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Procedure price report · Pathology

PTEN gene test for missing or extra gene pieces

CPT 81323the billing code this page is about

Laboratory test that looks for deleted or duplicated segments of the PTEN gene.

Hospitals typically charge $357 cash for this outpatient procedure — the median across 595 hospitals that filed a usable cash price; the average of the middle 60% is $399. Most fall between $158 and $681 (20th–80th percentile).

Hospitals
595
States
43
Filings dated
Aug 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 595 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
$88$213$357$673$989

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($88 vs $989).

How the prices are spread

$66 – $91: 33 hospitals$66$91 – $125: 33 hospitals$125 – $172: 33 hospitals$125$172 – $236: 34 hospitals$236 – $324: 95 hospitals$236$324 – $445: 86 hospitals$445 – $612: 69 hospitals$445$612 – $841: 101 hospitals$841 – $1,155: 32 hospitals$841$1,155 – $1,586: 21 hospitals$1,155median $357price bands are equal on a log scale
Hospitals per price band (537 of 595 — the bands cover the 5th to 95th percentile)
FromToHospitals
$66$9133
$91$12533
$125$17233
$172$23634
$236$32495
$324$44586
$445$61269
$612$841101
$841$1,15532
$1,155$1,58621

By state

The median cash price in each state, against the national median of $357.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: median $419 across 20 hospitalsWA$419Idaho: 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: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $534 across 28 hospitalsIL$534Wisconsin: 9 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $414 across 13 hospitalsMI$414New York: median $300 across 30 hospitalsNY$300Massachusetts: 9 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $327 across 14 hospitalsOR$327Nevada: 6 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 $288 across 11 hospitalsIA$288Indiana: median $360 across 29 hospitalsIN$360Ohio: median $463 across 45 hospitalsOH$463Pennsylvania: median $300 across 30 hospitalsPA$300New Jersey: median $330 across 32 hospitalsNJ$330Connecticut: 8 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 $683 across 32 hospitalsCA$683Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $560 across 12 hospitalsMO$560Kentucky: median $338 across 18 hospitalsKY$338West Virginia: median $126 across 16 hospitalsWV$126Virginia: median $4,652 across 17 hospitalsVA$4,652Maryland: median $550 across 13 hospitalsMD$550Delaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $69 across 20 hospitalsTN$69North Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $631 across 18 hospitalsSC$631Oklahoma: median $237 across 16 hospitalsOK$237Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $213 across 17 hospitalsMS$213Alabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $239 across 16 hospitalsGA$239Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $673 across 58 hospitalsTX$673Florida: median $70 across 15 hospitalsFL$70
Cash price by state, most expensive first. National median $357. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA17$4,652+1203%$69 – $6,191
California CA32$683+91%$99 – $683
Texas TX58$673+88%$276 – $673
South Carolina SC18$631+77%$384 – $631
Missouri MO12$560+57%$231 – $1,333
Maryland MD13$550+54%$380 – $755
Illinois IL28$534+50%$271 – $630
Ohio OH45$463+30%$289 – $488
Washington WA20$419+17%$122 – $666
Michigan MI13$414+16%$69 – $666
Indiana IN29$360+1%$103 – $574
Kentucky KY18$338−5%$230 – $900
New Jersey NJ32$330−8%$300 – $2,595
Oregon OR14$327−8%$66 – $653
New York NY30$300−16%$300 – $1,045
Pennsylvania PA30$300−16%$49 – $345
Iowa IA11$288−19%$288 – $288
Georgia GA16$239−33%$207 – $239
Oklahoma OK16$237−34%$162 – $490
Mississippi MS17$213−40%$113 – $415
West Virginia WV16$126−65%$126 – $126
Florida FL15$70−80%$46 – $210
Tennessee TN20$69−81%$69 – $213
Massachusetts MA9not enough hospitals filed a usable price
Wisconsin WI9not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Rhode Island RI1not 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 $357.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care498$344$163 – $683
Children’s26$243$95 – $685
Critical access70$455$146 – $673
Ownership
For-profit49$462$218 – $900
Government60$300$126 – $482
Non-profit485$375$152 – $683
System affiliation
Part of a system530$375$162 – $681
Independent65$331$121 – $630

Cash price vs list price

Median list price (chargemaster)$660
Median cash price$357
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

403 hospitals filed a usable inpatient cash price for this code. The median is $389 and the average of the middle 60% is $426; most fall between $152 and $683.

Cash price percentiles, inpatient, across 403 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
$82$213$389$673$1,004

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($82 vs $1,004).

Of the 489 hospitals that filed this code inpatient, 403 gave a usable cash price; 66 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 20 a list price only.

How complete is this

595 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 694 hospitals that filed this code at all gave us
Usable cash price — counted595
Cash price carrying a plausibility flag — shown on the compare tool, excluded here78
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 — excluded20
Hospitals that filed this code694

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 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 PTEN GENE DUP/DELET VARIANT.

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, “PTEN gene test for missing or extra gene pieces (CPT 81323) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81323-pten-gene-test-for-missing-or-extra-gene-pieces