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Procedure price report · Pathology

Gene panel for how the body processes medicines

CPT 81418the billing code this page is about

Sequencing of a panel of genes that affect drug metabolism and response; billed once per panel on one specimen.

Hospitals typically charge $949 cash for this outpatient procedure — the median across 503 hospitals that filed a usable cash price; the average of the middle 60% is $1,008. Most fall between $473 and $1,616 (20th–80th percentile).

Hospitals
503
States
44
Filings dated
Jun 2024 – 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 503 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
$213$557$949$1,392$2,427

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($213 vs $2,427).

How the prices are spread

$161 – $219: 27 hospitals$161$219 – $299: 27 hospitals$299 – $407: 14 hospitals$299$407 – $554: 23 hospitals$554 – $754: 46 hospitals$554$754 – $1,027: 113 hospitals$1,027 – $1,398: 103 hospitals$1,027$1,398 – $1,904: 50 hospitals$1,904 – $2,593: 29 hospitals$1,904$2,593 – $3,531: 21 hospitals$2,593median $949price bands are equal on a log scale
Hospitals per price band (453 of 503 — the bands cover the 5th to 95th percentile)
FromToHospitals
$161$21927
$219$29927
$299$40714
$407$55423
$554$75446
$754$1,027113
$1,027$1,398103
$1,398$1,90450
$1,904$2,59329
$2,593$3,53121

By state

The median cash price in each state, against the national median of $949.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $590 across 10 hospitalsWA$590Idaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $256 across 36 hospitalsMN$256Illinois: median $1,164 across 16 hospitalsIL$1,164Wisconsin: 7 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $1,539 across 12 hospitalsMI$1,539New York: median $917 across 22 hospitalsNY$917Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: no hospital in the corpus filed a usable priceORNevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $181 across 26 hospitalsSD$181Iowa: median $880 across 21 hospitalsIA$880Indiana: median $1,109 across 13 hospitalsIN$1,109Ohio: median $3,531 across 18 hospitalsOH$3,531Pennsylvania: median $1,159 across 26 hospitalsPA$1,159New Jersey: median $1,009 across 25 hospitalsNJ$1,009Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $914 across 36 hospitalsCA$914Utah: median $473 across 22 hospitalsUT$473Colorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,376 across 12 hospitalsMO$1,376Kentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: median $810 across 15 hospitalsVA$810Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: no hospital in the corpus filed a usable priceKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $810 across 20 hospitalsTN$810North Carolina: median $1,616 across 10 hospitalsNC$1,616South Carolina: median $1,369 across 16 hospitalsSC$1,369Oklahoma: 2 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: median $239 across 17 hospitalsMS$239Alabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 5 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $1,485 across 30 hospitalsTX$1,485Florida: median $594 across 14 hospitalsFL$594
Cash price by state, most expensive first. National median $949. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH18$3,531+272%$3,531 – $3,632
North Carolina NC10$1,616+70%$1,616 – $1,616
Michigan MI12$1,539+62%$1,266 – $1,539
Texas TX30$1,485+56%$1,101 – $1,912
Missouri MO12$1,376+45%$1,376 – $1,376
South Carolina SC16$1,369+44%$360 – $1,369
Illinois IL16$1,164+23%$880 – $1,376
Pennsylvania PA26$1,159+22%$633 – $7,867
Indiana IN13$1,109+17%$962 – $1,499
New Jersey NJ25$1,009+6%$917 – $1,009
New York NY22$917−3%$917 – $7,108
California CA36$914−4%$816 – $914
Iowa IA21$880−7%$225 – $880
Tennessee TN20$810−15%$127 – $998
Virginia VA15$810−15%$426 – $1,103
Florida FL14$594−37%$594 – $1,119
Washington WA10$590−38%$590 – $1,360
Utah UT22$473−50%$473 – $557
Minnesota MN36$256−73%$87 – $1,320
Mississippi MS17$239−75%$127 – $676
South Dakota SD26$181−81%$174 – $256
Colorado CO7not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Wisconsin WI7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Oklahoma OK2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Vermont VT1not 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 $949.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care372$1,009$594 – $1,616
Children’s12fewer than 20 hospitals
Critical access117$473$224 – $1,499
Ownership
For-profit20$1,101$594 – $1,912
Government62$917$341 – $1,616
Non-profit419$917$473 – $1,539
System affiliation
Part of a system474$917$426 – $1,616
Independent29$1,037$613 – $1,670

Cash price vs list price

Median list price (chargemaster)$1,811
Median cash price$949
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

414 hospitals filed a usable inpatient cash price for this code. The median is $1,005 and the average of the middle 60% is $1,069; most fall between $352 and $1,912.

Cash price percentiles, inpatient, across 414 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
$182$473$1,005$1,626$3,190

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($182 vs $3,190).

Of the 462 hospitals that filed this code inpatient, 414 gave a usable cash price; 24 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 24 a list price only.

How complete is this

503 of the 3,956 hospitals with a price file in our corpus (13%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 546 hospitals that filed this code at all gave us
Usable cash price — counted503
Cash price carrying a plausibility flag — shown on the compare tool, excluded here17
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded25
Hospitals that filed this code546

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 5, 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 RX METAB GEN SEQ ALYS PNL 6.

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, “Gene panel for how the body processes medicines (CPT 81418) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81418-gene-panel-for-how-the-body-processes-medicines