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Procedure price report · Pathology

Genetic test, level 4 complexity

CPT 81403the billing code this page is about

A molecular genetic test at the fourth complexity tier, covering analyses such as sequencing a small number of gene regions; the specific target depends on the order.

Hospitals typically charge $307 cash for this outpatient procedure — the median across 2,282 hospitals that filed a usable cash price; the average of the middle 60% is $341. Most fall between $167 and $612 (20th–80th percentile).

Hospitals
2,282
States
50
Filings dated
Dec 2022 – 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 2,282 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
$107$186$307$550$897

The most expensive tenth of hospitals charges at least 8.4× what the cheapest tenth charges ($107 vs $897).

How the prices are spread

$80 – $106: 115 hospitals$80$106 – $141: 152 hospitals$141 – $187: 195 hospitals$141$187 – $248: 257 hospitals$248 – $330: 395 hospitals$248$330 – $439: 261 hospitals$439 – $584: 284 hospitals$439$584 – $776: 204 hospitals$776 – $1,031: 112 hospitals$776$1,031 – $1,371: 81 hospitals$1,031median $307price bands are equal on a log scale
Hospitals per price band (2,056 of 2,282 — the bands cover the 5th to 95th percentile)
FromToHospitals
$80$106115
$106$141152
$141$187195
$187$248257
$248$330395
$330$439261
$439$584284
$584$776204
$776$1,031112
$1,031$1,37181

By state

The median cash price in each state, against the national median of $307.

Alaska: median $389 across 13 hospitalsAK$389Maine: median $327 across 25 hospitalsME$327Vermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $493 across 12 hospitalsNH$493Washington: median $334 across 48 hospitalsWA$334Idaho: median $302 across 19 hospitalsID$302Montana: median $274 across 13 hospitalsMT$274North Dakota: median $350 across 19 hospitalsND$350Minnesota: median $334 across 55 hospitalsMN$334Illinois: median $375 across 104 hospitalsIL$375Wisconsin: median $407 across 85 hospitalsWI$407Michigan: median $265 across 68 hospitalsMI$265New York: median $361 across 81 hospitalsNY$361Massachusetts: median $435 across 45 hospitalsMA$435Oregon: median $299 across 34 hospitalsOR$299Nevada: median $364 across 13 hospitalsNV$364Wyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $316 across 41 hospitalsIA$316Indiana: median $300 across 79 hospitalsIN$300Ohio: median $414 across 113 hospitalsOH$414Pennsylvania: median $422 across 106 hospitalsPA$422New Jersey: median $204 across 52 hospitalsNJ$204Connecticut: median $317 across 19 hospitalsCT$317Rhode Island: 9 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $200 across 90 hospitalsCA$200Utah: median $409 across 31 hospitalsUT$409Colorado: median $227 across 47 hospitalsCO$227Nebraska: median $512 across 41 hospitalsNE$512Missouri: median $275 across 66 hospitalsMO$275Kentucky: median $331 across 40 hospitalsKY$331West Virginia: median $299 across 33 hospitalsWV$299Virginia: median $294 across 61 hospitalsVA$294Maryland: median $329 across 34 hospitalsMD$329Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $644 across 33 hospitalsAZ$644New Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $376 across 42 hospitalsKS$376Arkansas: median $139 across 25 hospitalsAR$139Tennessee: median $210 across 42 hospitalsTN$210North Carolina: median $351 across 75 hospitalsNC$351South Carolina: median $679 across 35 hospitalsSC$679Oklahoma: median $265 across 52 hospitalsOK$265Louisiana: median $237 across 34 hospitalsLA$237Mississippi: median $112 across 32 hospitalsMS$112Alabama: median $300 across 29 hospitalsAL$300Georgia: median $256 across 80 hospitalsGA$256Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $291 across 172 hospitalsTX$291Florida: median $251 across 89 hospitalsFL$251
Cash price by state, most expensive first. National median $307. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC35$679+122%$253 – $1,446
Arizona AZ33$644+110%$249 – $1,515
Nebraska NE41$512+67%$248 – $752
New Hampshire NH12$493+61%$179 – $1,165
Massachusetts MA45$435+42%$205 – $788
Pennsylvania PA106$422+38%$208 – $1,169
Ohio OH113$414+35%$238 – $597
Utah UT31$409+33%$355 – $481
Wisconsin WI85$407+33%$277 – $560
Alaska AK13$389+27%$328 – $703
Kansas KS42$376+23%$187 – $600
Illinois IL104$375+22%$215 – $738
Nevada NV13$364+19%$167 – $648
New York NY81$361+18%$185 – $807
North Carolina NC75$351+14%$115 – $775
North Dakota ND19$350+14%$289 – $556
Minnesota MN55$334+9%$199 – $452
Washington WA48$334+9%$221 – $606
Kentucky KY40$331+8%$153 – $556
Maryland MD34$329+7%$205 – $1,043
Maine ME25$327+7%$131 – $599
Connecticut CT19$317+3%$252 – $787
Iowa IA41$316+3%$178 – $573
Idaho ID19$302−1%$289 – $547
Indiana IN79$300−2%$111 – $542
Alabama AL29$300−2%$202 – $1,180
Oregon OR34$299−2%$141 – $415
West Virginia WV33$299−2%$204 – $508
Virginia VA61$294−4%$183 – $570
Texas TX172$291−5%$91 – $630
Missouri MO66$275−10%$179 – $530
Montana MT13$274−11%$148 – $494
Oklahoma OK52$265−13%$153 – $499
Michigan MI68$265−14%$181 – $442
Georgia GA80$256−16%$175 – $395
Florida FL89$251−18%$124 – $548
Louisiana LA34$237−23%$71 – $467
Colorado CO47$227−26%$182 – $494
Tennessee TN42$210−31%$91 – $300
New Jersey NJ52$204−34%$185 – $213
California CA90$200−35%$82 – $299
Arkansas AR25$139−55%$69 – $247
Mississippi MS32$112−63%$95 – $169
New Mexico NM9not enough hospitals filed a usable price
Rhode Island RI9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Delaware DE7not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Hawaii HI6not 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 $307.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,750$294$161 – $606
Children’s43$224$91 – $535
Critical access480$382$206 – $647
Ownership
For-profit289$323$156 – $961
Government333$316$162 – $689
Non-profit1,651$304$171 – $593
System affiliation
Part of a system1,942$306$167 – $619
Independent340$323$165 – $573

Cash price vs list price

Median list price (chargemaster)$565
Median cash price$307
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

1,611 hospitals filed a usable inpatient cash price for this code. The median is $309 and the average of the middle 60% is $342; most fall between $178 and $602.

Cash price percentiles, inpatient, across 1,611 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
$114$204$309$549$831

The most expensive tenth of hospitals charges at least 7.3× what the cheapest tenth charges ($114 vs $831).

Of the 1,825 hospitals that filed this code inpatient, 1,611 gave a usable cash price; 135 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 79 a list price only.

How complete is this

2,282 of the 3,956 hospitals with a price file in our corpus (58%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,536 hospitals that filed this code at all gave us
Usable cash price — counted2,282
Cash price carrying a plausibility flag — shown on the compare tool, excluded here166
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 — excluded85
Hospitals that filed this code2,536

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 July 20, 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 Nras 81403 (Msngs).

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, “Genetic test, level 4 complexity (CPT 81403) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81403-genetic-test-level-4-complexity