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Procedure price report · Pathology

Solid tumor gene panel, 5 to 50 genes, DNA testing

CPT 81445the billing code this page is about

A laboratory test on tumor tissue that examines 5 to 50 genes for DNA changes, and in some versions combined DNA and RNA changes, to help characterize a solid tumor; billed once for the panel.

Hospitals typically charge $1,291 cash for this outpatient procedure — the median across 1,329 hospitals that filed a usable cash price; the average of the middle 60% is $1,349. Most fall between $662 and $2,392 (20th–80th percentile).

Hospitals
1,329
States
50
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 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 1,329 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
$483$746$1,291$2,063$3,342

The most expensive tenth of hospitals charges at least 6.9× what the cheapest tenth charges ($483 vs $3,342).

How the prices are spread

$367 – $472: 63 hospitals$367$472 – $607: 88 hospitals$607 – $782: 141 hospitals$607$782 – $1,006: 146 hospitals$1,006 – $1,295: 162 hospitals$1,006$1,295 – $1,667: 163 hospitals$1,667 – $2,146: 199 hospitals$1,667$2,146 – $2,762: 77 hospitals$2,762 – $3,555: 104 hospitals$2,762$3,555 – $4,575: 54 hospitals$3,555median $1,291price bands are equal on a log scale
Hospitals per price band (1,197 of 1,329 — the bands cover the 5th to 95th percentile)
FromToHospitals
$367$47263
$472$60788
$607$782141
$782$1,006146
$1,006$1,295162
$1,295$1,667163
$1,667$2,146199
$2,146$2,76277
$2,762$3,555104
$3,555$4,57554

By state

The median cash price in each state, against the national median of $1,291.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,140 across 33 hospitalsWA$1,140Idaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $924 across 50 hospitalsMN$924Illinois: median $1,875 across 48 hospitalsIL$1,875Wisconsin: median $1,808 across 76 hospitalsWI$1,808Michigan: median $1,867 across 42 hospitalsMI$1,867New York: median $1,762 across 55 hospitalsNY$1,762Massachusetts: median $1,488 across 28 hospitalsMA$1,488Oregon: median $2,063 across 18 hospitalsOR$2,063Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $574 across 22 hospitalsIA$574Indiana: median $1,033 across 42 hospitalsIN$1,033Ohio: median $1,314 across 78 hospitalsOH$1,314Pennsylvania: median $1,287 across 59 hospitalsPA$1,287New Jersey: median $658 across 48 hospitalsNJ$658Connecticut: median $1,865 across 11 hospitalsCT$1,865Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,817 across 37 hospitalsCA$2,817Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,702 across 22 hospitalsCO$1,702Nebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,377 across 36 hospitalsMO$1,377Kentucky: median $1,424 across 23 hospitalsKY$1,424West Virginia: median $1,100 across 23 hospitalsWV$1,100Virginia: median $986 across 39 hospitalsVA$986Maryland: median $828 across 30 hospitalsMD$828Delaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $804 across 19 hospitalsAZ$804New Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,348 across 18 hospitalsKS$1,348Arkansas: median $1,404 across 14 hospitalsAR$1,404Tennessee: median $540 across 29 hospitalsTN$540North Carolina: median $929 across 34 hospitalsNC$929South Carolina: median $2,847 across 33 hospitalsSC$2,847Oklahoma: median $1,152 across 34 hospitalsOK$1,152Louisiana: median $579 across 21 hospitalsLA$579Mississippi: median $597 across 12 hospitalsMS$597Alabama: median $714 across 12 hospitalsAL$714Georgia: median $1,740 across 56 hospitalsGA$1,740Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,323 across 95 hospitalsTX$1,323Florida: median $988 across 57 hospitalsFL$988
Cash price by state, most expensive first. National median $1,291. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC33$2,847+120%$1,765 – $3,184
California CA37$2,817+118%$905 – $2,817
Oregon OR18$2,063+60%$718 – $2,182
Illinois IL48$1,875+45%$1,436 – $2,490
Michigan MI42$1,867+45%$1,644 – $3,578
Connecticut CT11$1,865+44%$1,291 – $2,117
Wisconsin WI76$1,808+40%$1,280 – $2,740
New York NY55$1,762+36%$598 – $2,941
Georgia GA56$1,740+35%$746 – $2,751
Colorado CO22$1,702+32%$944 – $2,688
Massachusetts MA28$1,488+15%$915 – $3,326
Kentucky KY23$1,424+10%$254 – $2,080
Arkansas AR14$1,404+9%$381 – $2,024
Missouri MO36$1,377+7%$1,251 – $1,789
Kansas KS18$1,348+4%$581 – $3,111
Texas TX95$1,323+2%$913 – $1,643
Ohio OH78$1,314+2%$992 – $2,993
Pennsylvania PA59$1,2870%$597 – $3,550
Oklahoma OK34$1,152−11%$130 – $2,028
Washington WA33$1,140−12%$540 – $1,757
West Virginia WV23$1,100−15%$419 – $1,238
Indiana IN42$1,033−20%$852 – $1,648
Florida FL57$988−23%$617 – $1,166
Virginia VA39$986−24%$768 – $1,935
North Carolina NC34$929−28%$509 – $1,386
Minnesota MN50$924−28%$566 – $1,195
Maryland MD30$828−36%$600 – $1,260
Arizona AZ19$804−38%$566 – $3,146
Alabama AL12$714−45%$406 – $1,424
New Jersey NJ48$658−49%$598 – $754
Mississippi MS12$597−54%$441 – $803
Louisiana LA21$579−55%$443 – $1,984
Iowa IA22$574−56%$574 – $1,781
Tennessee TN29$540−58%$374 – $1,518
Maine ME8not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
South Dakota SD4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Idaho ID2not 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 $1,291.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,101$1,280$640 – $2,428
Children’s26$1,314$723 – $2,783
Critical access197$1,390$873 – $2,101
Ownership
For-profit134$1,390$763 – $3,296
Government154$988$598 – $1,845
Non-profit1,036$1,310$673 – $2,306
System affiliation
Part of a system1,205$1,310$658 – $2,306
Independent124$1,131$688 – $2,547

Cash price vs list price

Median list price (chargemaster)$2,205
Median cash price$1,291
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

995 hospitals filed a usable inpatient cash price for this code. The median is $1,327 and the average of the middle 60% is $1,442; most fall between $720 and $2,773.

Cash price percentiles, inpatient, across 995 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
$506$823$1,327$2,296$3,550

The most expensive tenth of hospitals charges at least 7.0× what the cheapest tenth charges ($506 vs $3,550).

Of the 1,107 hospitals that filed this code inpatient, 995 gave a usable cash price; 74 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 38 a list price only.

How complete is this

1,329 of the 3,956 hospitals with a price file in our corpus (34%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,454 hospitals that filed this code at all gave us
Usable cash price — counted1,329
Cash price carrying a plausibility flag — shown on the compare tool, excluded here86
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 — excluded37
Hospitals that filed this code1,454

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 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 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 HC Colorectal Ca Dna Ngs Panel.

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, “Solid tumor gene panel, 5 to 50 genes, DNA testing (CPT 81445) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81445-solid-tumor-gene-panel-5-to-50-genes-dna-testing