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Procedure price report · Pathology

Re-analysis of previously done exome sequencing

CPT 81417the billing code this page is about

A fresh review and reinterpretation of stored exome sequencing data against current knowledge, without collecting a new specimen; billed once per re-evaluation.

Hospitals typically charge $640 cash for this outpatient procedure — the median across 160 hospitals that filed a usable cash price; the average of the middle 60% is $617. Most fall between $352 and $1,032 (20th–80th percentile).

Hospitals
160
States
31
Filings dated
Dec 2025 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 160 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
$320$352$640$940$1,350

The most expensive tenth of hospitals charges at least 4.2× what the cheapest tenth charges ($320 vs $1,350).

How the prices are spread

$320 – $371: 37 hospitals$320$371 – $430: 10 hospitals$430 – $498: 12 hospitals$430$498 – $577: 8 hospitals$577 – $668: 15 hospitals$577$668 – $774: 25 hospitals$774 – $897: 4 hospitals$774$897 – $1,040: 12 hospitals$1,040 – $1,205: 4 hospitals$1,040$1,205 – $1,396: 21 hospitals$1,205median $640price bands are equal on a log scale
Hospitals per price band (148 of 160 — the bands cover the 5th to 95th percentile)
FromToHospitals
$320$37137
$371$43010
$430$49812
$498$5778
$577$66815
$668$77425
$774$8974
$897$1,04012
$1,040$1,2054
$1,205$1,39621

By state

The median cash price in each state, against the national median of $640.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: median $1,320 across 11 hospitalsMN$1,320Illinois: 1 hospital filed a usable price — fewer than 10, so no figureILWisconsin: median $1,350 across 11 hospitalsWI$1,350Michigan: 4 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $320 across 18 hospitalsNY$320Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 1 hospital filed a usable price — fewer than 10, so no figureORNevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $640 across 11 hospitalsIA$640Indiana: median $547 across 12 hospitalsIN$547Ohio: 2 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 5 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $352 across 22 hospitalsNJ$352Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $734 across 21 hospitalsCA$734Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: no hospital in the corpus filed a usable priceCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: 2 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: 2 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $640. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI11$1,350+111%$1,350 – $1,396
Minnesota MN11$1,320+106%$1,125 – $1,320
California CA21$734+15%$734 – $734
Iowa IA11$6400%$640 – $640
Indiana IN12$547−15%$481 – $739
New Jersey NJ22$352−45%$320 – $352
New York NY18$320−50%$320 – $744
Tennessee TN6not enough hospitals filed a usable price
Pennsylvania PA5not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Michigan MI4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Ohio OH2not enough hospitals filed a usable price
Oklahoma OK2not enough hospitals filed a usable price
Texas TX2not enough hospitals filed a usable price
Illinois IL1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Oregon OR1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Virginia VA1not enough hospitals filed a usable price
West Virginia WV1not 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 $640.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care128$530$320 – $744
Children’s11fewer than 20 hospitals
Critical access21$1,125$601 – $1,350
Ownership
For-profit6fewer than 20 hospitals
Government16fewer than 20 hospitals
Non-profit138$640$352 – $1,125
System affiliation
Part of a system143$640$352 – $1,032
Independent17fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$1,310
Median cash price$640
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.

How complete is this

160 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 167 hospitals that filed this code at all gave us
Usable cash price — counted160
Cash price carrying a plausibility flag — shown on the compare tool, excluded here2
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded3
Hospitals that filed this code167

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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 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 EXOME RE-EVALUATION.

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, “Re-analysis of previously done exome sequencing (CPT 81417) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81417-re-analysis-of-previously-done-exome-sequencing