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Procedure price report · Pathology

Gene panel for inherited neuroendocrine tumor risk

CPT 81437the billing code this page is about

A laboratory test that reads the DNA sequence of a panel of genes linked to inherited neuroendocrine tumors, such as medullary thyroid cancer and pheochromocytoma; billed once for the panel.

Hospitals typically charge $1,553 cash for this outpatient procedure — the median across 350 hospitals that filed a usable cash price; the average of the middle 60% is $1,480. Most fall between $527 and $2,263 (20th–80th percentile).

Hospitals
350
States
38
Filings dated
Dec 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 350 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
$421$630$1,553$2,189$4,049

The most expensive tenth of hospitals charges at least 9.6× what the cheapest tenth charges ($421 vs $4,049).

How the prices are spread

$358 – $465: 35 hospitals$358$465 – $604: 32 hospitals$604 – $785: 12 hospitals$604$785 – $1,020: 26 hospitals$1,020 – $1,326: 39 hospitals$1,020$1,326 – $1,722: 47 hospitals$1,722 – $2,238: 61 hospitals$1,722$2,238 – $2,908: 41 hospitals$2,908 – $3,779: 5 hospitals$2,908$3,779 – $4,911: 22 hospitals$3,779median $1,553price bands are equal on a log scale
Hospitals per price band (320 of 350 — the bands cover the 5th to 95th percentile)
FromToHospitals
$358$46535
$465$60432
$604$78512
$785$1,02026
$1,020$1,32639
$1,326$1,72247
$1,722$2,23861
$2,238$2,90841
$2,908$3,7795
$3,779$4,91122

By state

The median cash price in each state, against the national median of $1,553.

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: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: median $630 across 17 hospitalsWA$630Idaho: 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: no hospital in the corpus filed a usable priceNDMinnesota: median $1,553 across 18 hospitalsMN$1,553Illinois: median $1,014 across 19 hospitalsIL$1,014Wisconsin: median $1,751 across 16 hospitalsWI$1,751Michigan: median $2,263 across 15 hospitalsMI$2,263New York: median $1,304 across 17 hospitalsNY$1,304Massachusetts: 9 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 7 hospitals filed a usable price — fewer than 10, so no figureORNevada: 1 hospital 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 $421 across 12 hospitalsIA$421Indiana: 2 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $1,223 across 35 hospitalsOH$1,223Pennsylvania: median $1,513 across 12 hospitalsPA$1,513New Jersey: median $1,304 across 28 hospitalsNJ$1,304Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $1,630 across 20 hospitalsCA$1,630Utah: median $2,251 across 23 hospitalsUT$2,251Colorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 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: 2 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 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: no hospital in the corpus filed a usable priceNCSouth Carolina: median $4,875 across 12 hospitalsSC$4,875Oklahoma: 2 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 4 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $358 across 22 hospitalsTX$358Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,553. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC12$4,875+214%$4,875 – $4,875
Michigan MI15$2,263+46%$1,791 – $2,263
Utah UT23$2,251+45%$2,251 – $2,648
Wisconsin WI16$1,751+13%$1,751 – $1,800
California CA20$1,630+5%$1,630 – $1,630
Minnesota MN18$1,5530%$1,553 – $1,760
Pennsylvania PA12$1,513−3%$1,447 – $1,931
New Jersey NJ28$1,304−16%$483 – $1,816
New York NY17$1,304−16%$1,304 – $2,189
Ohio OH35$1,223−21%$539 – $6,230
Illinois IL19$1,014−35%$976 – $1,380
Washington WA17$630−59%$542 – $1,741
Iowa IA12$421−73%$421 – $421
Texas TX22$358−77%$358 – $439
Florida FL9not enough hospitals filed a usable price
Massachusetts MA9not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Georgia GA4not enough hospitals filed a usable price
Idaho ID4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Indiana IN2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Oklahoma OK2not enough hospitals filed a usable price
Virginia VA2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
New Hampshire NH1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Nevada NV1not 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 $1,553.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care286$1,500$508 – $2,263
Children’s14fewer than 20 hospitals
Critical access48$1,760$871 – $2,263
Ownership
For-profit20$990$358 – $2,195
Government38$1,304$567 – $2,489
Non-profit290$1,579$527 – $2,251
System affiliation
Part of a system317$1,553$527 – $2,251
Independent33$1,584$539 – $2,686

Cash price vs list price

Median list price (chargemaster)$2,189
Median cash price$1,553
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

250 hospitals filed a usable inpatient cash price for this code. The median is $1,630 and the average of the middle 60% is $1,541; most fall between $516 and $2,562.

Cash price percentiles, inpatient, across 250 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
$358$787$1,630$2,263$4,875

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($358 vs $4,875).

Of the 267 hospitals that filed this code inpatient, 250 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 9 a list price only.

How complete is this

350 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 382 hospitals that filed this code at all gave us
Usable cash price — counted350
Cash price carrying a plausibility flag — shown on the compare tool, excluded here21
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 — excluded9
Hospitals that filed this code382

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 HERED NEUROEND TUM-RLT 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 neuroendocrine tumor risk (CPT 81437) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81437-gene-panel-for-inherited-neuroendocrine-tumor-risk