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Procedure price report · Pathology

T-cell receptor gamma gene rearrangement test

CPT 81342the billing code this page is about

Laboratory test that examines the T-cell receptor gamma gene in blood, marrow, or tissue to see whether an abnormal clone of T cells is present.

Hospitals typically charge $403 cash for this outpatient procedure — the median across 1,968 hospitals that filed a usable cash price; the average of the middle 60% is $437. Most fall between $218 and $806 (20th–80th percentile).

Hospitals
1,968
States
50
Filings dated
Jan 2024 – 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 1,968 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
$161$242$403$694$1,065

The most expensive tenth of hospitals charges at least 6.6× what the cheapest tenth charges ($161 vs $1,065).

How the prices are spread

$126 – $163: 103 hospitals$126$163 – $210: 173 hospitals$210 – $272: 207 hospitals$210$272 – $351: 235 hospitals$351 – $454: 281 hospitals$351$454 – $587: 235 hospitals$587 – $758: 210 hospitals$587$758 – $980: 170 hospitals$980 – $1,267: 130 hospitals$980$1,267 – $1,637: 31 hospitals$1,267median $403price bands are equal on a log scale
Hospitals per price band (1,775 of 1,968 — the bands cover the 5th to 95th percentile)
FromToHospitals
$126$163103
$163$210173
$210$272207
$272$351235
$351$454281
$454$587235
$587$758210
$758$980170
$980$1,267130
$1,267$1,63731

By state

The median cash price in each state, against the national median of $403.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $288 across 15 hospitalsME$288Vermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $582 across 12 hospitalsNH$582Washington: median $597 across 45 hospitalsWA$597Idaho: median $472 across 14 hospitalsID$472Montana: 7 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 $310 across 70 hospitalsMN$310Illinois: median $759 across 82 hospitalsIL$759Wisconsin: median $678 across 86 hospitalsWI$678Michigan: median $374 across 50 hospitalsMI$374New York: median $392 across 79 hospitalsNY$392Massachusetts: median $822 across 43 hospitalsMA$822Oregon: median $480 across 25 hospitalsOR$480Nevada: median $349 across 12 hospitalsNV$349Wyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $330 across 36 hospitalsIA$330Indiana: median $386 across 61 hospitalsIN$386Ohio: median $378 across 107 hospitalsOH$378Pennsylvania: median $405 across 94 hospitalsPA$405New Jersey: median $222 across 44 hospitalsNJ$222Connecticut: median $486 across 14 hospitalsCT$486Rhode Island: median $486 across 10 hospitalsRI$486California: median $300 across 55 hospitalsCA$300Utah: median $1,737 across 30 hospitalsUT$1,737Colorado: median $542 across 43 hospitalsCO$542Nebraska: median $498 across 18 hospitalsNE$498Missouri: median $424 across 59 hospitalsMO$424Kentucky: median $386 across 40 hospitalsKY$386West Virginia: median $218 across 24 hospitalsWV$218Virginia: median $462 across 54 hospitalsVA$462Maryland: median $464 across 33 hospitalsMD$464Delaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $701 across 29 hospitalsAZ$701New Mexico: median $327 across 10 hospitalsNM$327Kansas: median $596 across 33 hospitalsKS$596Arkansas: median $275 across 19 hospitalsAR$275Tennessee: median $292 across 47 hospitalsTN$292North Carolina: median $218 across 66 hospitalsNC$218South Carolina: median $468 across 46 hospitalsSC$468Oklahoma: median $359 across 38 hospitalsOK$359Louisiana: median $343 across 32 hospitalsLA$343Mississippi: median $202 across 26 hospitalsMS$202Alabama: median $332 across 24 hospitalsAL$332Georgia: median $587 across 64 hospitalsGA$587Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $370 across 132 hospitalsTX$370Florida: median $206 across 101 hospitalsFL$206
Cash price by state, most expensive first. National median $403. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT30$1,737+331%$381 – $2,044
Massachusetts MA43$822+104%$351 – $982
Illinois IL82$759+88%$368 – $1,065
Arizona AZ29$701+74%$293 – $2,107
Wisconsin WI86$678+68%$523 – $1,139
Washington WA45$597+48%$282 – $817
Kansas KS33$596+48%$306 – $1,387
Georgia GA64$587+46%$313 – $1,100
New Hampshire NH12$582+44%$264 – $1,651
Colorado CO43$542+35%$301 – $1,078
Nebraska NE18$498+24%$117 – $806
Connecticut CT14$486+21%$246 – $856
Rhode Island RI10$486+21%$327 – $861
Oregon OR25$480+19%$289 – $597
Idaho ID14$472+17%$326 – $554
South Carolina SC46$468+16%$246 – $672
Maryland MD33$464+15%$307 – $863
Virginia VA54$462+15%$195 – $667
Missouri MO59$424+5%$273 – $752
Pennsylvania PA94$4050%$222 – $838
New York NY79$392−3%$202 – $806
Indiana IN61$386−4%$284 – $484
Kentucky KY40$386−4%$231 – $548
Ohio OH107$378−6%$223 – $688
Michigan MI50$374−7%$224 – $767
Texas TX132$370−8%$256 – $610
Oklahoma OK38$359−11%$214 – $558
Nevada NV12$349−13%$201 – $706
Louisiana LA32$343−15%$238 – $500
Alabama AL24$332−18%$201 – $549
Iowa IA36$330−18%$193 – $857
New Mexico NM10$327−19%$320 – $648
Minnesota MN70$310−23%$140 – $484
California CA55$300−26%$140 – $543
Tennessee TN47$292−28%$166 – $426
Maine ME15$288−29%$135 – $418
Arkansas AR19$275−32%$131 – $592
New Jersey NJ44$222−45%$202 – $532
North Carolina NC66$218−46%$116 – $456
West Virginia WV24$218−46%$153 – $523
Florida FL101$206−49%$164 – $700
Mississippi MS26$202−50%$152 – $399
Hawaii HI8not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
South Dakota SD3not 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 $403.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,579$386$202 – $806
Children’s35$548$192 – $752
Critical access345$453$271 – $821
Ownership
For-profit231$453$248 – $961
Government267$353$204 – $620
Non-profit1,461$415$218 – $810
System affiliation
Part of a system1,710$403$218 – $821
Independent258$398$217 – $678

Cash price vs list price

Median list price (chargemaster)$716
Median cash price$403
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

1,409 hospitals filed a usable inpatient cash price for this code. The median is $432 and the average of the middle 60% is $473; most fall between $227 and $877.

Cash price percentiles, inpatient, across 1,409 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
$167$261$432$761$1,114

The most expensive tenth of hospitals charges at least 6.7× what the cheapest tenth charges ($167 vs $1,114).

Of the 1,573 hospitals that filed this code inpatient, 1,409 gave a usable cash price; 98 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 66 a list price only.

How complete is this

1,968 of the 3,956 hospitals with a price file in our corpus (50%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,155 hospitals that filed this code at all gave us
Usable cash price — counted1,968
Cash price carrying a plausibility flag — shown on the compare tool, excluded here118
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 — excluded68
Hospitals that filed this code2,155

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 Trg T Cell Gamma (Tcrg).

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, “T-cell receptor gamma gene rearrangement test (CPT 81342) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81342-t-cell-receptor-gamma-gene-rearrangement-test