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Procedure price report · Consultation, evaluation, and preventative care

Medical genetics visit and counseling, each 30 minutes

CPT 96041the billing code this page is about

Evaluation and counseling about inherited conditions provided by a medical geneticist; one unit covers 30 minutes of face-to-face time with the patient or family.

Hospitals typically charge $136 cash for this outpatient procedure — the median across 548 hospitals that filed a usable cash price; the average of the middle 60% is $137. Most fall between $67 and $225 (20th–80th percentile).

Hospitals
548
States
41
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 548 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
$48$75$136$201$301

The most expensive tenth of hospitals charges at least 6.3× what the cheapest tenth charges ($48 vs $301).

How the prices are spread

$39 – $48: 31 hospitals$39$48 – $60: 39 hospitals$60 – $75: 42 hospitals$60$75 – $93: 46 hospitals$93 – $116: 54 hospitals$93$116 – $145: 61 hospitals$145 – $181: 63 hospitals$145$181 – $225: 76 hospitals$225 – $280: 41 hospitals$225$280 – $349: 43 hospitals$280median $136price bands are equal on a log scale
Hospitals per price band (496 of 548 — the bands cover the 5th to 95th percentile)
FromToHospitals
$39$4831
$48$6039
$60$7542
$75$9346
$93$11654
$116$14561
$145$18163
$181$22576
$225$28041
$280$34943

By state

The median cash price in each state, against the national median of $136.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 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: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $93 across 20 hospitalsWA$93Idaho: 5 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 $117 across 16 hospitalsMN$117Illinois: median $138 across 34 hospitalsIL$138Wisconsin: median $127 across 28 hospitalsWI$127Michigan: median $154 across 32 hospitalsMI$154New York: median $139 across 16 hospitalsNY$139Massachusetts: median $259 across 19 hospitalsMA$259Oregon: 9 hospitals filed a usable price — fewer than 10, so no figureORNevada: 1 hospital 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 $301 across 14 hospitalsIA$301Indiana: median $56 across 10 hospitalsIN$56Ohio: median $182 across 41 hospitalsOH$182Pennsylvania: median $93 across 27 hospitalsPA$93New Jersey: median $88 across 18 hospitalsNJ$88Connecticut: median $175 across 14 hospitalsCT$175Rhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $136 across 50 hospitalsCA$136Utah: 8 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $84 across 21 hospitalsCO$84Nebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $87 across 13 hospitalsMO$87Kentucky: median $225 across 10 hospitalsKY$225West Virginia: median $70 across 16 hospitalsWV$70Virginia: median $260 across 16 hospitalsVA$260Maryland: median $135 across 13 hospitalsMD$135Delaware: no hospital in the corpus filed a usable priceDEArizona: no hospital in the corpus filed a usable priceAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: no hospital in the corpus filed a usable priceKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 4 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $137 across 12 hospitalsNC$137South Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: 1 hospital filed a usable price — fewer than 10, so no figureOKLouisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $291 across 10 hospitalsGA$291Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $100 across 27 hospitalsTX$100Florida: median $128 across 15 hospitalsFL$128
Cash price by state, most expensive first. National median $136. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Iowa IA14$301+122%$109 – $301
Georgia GA10$291+115%$70 – $291
Virginia VA16$260+92%$230 – $278
Massachusetts MA19$259+91%$147 – $356
Kentucky KY10$225+66%$34 – $225
Ohio OH41$182+34%$111 – $190
Connecticut CT14$175+29%$145 – $344
Michigan MI32$154+14%$85 – $335
New York NY16$139+3%$95 – $248
Illinois IL34$138+1%$82 – $276
North Carolina NC12$137+1%$137 – $140
California CA50$1360%$48 – $225
Maryland MD13$135−1%$50 – $354
Florida FL15$128−6%$60 – $182
Wisconsin WI28$127−6%$90 – $151
Minnesota MN16$117−14%$103 – $124
Texas TX27$100−26%$100 – $124
Washington WA20$93−31%$49 – $180
Pennsylvania PA27$93−31%$32 – $195
New Jersey NJ18$88−35%$62 – $323
Missouri MO13$87−35%$64 – $143
Colorado CO21$84−38%$69 – $192
West Virginia WV16$70−48%$56 – $79
Indiana IN10$56−59%$34 – $71
Oregon OR9not enough hospitals filed a usable price
Utah UT8not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Tennessee TN4not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Oklahoma OK1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
Vermont VT1not 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 $136.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care476$137$69 – $232
Children’s28$131$84 – $218
Critical access43$94$53 – $151
Ownership
For-profit40$152$90 – $230
Government51$128$69 – $196
Non-profit456$136$65 – $225
System affiliation
Part of a system504$137$66 – $225
Independent44$110$72 – $207

Cash price vs list price

Median list price (chargemaster)$216
Median cash price$136
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

416 hospitals filed a usable inpatient cash price for this code. The median is $132 and the average of the middle 60% is $134; most fall between $62 and $218.

Cash price percentiles, inpatient, across 416 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
$48$70$132$195$301

The most expensive tenth of hospitals charges at least 6.3× what the cheapest tenth charges ($48 vs $301).

Of the 451 hospitals that filed this code inpatient, 416 gave a usable cash price; 15 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 20 a list price only.

How complete is this

548 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 616 hospitals that filed this code at all gave us
Usable cash price — counted548
Cash price carrying a plausibility flag — shown on the compare tool, excluded here23
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded45
Hospitals that filed this code616

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 Consultation, evaluation, and preventative care family.

Hospitals file this code under descriptions such as GENETIC COUNSELING SVC EA 30.

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, “Medical genetics visit and counseling, each 30 minutes (CPT 96041) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-96041-medical-genetics-visit-and-counseling-each-30-minutes