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Procedure price report · Pathology

Genetic test, highest complexity (level 9)

CPT 81408the billing code this page is about

A gene or DNA analysis billed at molecular pathology level 9, the most analytically complex tier, such as full sequencing of a very large gene; one unit is one such test on one specimen.

Hospitals typically charge $1,538 cash for this outpatient procedure — the median across 1,283 hospitals that filed a usable cash price; the average of the middle 60% is $1,677. Most fall between $579 and $3,144 (20th–80th percentile).

Hospitals
1,283
States
50
Filings dated
Dec 2023 – 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 1,283 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
$281$740$1,538$2,779$5,418

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($281 vs $5,418).

How the prices are spread

$132 – $195: 49 hospitals$132$195 – $289: 16 hospitals$289 – $428: 60 hospitals$289$428 – $634: 94 hospitals$634 – $938: 110 hospitals$634$938 – $1,389: 181 hospitals$1,389 – $2,056: 214 hospitals$1,389$2,056 – $3,044: 209 hospitals$3,044 – $4,506: 124 hospitals$3,044$4,506 – $6,671: 98 hospitals$4,506median $1,538price bands are equal on a log scale
Hospitals per price band (1,155 of 1,283 — the bands cover the 5th to 95th percentile)
FromToHospitals
$132$19549
$195$28916
$289$42860
$428$63494
$634$938110
$938$1,389181
$1,389$2,056214
$2,056$3,044209
$3,044$4,506124
$4,506$6,67198

By state

The median cash price in each state, against the national median of $1,538.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $1,086 across 10 hospitalsNH$1,086Washington: median $1,400 across 22 hospitalsWA$1,400Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: median $3,480 across 12 hospitalsND$3,480Minnesota: median $1,265 across 23 hospitalsMN$1,265Illinois: median $1,699 across 61 hospitalsIL$1,699Wisconsin: median $1,573 across 58 hospitalsWI$1,573Michigan: median $1,172 across 37 hospitalsMI$1,172New York: median $2,000 across 60 hospitalsNY$2,000Massachusetts: median $2,140 across 34 hospitalsMA$2,140Oregon: median $1,516 across 16 hospitalsOR$1,516Nevada: median $2,000 across 10 hospitalsNV$2,000Wyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,920 across 21 hospitalsIA$1,920Indiana: median $990 across 39 hospitalsIN$990Ohio: median $2,201 across 88 hospitalsOH$2,201Pennsylvania: median $2,000 across 58 hospitalsPA$2,000New Jersey: median $2,200 across 31 hospitalsNJ$2,200Connecticut: 7 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 $2,778 across 35 hospitalsCA$2,778Utah: median $92 across 26 hospitalsUT$92Colorado: median $1,592 across 36 hospitalsCO$1,592Nebraska: median $1,632 across 15 hospitalsNE$1,632Missouri: median $2,099 across 36 hospitalsMO$2,099Kentucky: median $1,688 across 27 hospitalsKY$1,688West Virginia: median $1,200 across 24 hospitalsWV$1,200Virginia: median $1,470 across 39 hospitalsVA$1,470Maryland: median $382 across 18 hospitalsMD$382Delaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,688 across 13 hospitalsAZ$2,688New Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $2,342 across 21 hospitalsKS$2,342Arkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,273 across 37 hospitalsTN$1,273North Carolina: median $933 across 38 hospitalsNC$933South Carolina: median $1,804 across 20 hospitalsSC$1,804Oklahoma: median $1,088 across 29 hospitalsOK$1,088Louisiana: median $933 across 27 hospitalsLA$933Mississippi: median $801 across 18 hospitalsMS$801Alabama: median $2,203 across 11 hospitalsAL$2,203Georgia: median $1,500 across 46 hospitalsGA$1,500Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $603 across 97 hospitalsTX$603Florida: median $1,399 across 32 hospitalsFL$1,399
Cash price by state, most expensive first. National median $1,538. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
North Dakota ND12$3,480+126%$2,520 – $4,800
California CA35$2,778+81%$125 – $2,778
Arizona AZ13$2,688+75%$1,950 – $3,144
Kansas KS21$2,342+52%$1,069 – $3,463
Alabama AL11$2,203+43%$2,000 – $3,300
Ohio OH88$2,201+43%$1,553 – $5,244
New Jersey NJ31$2,200+43%$1,122 – $2,438
Massachusetts MA34$2,140+39%$840 – $6,212
Missouri MO36$2,099+37%$1,011 – $3,093
Nevada NV10$2,000+30%$525 – $4,200
New York NY60$2,000+30%$798 – $3,511
Pennsylvania PA58$2,000+30%$349 – $3,147
Iowa IA21$1,920+25%$788 – $1,920
South Carolina SC20$1,804+17%$1,737 – $2,173
Illinois IL61$1,699+10%$901 – $3,986
Kentucky KY27$1,688+10%$579 – $3,000
Nebraska NE15$1,632+6%$325 – $2,714
Colorado CO36$1,592+3%$1,013 – $3,092
Wisconsin WI58$1,573+2%$1,145 – $6,152
Oregon OR16$1,516−1%$576 – $4,866
Georgia GA46$1,500−2%$330 – $3,596
Virginia VA39$1,470−4%$1,100 – $6,503
Washington WA22$1,400−9%$1,074 – $3,142
Florida FL32$1,399−9%$80 – $6,430
Tennessee TN37$1,273−17%$860 – $1,603
Minnesota MN23$1,265−18%$133 – $3,600
West Virginia WV24$1,200−22%$1,200 – $1,470
Michigan MI37$1,172−24%$641 – $2,760
Oklahoma OK29$1,088−29%$789 – $3,132
New Hampshire NH10$1,086−29%$848 – $2,170
Indiana IN39$990−36%$629 – $2,352
Louisiana LA27$933−39%$115 – $3,087
North Carolina NC38$933−39%$607 – $1,378
Mississippi MS18$801−48%$440 – $1,102
Texas TX97$603−61%$461 – $2,659
Maryland MD18$382−75%$281 – $2,902
Utah UT26$92−94%$79 – $92
Arkansas AR9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
South Dakota SD1not 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 $1,538.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,005$1,560$576 – $3,092
Children’s30$685$334 – $1,878
Critical access241$1,560$765 – $3,711
Ownership
For-profit131$1,701$601 – $3,976
Government177$1,411$612 – $2,800
Non-profit968$1,560$576 – $3,122
System affiliation
Part of a system1,091$1,500$579 – $3,144
Independent192$1,861$637 – $3,235

Cash price vs list price

Median list price (chargemaster)$2,500
Median cash price$1,538
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

918 hospitals filed a usable inpatient cash price for this code. The median is $1,532 and the average of the middle 60% is $1,721; most fall between $548 and $3,360.

Cash price percentiles, inpatient, across 918 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
$233$740$1,532$3,001$5,637

The most expensive tenth of hospitals charges at least 24× what the cheapest tenth charges ($233 vs $5,637).

Of the 1,087 hospitals that filed this code inpatient, 918 gave a usable cash price; 116 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 53 a list price only.

How complete is this

1,283 of the 3,956 hospitals with a price file in our corpus (32%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,491 hospitals that filed this code at all gave us
Usable cash price — counted1,283
Cash price carrying a plausibility flag — shown on the compare tool, excluded here156
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded50
Hospitals that filed this code1,491

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 MOPATH PROCEDURE LEVEL 9.

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, highest complexity (level 9) (CPT 81408) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81408-genetic-test-highest-complexity-level-9