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Procedure price report · Pathology

Gene panel for inherited colon cancer risk

CPT 81435the billing code this page is about

A laboratory test that reads the DNA sequence of a panel of genes linked to inherited colon cancer and polyp syndromes; billed once for the panel, not per gene.

Hospitals typically charge $1,665 cash for this outpatient procedure — the median across 653 hospitals that filed a usable cash price; the average of the middle 60% is $1,617. Most fall between $761 and $2,843 (20th–80th percentile).

Hospitals
653
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 653 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
$496$899$1,665$2,484$4,049

The most expensive tenth of hospitals charges at least 8.2× what the cheapest tenth charges ($496 vs $4,049).

How the prices are spread

$343 – $456: 33 hospitals$343$456 – $607: 28 hospitals$607 – $807: 51 hospitals$607$807 – $1,074: 74 hospitals$1,074 – $1,429: 79 hospitals$1,074$1,429 – $1,902: 97 hospitals$1,902 – $2,531: 103 hospitals$1,902$2,531 – $3,369: 67 hospitals$3,369 – $4,483: 41 hospitals$3,369$4,483 – $5,966: 22 hospitals$4,483median $1,665price bands are equal on a log scale
Hospitals per price band (595 of 653 — the bands cover the 5th to 95th percentile)
FromToHospitals
$343$45633
$456$60728
$607$80751
$807$1,07474
$1,074$1,42979
$1,429$1,90297
$1,902$2,531103
$2,531$3,36967
$3,369$4,48341
$4,483$5,96622

By state

The median cash price in each state, against the national median of $1,665.

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: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,068 across 32 hospitalsWA$1,068Idaho: 4 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,691 across 34 hospitalsMN$1,691Illinois: median $1,801 across 22 hospitalsIL$1,801Wisconsin: median $1,800 across 44 hospitalsWI$1,800Michigan: median $1,700 across 18 hospitalsMI$1,700New York: median $2,189 across 28 hospitalsNY$2,189Massachusetts: median $4,049 across 13 hospitalsMA$4,049Oregon: median $702 across 12 hospitalsOR$702Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $562 across 11 hospitalsIA$562Indiana: median $1,165 across 19 hospitalsIN$1,165Ohio: median $1,894 across 33 hospitalsOH$1,894Pennsylvania: median $1,500 across 44 hospitalsPA$1,500New Jersey: median $673 across 28 hospitalsNJ$673Connecticut: 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 $1,977 across 24 hospitalsCA$1,977Utah: median $343 across 24 hospitalsUT$343Colorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $2,484 across 22 hospitalsMO$2,484Kentucky: median $1,161 across 20 hospitalsKY$1,161West Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $1,104 across 18 hospitalsVA$1,104Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $2,670 across 14 hospitalsAR$2,670Tennessee: median $1,023 across 12 hospitalsTN$1,023North Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $6,775 across 12 hospitalsSC$6,775Oklahoma: median $878 across 27 hospitalsOK$878Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $3,054 across 16 hospitalsGA$3,054Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,665 across 37 hospitalsTX$1,665Florida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,665. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC12$6,775+307%$6,775 – $6,775
Massachusetts MA13$4,049+143%$2,047 – $4,049
Georgia GA16$3,054+83%$268 – $3,648
Arkansas AR14$2,670+60%$422 – $2,845
Missouri MO22$2,484+49%$1,061 – $2,733
New York NY28$2,189+31%$1,304 – $2,798
California CA24$1,977+19%$1,362 – $1,977
Ohio OH33$1,894+14%$979 – $6,230
Illinois IL22$1,801+8%$685 – $3,011
Wisconsin WI44$1,800+8%$1,425 – $2,483
Michigan MI18$1,700+2%$1,700 – $2,059
Minnesota MN34$1,691+2%$1,041 – $1,774
Texas TX37$1,6650%$1,665 – $1,997
Pennsylvania PA44$1,500−10%$176 – $3,395
Indiana IN19$1,165−30%$1,005 – $1,920
Kentucky KY20$1,161−30%$367 – $5,966
Virginia VA18$1,104−34%$1,023 – $1,956
Washington WA32$1,068−36%$839 – $1,785
Tennessee TN12$1,023−39%$1,023 – $1,023
Oklahoma OK27$878−47%$557 – $2,905
Oregon OR12$702−58%$702 – $970
New Jersey NJ28$673−60%$643 – $1,304
Iowa IA11$562−66%$562 – $562
Utah UT24$343−79%$343 – $403
Louisiana LA8not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Idaho ID4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Wyoming WY1not 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 $1,665.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care508$1,542$702 – $3,011
Children’s11fewer than 20 hospitals
Critical access131$1,774$933 – $2,588
Ownership
For-profit38$1,755$936 – $2,860
Government67$1,385$899 – $3,054
Non-profit545$1,665$702 – $2,793
System affiliation
Part of a system585$1,665$761 – $2,793
Independent68$1,434$718 – $3,129

Cash price vs list price

Median list price (chargemaster)$2,776
Median cash price$1,665
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

481 hospitals filed a usable inpatient cash price for this code. The median is $1,665 and the average of the middle 60% is $1,583; most fall between $702 and $2,808.

Cash price percentiles, inpatient, across 481 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
$403$936$1,665$2,084$4,049

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($403 vs $4,049).

Of the 501 hospitals that filed this code inpatient, 481 gave a usable cash price; 8 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 12 a list price only.

How complete is this

653 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 698 hospitals that filed this code at all gave us
Usable cash price — counted653
Cash price carrying a plausibility flag — shown on the compare tool, excluded here31
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 — excluded12
Hospitals that filed this code698

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 HERED COLON 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 colon cancer risk (CPT 81435) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81435-gene-panel-for-inherited-colon-cancer-risk