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Procedure price report · Pathology

Genetic test, moderate complexity (level 5)

CPT 81404the billing code this page is about

A single gene or DNA analysis billed at molecular pathology level 5, a tier that groups tests of similar analytic complexity; one unit is one such test on one specimen.

Hospitals typically charge $433 cash for this outpatient procedure — the median across 1,805 hospitals that filed a usable cash price; the average of the middle 60% is $510. Most fall between $214 and $1,170 (20th–80th percentile).

Hospitals
1,805
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 1,805 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
$120$245$433$927$1,860

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($120 vs $1,860).

How the prices are spread

$91 – $126: 105 hospitals$91$126 – $175: 81 hospitals$175 – $242: 166 hospitals$175$242 – $334: 247 hospitals$334 – $463: 265 hospitals$334$463 – $640: 216 hospitals$640 – $886: 170 hospitals$640$886 – $1,226: 149 hospitals$1,226 – $1,696: 108 hospitals$1,226$1,696 – $2,347: 121 hospitals$1,696median $433price bands are equal on a log scale
Hospitals per price band (1,628 of 1,805 — the bands cover the 5th to 95th percentile)
FromToHospitals
$91$126105
$126$17581
$175$242166
$242$334247
$334$463265
$463$640216
$640$886170
$886$1,226149
$1,226$1,696108
$1,696$2,347121

By state

The median cash price in each state, against the national median of $433.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $642 across 21 hospitalsME$642Vermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $521 across 16 hospitalsNH$521Washington: median $400 across 44 hospitalsWA$400Idaho: median $563 across 15 hospitalsID$563Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $563 across 26 hospitalsMN$563Illinois: median $474 across 86 hospitalsIL$474Wisconsin: median $776 across 74 hospitalsWI$776Michigan: median $405 across 50 hospitalsMI$405New York: median $536 across 79 hospitalsNY$536Massachusetts: median $440 across 40 hospitalsMA$440Oregon: median $314 across 30 hospitalsOR$314Nevada: median $401 across 12 hospitalsNV$401Wyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $264 across 23 hospitalsIA$264Indiana: median $323 across 63 hospitalsIN$323Ohio: median $1,104 across 102 hospitalsOH$1,104Pennsylvania: median $475 across 76 hospitalsPA$475New Jersey: median $302 across 48 hospitalsNJ$302Connecticut: median $312 across 10 hospitalsCT$312Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $379 across 55 hospitalsCA$379Utah: median $2,394 across 33 hospitalsUT$2,394Colorado: median $537 across 43 hospitalsCO$537Nebraska: median $388 across 16 hospitalsNE$388Missouri: median $481 across 52 hospitalsMO$481Kentucky: median $328 across 32 hospitalsKY$328West Virginia: median $126 across 25 hospitalsWV$126Virginia: median $428 across 54 hospitalsVA$428Maryland: median $631 across 25 hospitalsMD$631Delaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,101 across 23 hospitalsAZ$1,101New Mexico: median $423 across 10 hospitalsNM$423Kansas: median $515 across 28 hospitalsKS$515Arkansas: median $206 across 20 hospitalsAR$206Tennessee: median $229 across 32 hospitalsTN$229North Carolina: median $526 across 51 hospitalsNC$526South Carolina: median $525 across 38 hospitalsSC$525Oklahoma: median $318 across 47 hospitalsOK$318Louisiana: median $354 across 33 hospitalsLA$354Mississippi: median $157 across 26 hospitalsMS$157Alabama: median $274 across 23 hospitalsAL$274Georgia: median $1,031 across 66 hospitalsGA$1,031Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $303 across 141 hospitalsTX$303Florida: median $275 across 61 hospitalsFL$275
Cash price by state, most expensive first. National median $433. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT33$2,394+453%$1,033 – $2,816
Ohio OH102$1,104+155%$402 – $1,575
Arizona AZ23$1,101+154%$316 – $1,916
Georgia GA66$1,031+138%$412 – $2,074
Wisconsin WI74$776+79%$355 – $1,222
Maine ME21$642+48%$476 – $1,363
Maryland MD25$631+46%$159 – $1,748
Minnesota MN26$563+30%$78 – $676
Idaho ID15$563+30%$225 – $740
Colorado CO43$537+24%$277 – $882
New York NY79$536+24%$270 – $928
North Carolina NC51$526+21%$156 – $739
South Carolina SC38$525+21%$428 – $1,789
New Hampshire NH16$521+20%$252 – $1,482
Kansas KS28$515+19%$345 – $1,892
Missouri MO52$481+11%$243 – $1,068
Pennsylvania PA76$475+10%$222 – $1,486
Illinois IL86$474+9%$178 – $1,509
Massachusetts MA40$440+2%$302 – $1,097
Virginia VA54$428−1%$332 – $1,211
New Mexico NM10$423−2%$334 – $996
Michigan MI50$405−6%$280 – $701
Nevada NV12$401−7%$187 – $769
Washington WA44$400−8%$259 – $771
Nebraska NE16$388−10%$380 – $1,020
California CA55$379−12%$112 – $426
Louisiana LA33$354−18%$141 – $927
Kentucky KY32$328−24%$214 – $690
Indiana IN63$323−25%$105 – $583
Oklahoma OK47$318−27%$188 – $605
Oregon OR30$314−27%$220 – $666
Connecticut CT10$312−28%$53 – $521
Texas TX141$303−30%$118 – $916
New Jersey NJ48$302−30%$275 – $426
Florida FL61$275−37%$91 – $899
Alabama AL23$274−37%$136 – $1,104
Iowa IA23$264−39%$264 – $840
Tennessee TN32$229−47%$161 – $357
Arkansas AR20$206−52%$39 – $252
Mississippi MS26$157−64%$118 – $262
West Virginia WV25$126−71%$84 – $865
Alaska AK9not enough hospitals filed a usable price
North Dakota ND9not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Vermont VT4not 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 $433.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,437$417$214 – $1,104
Children’s38$339$69 – $624
Critical access325$593$227 – $1,363
Ownership
For-profit227$464$216 – $1,494
Government241$405$189 – $855
Non-profit1,332$428$218 – $1,183
System affiliation
Part of a system1,546$433$215 – $1,211
Independent259$426$199 – $881

Cash price vs list price

Median list price (chargemaster)$824
Median cash price$433
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

1,274 hospitals filed a usable inpatient cash price for this code. The median is $462 and the average of the middle 60% is $544; most fall between $231 and $1,210.

Cash price percentiles, inpatient, across 1,274 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
$136$264$462$1,003$1,860

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($136 vs $1,860).

Of the 1,474 hospitals that filed this code inpatient, 1,274 gave a usable cash price; 130 carried a plausibility flag, 3 filed a number their own filing marks as not a price, 0 gave an estimate, and 67 a list price only.

How complete is this

1,805 of the 3,956 hospitals with a price file in our corpus (46%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,037 hospitals that filed this code at all gave us
Usable cash price — counted1,805
Cash price carrying a plausibility flag — shown on the compare tool, excluded here158
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded5
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded69
Hospitals that filed this code2,037

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 Pik3ca Exons 9 & 20 Non Blood.

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, moderate complexity (level 5) (CPT 81404) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81404-genetic-test-moderate-complexity-level-5