Procedure price report · Microscopic examination (bacterial smear, culture, toxicology)

Chromosome test for breakage syndromes, 20 to 25 cells

CPT code CPT 88245the billing code this page is about

Microscope study of chromosomes looking for exchanges between chromosome strands as a baseline check for chromosome breakage disorders, with 20 to 25 cells scored.

Hospitals typically charge $305 cash for this outpatient procedure — the median across 285 hospitals that filed a usable cash price; the average of the middle 60% is $404. Most fall between $190 and $895 (20th–80th percentile).

Hospitals
285
States
40
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 285 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
$171$193$305$776$1,226

The most expensive tenth of hospitals charges at least 7.2× what the cheapest tenth charges ($171 vs $1,226).

How the prices are spread

$125 – $167: 13 hospitals$125$167 – $223: 66 hospitals$223 – $297: 36 hospitals$223$297 – $397: 24 hospitals$397 – $530: 30 hospitals$397$530 – $708: 24 hospitals$708 – $945: 23 hospitals$708$945 – $1,262: 28 hospitals$1,262 – $1,685: 12 hospitals$1,262$1,685 – $2,250: 5 hospitals$1,685median $305price bands are equal on a log scale
Hospitals per price band (261 of 285 — the bands cover the 5th to 95th percentile)
FromToHospitals
$125$16713
$167$22366
$223$29736
$297$39724
$397$53030
$530$70824
$708$94523
$945$1,26228
$1,262$1,68512
$1,685$2,2505

By state

The median cash price in each state, against the national median of $305.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 1 hospital filed a usable price — fewer than 10, so no figureMNIllinois: median $219 across 10 hospitalsIL$219Wisconsin: 3 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $239 across 10 hospitalsMI$239New York: median $173 across 16 hospitalsNY$173Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: no hospital in the corpus filed a usable priceORNevada: 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 $434 across 14 hospitalsIA$434Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: 6 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $125 across 14 hospitalsPA$125New Jersey: median $190 across 24 hospitalsNJ$190Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $1,226 across 23 hospitalsCA$1,226Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $853 across 10 hospitalsCO$853Nebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $1,162 across 10 hospitalsVA$1,162Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: median $261 across 10 hospitalsTN$261North Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $303 across 16 hospitalsOK$303Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: 5 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $277 across 43 hospitalsTX$277Florida: median $1,093 across 12 hospitalsFL$1,093
Cash price by state, most expensive first. National median $305. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA23$1,226+302%$1,226 – $1,226
Virginia VA10$1,162+281%$969 – $2,250
Florida FL12$1,093+258%$305 – $4,057
Colorado CO10$853+179%$818 – $853
Iowa IA14$434+42%$434 – $434
Oklahoma OK16$303−1%$303 – $450
Texas TX43$277−9%$204 – $617
Tennessee TN10$261−15%$261 – $291
Michigan MI10$239−22%$133 – $377
Illinois IL10$219−28%$192 – $303
New Jersey NJ24$190−38%$173 – $190
New York NY16$173−43%$173 – $630
Pennsylvania PA14$125−59%$114 – $199
Kentucky KY9not enough hospitals filed a usable price
Ohio OH6not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Wisconsin WI3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Indiana IN1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Vermont VT1not 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 $305.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care265$305$190 – $905
Children’s7fewer than 20 hospitals
Critical access13fewer than 20 hospitals
Ownership
For-profit36$520$217 – $1,464
Government30$303$173 – $767
Non-profit219$309$187 – $904
System affiliation
Part of a system255$305$190 – $969
Independent30$327$199 – $552

Cash price vs list price

Median list price (chargemaster)$743
Median cash price$305
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

175 hospitals filed a usable inpatient cash price for this code. The median is $434 and the average of the middle 60% is $483; most fall between $261 and $969.

Cash price percentiles, inpatient, across 175 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
$204$277$434$853$1,226

The most expensive tenth of hospitals charges at least 6.0× what the cheapest tenth charges ($204 vs $1,226).

Of the 189 hospitals that filed this code inpatient, 175 gave a usable cash price; 4 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 10 a list price only.

How complete is this

285 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 304 hospitals that filed this code at all gave us
Usable cash price — counted285
Cash price carrying a plausibility flag — shown on the compare tool, excluded here7
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded11
Hospitals that filed this code304

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.

Hospitals file this code under descriptions such as CHROMOSOME ANALYSIS 20-25.

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, “Chromosome test for breakage syndromes, 20 to 25 cells (CPT 88245) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-88245-chromosome-test-for-breakage-syndromes-20-to-25-cells