Lab tests CPT 81420 Virginia Outpatient

NIPT prenatal DNA test cost in Virginia

In Virginia, 40 hospitals publish a cash price for prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT): from $405.00 to $3,800.00, with a median of $1,032.80. The lowest price is at Hospital for Extended Recovery (Norfolk) and 10 other hospitals. The highest price is 9.4× the lowest.

  • The median here, $1,032.80, is about the same as the US median of $1,043.03.
  • That is 1.4× Medicare's 2026 national rate for the same service ($759.05).
  • Virginia ranks 19th of 40 states by median, cheapest first.
  • 9 of 40 hospitals list a cash price equal to their full list price, with no self-pay discount.

Outpatient cash prices, one line per hospital — its lowest listed price for code 81420. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 1, 2026. See them on a map

Lowest$405.00Hospital for Extended Recovery + 10 more
Median$1,032.80half of hospitals charge less
Highest$3,800.00in Virginia
Lowest saves$627.80vs the median

Hospitals in Virginia, cheapest first

HospitalCash priceList priceFile date
Hospital for Extended Recovery lowest Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Lc) 81420 Maternit21 Plus, S/O $405.00 $810.00 Apr 1, 2026
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Sentara Careplex Hospital lowest Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Lc) 81420 Maternit21 Plus Core (Chr21,18,13) No Gender, S/O $405.00 $810.00 Apr 1, 2026
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Sentara Halifax Regional Hospital lowest South Boston · South Boston, VA Chgl (Lc) 81420 Maternit21 Plus, S/O $405.00 $810.00 Apr 1, 2026
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Sentara Leigh Hospital lowest Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Lc) 81420 Maternit21 Plus, S/O $405.00 $810.00 Apr 1, 2026
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Sentara Martha Jefferson Hospital lowest Charlottesville · Charlottesville, VA Chgl (Lc) 81420 Maternit21 Plus Core (Chr21,18,13) No Gender, S/O $405.00 $810.00 Apr 1, 2026
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Sentara Norfolk General Hospital lowest Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Lc) 81420 Maternit21 Plus Core (Chr21,18,13) No Gender, S/O $405.00 $810.00 Apr 1, 2026
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Sentara Northern Virginia Medical Center lowest Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV Chgl (Lc) 81420 Maternit21 Plus, S/O $405.00 $810.00 Apr 1, 2026
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Sentara Obici Hospital lowest Suffolk · Suffolk, VA Chgl (Lc) 81420 Maternit21 Plus Core (Chr21,18,13) No Gender, S/O $405.00 $810.00 Apr 1, 2026
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Sentara Princess Anne Hospital lowest Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Lc) 81420 Maternit21 Plus Core (Chr21,18,13) No Gender, S/O $405.00 $810.00 Apr 1, 2026
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Sentara RMH Medical Center lowest Harrisonburg · Harrisonburg, VA Chgl (Lc) 81420 Maternit21 Plus, S/O $405.00 $810.00 Apr 1, 2026
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Sentara Virginia Beach General Hospital lowest Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Lc) 81420 Maternit21 Plus, S/O $405.00 $810.00 Apr 1, 2026
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Carilion Giles Community Hospital Roanoke · Roanoke, VA HB FETAL CHROMO ANEUPLOIDY $664.65 $1,899.00 Dec 15, 2025
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Carilion Rockbridge Community Hospital Lexington · Lexington, VA HB FETAL CHROMO ANEUPLOIDY $664.65 $1,899.00 Dec 15, 2025
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Carilion Franklin Memorial Hospital Rocky Mt · Roanoke, VA HB FETAL CHROMO ANEUPLOIDY $762.30 $2,178.00 Dec 15, 2025
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Carilion New River Valley Medical Center Christiansburg · Blacksburg-Christiansburg-Radford, VA HB FETAL CHROMO ANEUPLOIDY $762.30 $2,178.00 Dec 15, 2025
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Carilion Roanoke Community Hospital Roanoke · Roanoke, VA HB FETAL CHROMO ANEUPLOIDY $762.30 $2,178.00 Dec 15, 2025
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Carilion Roanoke Memorial Hospital Roanoke · Roanoke, VA HB FETAL CHROMO ANEUPLOIDY $762.30 $2,178.00 Apr 17, 2026
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Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Hc So Fetal Chrmoml Aneuploidy $796.81 $1,328.02 Jul 1, 2026
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Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC So Fetal Chrmoml Aneuploidy $960.00 $1,600.00 Apr 1, 2026
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Lonesome Pine Hospital Big Stone Gap · Big Stone Gap, VA HC FETAL CHRMOML ANEUPLOIDY $1,029.60 $6,864.00 Mar 23, 2026
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Mary Washington Hospital Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Fetal chrmoml aneuploidy $1,036.00 $2,072.00 Dec 30, 2024
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Stafford Hospital Stafford · Washington-Arlington-Alexandria, DC-VA-MD-WV Fetal chrmoml aneuploidy $1,036.00 $2,072.00 Dec 30, 2024
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Carilion Tazewell Community Hospital Tazewell · Bluefield, WV-VA HB FETAL CHROMO ANEUPLOIDY $1,159.90 $3,314.00 Dec 15, 2025
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Bon Secours Southern Virginia Medical Center Emporia · Emporia, VA HC So Fetal Chrmoml Aneuploidy $1,195.80 $3,986.00 Apr 1, 2026
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Lewisgale Hospital Montgomery Christiansburg · Blacksburg-Christiansburg-Radford, VA Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 $1,221.00 $1,221.00 Sep 1, 2026
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Lewisgale Hospital Pulaski Pulaski · Blacksburg-Christiansburg-Radford, VA Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 $1,221.00 $1,221.00 Sep 1, 2026
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Sovah Health - Martinsville Martinsville · Martinsville, VA Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 $1,270.80 $3,177.00 Jul 10, 2026
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Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC So Fetal Chrmoml Aneuploidy $1,555.20 $2,592.00 Apr 1, 2026
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Chippenham Hospital Chesterfield · Richmond, VA FETAL ANEPLOIDY 131821 $1,993.00 $1,993.00 Sep 1, 2026
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Johnston-Willis Hospital Richmond · Richmond, VA FETAL ANEPLOIDY 131821 $1,993.00 $1,993.00 Sep 1, 2026
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Parham Doctors Hospital Richmond · Richmond, VA Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 $1,993.00 $1,993.00 Sep 1, 2026
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Retreat Doctors Hospital Richmond · Richmond, VA Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 $1,993.00 $1,993.00 Sep 1, 2026
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Lewisgale Medical Center Roanoke · Roanoke, VA Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 $2,132.00 $2,132.00 Sep 1, 2026
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Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC FETAL CHROM ANEUPLOIDY GSA PANEL $2,474.00 $4,948.00 Apr 1, 2026
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Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC FETAL CHROM ANEUPLOIDY GSA PANEL $2,474.00 $4,948.00 Apr 1, 2026
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Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC FETAL CHROM ANEUPLOIDY GSA PANEL $2,474.00 $4,948.00 Apr 1, 2026
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Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC FETAL CHROM ANEUPLOIDY GSA PANEL $2,474.00 $4,948.00 Apr 1, 2026
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Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC FETAL CHROM ANEUPLOIDY GSA PANEL $2,474.00 $4,948.00 Apr 1, 2026
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Spotsylvania Regional Medical Center Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV FETAL ANEPLOIDY 131821 $3,795.00 $3,795.00 Sep 1, 2026
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Henrico Doctors Hospital - Forest Mechanicsville · Richmond, VA FETAL ANEPLOIDY 131821 $3,800.00 $3,800.00 Sep 1, 2026
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Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Virginia Beach-Chesapeake-Norfolk, VA-NC 9 $405.00 $405.00
Washington-Arlington-Alexandria, DC-VA-MD-WV 9 $405.00 $2,474.00
Richmond, VA 5 $1,993.00 $1,993.00
Roanoke, VA 5 $664.65 $762.30
Blacksburg-Christiansburg-Radford, VA 3 $762.30 $1,221.00
Big Stone Gap, VA 1 $1,029.60 $1,029.60
Bluefield, WV-VA 1 $1,159.90 $1,159.90
Charlottesville, VA 1 $405.00 $405.00
Emporia, VA 1 $1,195.80 $1,195.80
Harrisonburg, VA 1 $405.00 $405.00
Lexington, VA 1 $664.65 $664.65
Martinsville, VA 1 $1,270.80 $1,270.80
South Boston, VA 1 $405.00 $405.00
Suffolk, VA 1 $405.00 $405.00
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

What NIPT prenatal DNA test is, what the price covers and why prices differ: NIPT prenatal DNA test explained.

Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) in other states

Median cash price across the state's hospitals.