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Procedure price report · Pathology

Gene panel for Noonan syndrome and related disorders

CPT 81442the billing code this page is about

A laboratory test that reads the DNA sequence of a panel of genes causing Noonan syndrome and closely related conditions; billed once for the whole panel.

Hospitals typically charge $2,358 cash for this outpatient procedure — the median across 457 hospitals that filed a usable cash price; the average of the middle 60% is $2,530. Most fall between $1,406 and $4,200 (20th–80th percentile).

Hospitals
457
States
42
Filings dated
Jun 2025 – 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 457 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
$665$1,620$2,358$3,634$5,298

The most expensive tenth of hospitals charges at least 8.0× what the cheapest tenth charges ($665 vs $5,298).

How the prices are spread

$358 – $477: 18 hospitals$358$477 – $636: 13 hospitals$636 – $849: 11 hospitals$636$849 – $1,132: 17 hospitals$1,132 – $1,509: 34 hospitals$1,132$1,509 – $2,013: 61 hospitals$2,013 – $2,685: 107 hospitals$2,013$2,685 – $3,580: 71 hospitals$3,580 – $4,775: 38 hospitals$3,580$4,775 – $6,368: 55 hospitals$4,775median $2,358price bands are equal on a log scale
Hospitals per price band (425 of 457 — the bands cover the 5th to 95th percentile)
FromToHospitals
$358$47718
$477$63613
$636$84911
$849$1,13217
$1,132$1,50934
$1,509$2,01361
$2,013$2,685107
$2,685$3,58071
$3,580$4,77538
$4,775$6,36855

By state

The median cash price in each state, against the national median of $2,358.

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: no hospital in the corpus filed a usable priceNHWashington: 8 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 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: no hospital in the corpus filed a usable priceNDMinnesota: median $1,500 across 19 hospitalsMN$1,500Illinois: median $5,298 across 20 hospitalsIL$5,298Wisconsin: median $3,558 across 21 hospitalsWI$3,558Michigan: 8 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $2,144 across 22 hospitalsNY$2,144Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: 4 hospitals 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 $2,058 across 11 hospitalsIA$2,058Indiana: median $3,103 across 13 hospitalsIN$3,103Ohio: median $3,036 across 44 hospitalsOH$3,036Pennsylvania: 9 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $2,358 across 33 hospitalsNJ$2,358Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,900 across 22 hospitalsCA$4,900Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: median $5,620 across 12 hospitalsKY$5,620West Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: median $1,861 across 11 hospitalsMD$1,861Delaware: no hospital in the corpus filed a usable priceDEArizona: 8 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $1,196 across 23 hospitalsNC$1,196South Carolina: median $3,172 across 11 hospitalsSC$3,172Oklahoma: median $1,660 across 13 hospitalsOK$1,660Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,820 across 10 hospitalsGA$1,820Hawaii: no hospital in the corpus filed a usable priceHITexas: median $1,752 across 41 hospitalsTX$1,752Florida: median $1,620 across 22 hospitalsFL$1,620
Cash price by state, most expensive first. National median $2,358. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY12$5,620+138%$1,729 – $5,620
Illinois IL20$5,298+125%$3,076 – $5,298
California CA22$4,900+108%$4,900 – $4,900
Wisconsin WI21$3,558+51%$1,800 – $6,368
South Carolina SC11$3,172+35%$3,172 – $3,172
Indiana IN13$3,103+32%$2,716 – $4,389
Ohio OH44$3,036+29%$2,412 – $3,545
New Jersey NJ33$2,3580%$2,144 – $2,358
New York NY22$2,144−9%$2,144 – $5,108
Iowa IA11$2,058−13%$2,058 – $2,058
Maryland MD11$1,861−21%$620 – $2,186
Georgia GA10$1,820−23%$1,182 – $2,037
Texas TX41$1,752−26%$358 – $4,200
Oklahoma OK13$1,660−30%$944 – $2,415
Florida FL22$1,620−31%$665 – $2,025
Minnesota MN19$1,500−36%$160 – $1,760
North Carolina NC23$1,196−49%$581 – $1,196
Pennsylvania PA9not enough hospitals filed a usable price
Virginia VA9not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Michigan MI8not enough hospitals filed a usable price
Washington WA8not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
West Virginia WV1not 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 $2,358.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care388$2,358$1,340 – $4,616
Children’s23$1,692$844 – $2,944
Critical access44$3,352$1,760 – $4,200
Ownership
For-profit33$2,415$1,406 – $6,211
Government51$1,729$1,196 – $2,144
Non-profit371$2,412$1,516 – $4,599
System affiliation
Part of a system418$2,358$1,408 – $4,389
Independent39$2,017$923 – $3,175

Cash price vs list price

Median list price (chargemaster)$4,151
Median cash price$2,358
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

323 hospitals filed a usable inpatient cash price for this code. The median is $2,412 and the average of the middle 60% is $2,609; most fall between $1,300 and $4,484.

Cash price percentiles, inpatient, across 323 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
$620$1,566$2,412$4,114$4,999

The most expensive tenth of hospitals charges at least 8.1× what the cheapest tenth charges ($620 vs $4,999).

Of the 368 hospitals that filed this code inpatient, 323 gave a usable cash price; 39 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 6 a list price only.

How complete is this

457 of the 3,956 hospitals with a price file in our corpus (12%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 498 hospitals that filed this code at all gave us
Usable cash price — counted457
Cash price carrying a plausibility flag — shown on the compare tool, excluded here33
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 — excluded6
Hospitals that filed this code498

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 NOONAN SPECTRUM DISORDERS.

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 Noonan syndrome and related disorders (CPT 81442) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81442-gene-panel-for-noonan-syndrome-and-related-disorders