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Procedure price report · Pathology

Hearing loss gene panel, missing or extra DNA test

CPT 81431the billing code this page is about

A laboratory panel that checks a set of hearing-loss genes for deleted or duplicated sections of DNA, using a blood or other sample; billed once for the whole panel.

Hospitals typically charge $837 cash for this outpatient procedure — the median across 238 hospitals that filed a usable cash price; the average of the middle 60% is $987. Most fall between $627 and $1,551 (20th–80th percentile).

Hospitals
238
States
38
Filings dated
Sep 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 238 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
$494$649$837$1,451$1,725

The most expensive tenth of hospitals charges at least 3.5× what the cheapest tenth charges ($494 vs $1,725).

How the prices are spread

$360 – $431: 8 hospitals$360$431 – $516: 6 hospitals$516 – $618: 22 hospitals$516$618 – $740: 48 hospitals$740 – $887: 34 hospitals$740$887 – $1,062: 13 hospitals$1,062 – $1,271: 20 hospitals$1,062$1,271 – $1,522: 20 hospitals$1,522 – $1,823: 35 hospitals$1,522$1,823 – $2,183: 10 hospitals$1,823median $837price bands are equal on a log scale
Hospitals per price band (216 of 238 — the bands cover the 5th to 95th percentile)
FromToHospitals
$360$4318
$431$5166
$516$61822
$618$74048
$740$88734
$887$1,06213
$1,062$1,27120
$1,271$1,52220
$1,522$1,82335
$1,823$2,18310

By state

The median cash price in each state, against the national median of $837.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: 8 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $649 across 11 hospitalsMN$649Illinois: 3 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 9 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 4 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $680 across 16 hospitalsNY$680Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: no hospital in the corpus filed a usable priceORNevada: 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 $1,359 across 13 hospitalsIA$1,359Indiana: median $1,159 across 12 hospitalsIN$1,159Ohio: median $1,124 across 33 hospitalsOH$1,124Pennsylvania: median $770 across 13 hospitalsPA$770New Jersey: median $748 across 23 hospitalsNJ$748Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $1,551 across 23 hospitalsCA$1,551Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: no hospital in the corpus filed a usable priceNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $872 across 10 hospitalsTN$872North Carolina: median $545 across 10 hospitalsNC$545South Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: 6 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: 4 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $837. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA23$1,551+85%$1,551 – $1,551
Iowa IA13$1,359+62%$1,359 – $1,359
Indiana IN12$1,159+38%$1,020 – $1,566
Ohio OH33$1,124+34%$835 – $1,603
Tennessee TN10$872+4%$487 – $872
Pennsylvania PA13$770−8%$627 – $1,463
New Jersey NJ23$748−11%$680 – $748
New York NY16$680−19%$680 – $680
Minnesota MN11$649−22%$553 – $649
North Carolina NC10$545−35%$545 – $545
Wisconsin WI9not enough hospitals filed a usable price
Washington WA8not enough hospitals filed a usable price
Oklahoma OK6not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
Michigan MI4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
Texas TX4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Illinois IL3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Hampshire NH1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
Virginia VA1not 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 $837.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care191$837$627 – $1,551
Children’s17fewer than 20 hospitals
Critical access28$929$649 – $1,595
Ownership
For-profit10fewer than 20 hospitals
Government32$673$545 – $782
Non-profit194$872$649 – $1,551
System affiliation
Part of a system212$840$630 – $1,551
Independent26$782$572 – $1,725

Cash price vs list price

Median list price (chargemaster)$1,859
Median cash price$837
Cash as a share of list, median hospital56%

At the typical hospital, asking for the cash price cuts the list price by about 44%. 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

160 hospitals filed a usable inpatient cash price for this code. The median is $872 and the average of the middle 60% is $1,038; most fall between $553 and $1,551.

Cash price percentiles, inpatient, 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
$490$611$872$1,551$1,610

The most expensive tenth of hospitals charges at least 3.3× what the cheapest tenth charges ($490 vs $1,610).

Of the 174 hospitals that filed this code inpatient, 160 gave a usable cash price; 4 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 10 a list price only.

How complete is this

238 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 254 hospitals that filed this code at all gave us
Usable cash price — counted238
Cash price carrying a plausibility flag — shown on the compare tool, excluded here6
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 — excluded8
Hospitals that filed this code254

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 HEARING LOSS DUP/DEL ANALYS.

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, “Hearing loss gene panel, missing or extra DNA test (CPT 81431) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81431-hearing-loss-gene-panel-missing-or-extra-dna-test