571+28%$199 – $735
Illinois IL73$571+28%$363 – $1,032
Kentucky KY27$537+20%$253 – $777
Washington WA41$534+19%$289 – $781
Oregon OR21$518+16%$341 – $618
Connecticut CT14$516+15%$346 – $881
Minnesota MN61$516+15%$249 – $777
California CA50$513+15%$162 – $549
Kansas KS24$496+11%$366 – $2,394
Texas TX119$491+10%$308 – $810
Missouri MO44$483+8%$346 – $1,043
Virginia VA46$4480%$114 – $631
Arkansas AR15$439−2%$56 – $455
Georgia GA63$439−2%$196 – $1,073
Colorado CO40$438−2%$192 – $1,050
North Carolina NC53$436−3%$198 – $1,016
Alabama AL21$430−4%$267 – $1,625
Arizona AZ19$428−4%$222 – $428
Pennsylvania PA65$416−7%$207 – $862
New York NY69$404−10%$207 – $903
Maryland MD21$371−17%$274 – $438
Idaho ID11$350−22%$350 – $525
Indiana IN56$346−23%$243 – $521
South Carolina SC26$345−23%$345 – $649
Louisiana LA26$338−24%$221 – $504
Tennessee TN37$338−24%$223 – $430
Oklahoma OK31$324−28%$237 – $541
Michigan MI57$320−28%$140 – $538
Maine ME12$303−32%$184 – $703
New Jersey NJ44$228−49%$207 – $238
Florida FL72$220−51%$186 – $453
Mississippi MS27$183−59%$114 – $252
West Virginia WV20$165−63%$165 – $1,037
Nebraska NE9not enough hospitals filed a usable price
Nevada NV9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Wyoming WY4not 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 $448.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,339$430$228 – $817
Children’s32$430$169 – $1,111
Critical access268$516$324 – $862
Ownership
For-profit164$454$247 – $1,130
Government201$461$238 – $777
Non-profit1,274$440$237 – $823
System affiliation
Part of a system1,466$448$235 – $854
Independent183$425$244 – $774

Cash price vs list price

Median list price (chargemaster)$815
Median cash price$448
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

1,216 hospitals filed a usable inpatient cash price for this code. The median is $464 and the average of the middle 60% is $501; most fall between $256 and $906.

Cash price percentiles, inpatient, across 1,216 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
$199$300$464$778$1,307

The most expensive tenth of hospitals charges at least 6.6× what the cheapest tenth charges ($199 vs $1,307).

Of the 1,339 hospitals that filed this code inpatient, 1,216 gave a usable cash price; 84 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 39 a list price only.

How complete is this

1,649 of the 3,956 hospitals with a price file in our corpus (42%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,797 hospitals that filed this code at all gave us
Usable cash price — counted1,649
Cash price carrying a plausibility flag — shown on the compare tool, excluded here102
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded43
Hospitals that filed this code1,797

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 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 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 HC Pml/Raralpha Common (Pmlq).

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, “PML/RARA fusion gene test for leukemia (CPT 81315) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81315-pml-rara-fusion-gene-test-for-leukemia