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Procedure price report · Pathology

Gene panel for inherited breast and ovarian cancer risk

CPT 81432the billing code this page is about

A laboratory test that reads the DNA sequence of a panel of genes linked to inherited breast, ovarian and related cancer risk; billed once for the panel, not per gene.

Hospitals typically charge $1,437 cash for this outpatient procedure — the median across 657 hospitals that filed a usable cash price; the average of the middle 60% is $1,491. Most fall between $772 and $2,250 (20th–80th percentile).

Hospitals
657
States
49
Filings dated
Feb 2024 – 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 657 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
$567$950$1,437$2,106$3,058

The most expensive tenth of hospitals charges at least 5.4× what the cheapest tenth charges ($567 vs $3,058).

How the prices are spread

$358 – $466: 25 hospitals$358$466 – $607: 12 hospitals$607 – $790: 66 hospitals$607$790 – $1,029: 42 hospitals$1,029 – $1,340: 110 hospitals$1,029$1,340 – $1,745: 115 hospitals$1,745 – $2,273: 127 hospitals$1,745$2,273 – $2,960: 59 hospitals$2,960 – $3,855: 10 hospitals$2,960$3,855 – $5,020: 27 hospitals$3,855median $1,437price bands are equal on a log scale
Hospitals per price band (593 of 657 — the bands cover the 5th to 95th percentile)
FromToHospitals
$358$46625
$466$60712
$607$79066
$790$1,02942
$1,029$1,340110
$1,340$1,745115
$1,745$2,273127
$2,273$2,96059
$2,960$3,85510
$3,855$5,02027

By state

The median cash price in each state, against the national median of $1,437.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,252 across 17 hospitalsWA$1,252Idaho: 4 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,500 across 24 hospitalsMN$1,500Illinois: median $1,480 across 38 hospitalsIL$1,480Wisconsin: median $2,709 across 31 hospitalsWI$2,709Michigan: median $1,700 across 22 hospitalsMI$1,700New York: median $1,565 across 25 hospitalsNY$1,565Massachusetts: median $2,558 across 11 hospitalsMA$2,558Oregon: median $1,093 across 17 hospitalsOR$1,093Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $652 across 12 hospitalsIA$652Indiana: median $1,436 across 15 hospitalsIN$1,436Ohio: median $1,755 across 48 hospitalsOH$1,755Pennsylvania: median $1,920 across 33 hospitalsPA$1,920New Jersey: median $1,238 across 33 hospitalsNJ$1,238Connecticut: 5 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 $1,803 across 25 hospitalsCA$1,803Utah: median $1,126 across 23 hospitalsUT$1,126Colorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,447 across 10 hospitalsMO$1,447Kentucky: median $10,185 across 11 hospitalsKY$10,185West Virginia: median $1,134 across 16 hospitalsWV$1,134Virginia: median $2,761 across 30 hospitalsVA$2,761Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $732 across 15 hospitalsTN$732North Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $1,488 across 11 hospitalsSC$1,488Oklahoma: median $267 across 18 hospitalsOK$267Louisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,354 across 27 hospitalsGA$1,354Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,133 across 49 hospitalsTX$2,133Florida: median $1,526 across 21 hospitalsFL$1,526
Cash price by state, most expensive first. National median $1,437. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY11$10,185+609%$1,191 – $10,185
Virginia VA30$2,761+92%$732 – $3,912
Wisconsin WI31$2,709+89%$1,800 – $2,815
Massachusetts MA11$2,558+78%$2,108 – $2,971
Texas TX49$2,133+48%$358 – $2,250
Pennsylvania PA33$1,920+34%$166 – $1,920
California CA25$1,803+25%$1,803 – $1,803
Ohio OH48$1,755+22%$1,191 – $6,911
Michigan MI22$1,700+18%$802 – $1,700
New York NY25$1,565+9%$1,304 – $2,603
Florida FL21$1,526+6%$1,200 – $2,640
Minnesota MN24$1,500+4%$1,466 – $1,760
South Carolina SC11$1,488+4%$360 – $1,488
Illinois IL38$1,480+3%$1,426 – $1,749
Missouri MO10$1,447+1%$1,144 – $2,347
Indiana IN15$1,4360%$886 – $1,785
Georgia GA27$1,354−6%$1,354 – $1,407
Washington WA17$1,252−13%$1,171 – $1,928
New Jersey NJ33$1,238−14%$747 – $1,304
West Virginia WV16$1,134−21%$1,134 – $1,134
Utah UT23$1,126−22%$1,126 – $1,325
Oregon OR17$1,093−24%$814 – $2,953
Tennessee TN15$732−49%$668 – $732
Iowa IA12$652−55%$652 – $652
Oklahoma OK18$267−81%$267 – $1,517
Arizona AZ7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Idaho ID4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Rhode Island RI1not 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 $1,437.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care547$1,426$747 – $2,243
Children’s9fewer than 20 hospitals
Critical access98$1,700$982 – $2,787
Ownership
For-profit42$1,354$358 – $2,250
Government73$1,403$840 – $2,295
Non-profit539$1,447$781 – $2,250
System affiliation
Part of a system588$1,426$747 – $2,250
Independent69$1,630$834 – $2,813

Cash price vs list price

Median list price (chargemaster)$2,412
Median cash price$1,437
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

485 hospitals filed a usable inpatient cash price for this code. The median is $1,497 and the average of the middle 60% is $1,515; most fall between $732 and $2,250.

Cash price percentiles, inpatient, across 485 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
$360$878$1,497$2,189$3,058

The most expensive tenth of hospitals charges at least 8.5× what the cheapest tenth charges ($360 vs $3,058).

Of the 524 hospitals that filed this code inpatient, 485 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 20 a list price only.

How complete is this

657 of the 3,956 hospitals with a price file in our corpus (17%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 714 hospitals that filed this code at all gave us
Usable cash price — counted657
Cash price carrying a plausibility flag — shown on the compare tool, excluded here34
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 — excluded21
Hospitals that filed this code714

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 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 HRDTRY BRST CA-RLATD DO 5+.

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 inherited breast and ovarian cancer risk (CPT 81432) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81432-gene-panel-for-inherited-breast-and-ovarian-cancer-risk