Lab tests CPT 81420 Outpatient

NIPT prenatal DNA test cost in Washington, DC

In Washington-Arlington-Alexandria, DC-VA-MD-WV, 7 hospitals list a cash price for prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT): from $405.00 to $2,474.00, with a median of $2,474.00. The lowest listed price is at Sentara Northern Virginia Medical Center — $2,069.00 less than the median here.

Cash prices at 7 facilities across 6 cities for code 81420, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$405.00Sentara Northern Virginia Medical Center
Median$2,474.00half pay less
Highest$2,474.00in this market
Difference6.1×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Washington-Arlington-Alexandria, DC-VA-MD-WV.

median
Lowest $405.00Highest $2,474.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Sentara Northern Virginia Medical Center lowest Woodbridge, VA · (703) 523-1000 Chgl (Lc) 81420 Maternit21 Plus Core (Chr21,18,13) No Gender, S/O $405.00 $810.00 — 50% Apr 1, 2026
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Sentara Northern Virginia Medical Center lowest Woodbridge, VA · (703) 523-1000 Chgl (Lc) 81420 Maternit21 Plus, S/O $405.00 $810.00 — 50% Apr 1, 2026
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Jefferson Medical Center Ranson, WV · (304) 728-1600 FETAL CHRMOML ANEUPLOIDY $800.00 $1,600.00 — 50% —
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Sentara Northern Virginia Medical Center Woodbridge, VA · (703) 523-1000 Chgl Lc-Maternit Genome $2,108.00 $4,216.00 — 50% Apr 1, 2026
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Inova Fair Oaks Hospital Fairfax, VA · (703) 391-4170 HC FETAL CHROM ANEUPLOIDY GSA PANEL $2,474.00 $4,948.00 $759.05–$3,859.44 50% —
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Inova Alexandria Hospital Alexandria, VA · (703) 504-3167 HC FETAL CHROM ANEUPLOIDY GSA PANEL $2,474.00 $4,948.00 $759.05–$3,859.44 50% —
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Inova Fairfax Hospital Falls Church, VA · (703) 698-1110 HC FETAL CHROM ANEUPLOIDY GSA PANEL $2,474.00 $4,948.00 $759.05–$3,859.44 50% —
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Inova Loudoun Hospital Leesburg, VA · (703) 858-6600 HC FETAL CHROM ANEUPLOIDY GSA PANEL $2,474.00 $4,948.00 $759.05–$3,859.44 50% —
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Inova Mount Vernon Hospital Alexandria, VA · (703) 664-7105 HC FETAL CHROM ANEUPLOIDY GSA PANEL $2,474.00 $4,948.00 $759.05–$3,859.44 50% —
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Outpatient: lowest $405.00, median $2,474.00, highest $2,474.00 — a 6.1× difference within the same market.

As an inpatient, the same code is billed by 6 facilities here, median $2,474.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 5 of 5 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

NIPT analyzes fragments of fetal DNA that circulate in the mother's blood to screen for Down syndrome (trisomy 21) and trisomies 18 and 13. It can be done from about 10 weeks of pregnancy. It is a screening test, so a positive result needs a diagnostic test to confirm.

What the price covers

The price usually covers the DNA analysis of one blood sample. The blood draw, genetic counseling and any added screens, such as sex chromosomes or microdeletions, may be billed separately.