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Procedure price report · Pathology

Beta globin gene test for deleted or duplicated sections

CPT 81363the billing code this page is about

Genetic analysis of the HBB (beta globin) gene looking for missing or extra copies of gene segments, used in evaluating inherited hemoglobin disorders such as thalassemia.

Hospitals typically charge $442 cash for this outpatient procedure — the median across 790 hospitals that filed a usable cash price; the average of the middle 60% is $440. Most fall between $229 and $685 (20th–80th percentile).

Hospitals
790
States
49
Filings dated
Jun 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 790 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
$194$264$442$640$845

The most expensive tenth of hospitals charges at least 4.4× what the cheapest tenth charges ($194 vs $845).

How the prices are spread

$120 – $149: 17 hospitals$120$149 – $185: 13 hospitals$185 – $230: 93 hospitals$185$230 – $286: 65 hospitals$286 – $355: 91 hospitals$286$355 – $441: 75 hospitals$441 – $548: 121 hospitals$441$548 – $680: 113 hospitals$680 – $845: 101 hospitals$680$845 – $1,050: 23 hospitals$845median $442price bands are equal on a log scale
Hospitals per price band (712 of 790 — the bands cover the 5th to 95th percentile)
FromToHospitals
$120$14917
$149$18513
$185$23093
$230$28665
$286$35591
$355$44175
$441$548121
$548$680113
$680$845101
$845$1,05023

By state

The median cash price in each state, against the national median of $442.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $307 across 18 hospitalsWA$307Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $310 across 37 hospitalsMN$310Illinois: median $468 across 36 hospitalsIL$468Wisconsin: median $642 across 61 hospitalsWI$642Michigan: median $313 across 30 hospitalsMI$313New York: median $243 across 27 hospitalsNY$243Massachusetts: 9 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $545 across 11 hospitalsOR$545Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 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 $194 across 21 hospitalsIA$194Indiana: median $376 across 31 hospitalsIN$376Ohio: median $614 across 44 hospitalsOH$614Pennsylvania: median $304 across 25 hospitalsPA$304New Jersey: median $223 across 30 hospitalsNJ$223Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $459 across 26 hospitalsCA$459Utah: median $349 across 24 hospitalsUT$349Colorado: median $390 across 20 hospitalsCO$390Nebraska: no hospital in the corpus filed a usable priceNEMissouri: median $530 across 29 hospitalsMO$530Kentucky: median $248 across 15 hospitalsKY$248West Virginia: median $675 across 20 hospitalsWV$675Virginia: median $309 across 11 hospitalsVA$309Maryland: median $643 across 14 hospitalsMD$643Delaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 8 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $456 across 16 hospitalsAR$456Tennessee: median $203 across 17 hospitalsTN$203North Carolina: median $386 across 13 hospitalsNC$386South Carolina: median $401 across 14 hospitalsSC$401Oklahoma: median $583 across 17 hospitalsOK$583Louisiana: median $239 across 17 hospitalsLA$239Mississippi: median $158 across 11 hospitalsMS$158Alabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: median $229 across 17 hospitalsGA$229Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $418 across 48 hospitalsTX$418Florida: median $280 across 18 hospitalsFL$280
Cash price by state, most expensive first. National median $442. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
West Virginia WV20$675+53%$675 – $675
Maryland MD14$643+46%$407 – $897
Wisconsin WI61$642+45%$571 – $845
Ohio OH44$614+39%$334 – $683
Oklahoma OK17$583+32%$475 – $822
Oregon OR11$545+23%$545 – $728
Missouri MO29$530+20%$304 – $765
Illinois IL36$468+6%$354 – $845
California CA26$459+4%$459 – $459
Arkansas AR16$456+3%$352 – $539
Texas TX48$418−5%$194 – $803
South Carolina SC14$401−9%$401 – $483
Colorado CO20$390−12%$325 – $519
North Carolina NC13$386−13%$356 – $425
Indiana IN31$376−15%$274 – $518
Utah UT24$349−21%$349 – $411
Michigan MI30$313−29%$263 – $599
Minnesota MN37$310−30%$64 – $488
Virginia VA11$309−30%$258 – $594
Washington WA18$307−31%$202 – $328
Pennsylvania PA25$304−31%$140 – $675
Florida FL18$280−37%$280 – $526
Kentucky KY15$248−44%$186 – $607
New York NY27$243−45%$202 – $772
Louisiana LA17$239−46%$82 – $466
Georgia GA17$229−48%$229 – $481
New Jersey NJ30$223−50%$202 – $1,111
Tennessee TN17$203−54%$151 – $231
Iowa IA21$194−56%$194 – $455
Mississippi MS11$158−64%$145 – $278
Massachusetts MA9not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
New Mexico NM1not 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 $442.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care623$411$223 – $708
Children’s24$532$304 – $685
Critical access137$459$293 – $675
Ownership
For-profit36$462$292 – $803
Government91$394$202 – $599
Non-profit657$456$231 – $724
System affiliation
Part of a system718$455$229 – $708
Independent72$405$249 – $607

Cash price vs list price

Median list price (chargemaster)$760
Median cash price$442
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

590 hospitals filed a usable inpatient cash price for this code. The median is $455 and the average of the middle 60% is $475; most fall between $245 and $803.

Cash price percentiles, inpatient, across 590 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
$194$284$455$659$845

The most expensive tenth of hospitals charges at least 4.4× what the cheapest tenth charges ($194 vs $845).

Of the 650 hospitals that filed this code inpatient, 590 gave a usable cash price; 38 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 22 a list price only.

How complete is this

790 of the 3,956 hospitals with a price file in our corpus (20%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 870 hospitals that filed this code at all gave us
Usable cash price — counted790
Cash price carrying a plausibility flag — shown on the compare tool, excluded here55
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded24
Hospitals that filed this code870

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 HBB GENE DUP/DEL VARIANTS.

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, “Beta globin gene test for deleted or duplicated sections (CPT 81363) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81363-beta-globin-gene-test-for-deleted-or-duplicated-sections