Lab tests
Breast cancer 21-gene expression test (e.g. Oncotype DX) cost in Missouri
Breast cancer 21-gene expression test (e.g. Oncotype DX) is a lab test. Many labs sell tests directly to the public for a flat cash price, often far below hospital prices.
Typical cash price
In Missouri
From 8 hospital and 0 clinic prices in Missouri.
Nationwide typical: $4,388 (most listed prices $1,820–$11,333).
Cheapest in Missouri
- Lafayette Regional Health CenterBreast cancer 21-gene expression test (e.g. Oncotype DX)Facility fee only$5,383
Doctor fees are billed separately.
Source: Lafayette Regional Health Center price file · checked Oct 2026 - St. Louis Childrens HospitalBreast cancer 21-gene expression test (e.g. Oncotype DX)Facility fee only$5,810
Doctor fees are billed separately.
Source: St. Louis Childrens Hospital price file · checked Oct 2026 - Barnes Jewish St. Peters HospitalBreast cancer 21-gene expression test (e.g. Oncotype DX)Facility fee only$7,685
Doctor fees are billed separately.
Source: Barnes Jewish St. Peters Hospital price file · checked Oct 2026 - Barnes Jewish West County HospitalBreast cancer 21-gene expression test (e.g. Oncotype DX)Facility fee only$7,685
Doctor fees are billed separately.
Source: Barnes Jewish West County Hospital price file · checked Oct 2026 - $7,685
Doctor fees are billed separately.
Source: Progress West Hospital price file · checked Oct 2026 - $8,175
Doctor fees are billed separately.
Source: Centerpoint Medical Center price file · checked Oct 2026 - $18,850
Doctor fees are billed separately.
Source: Research Medical Center price file · checked Sep 2026 - Research Psychiatric CenterBreast cancer 21-gene expression test (e.g. Oncotype DX)Facility fee only$18,850
Doctor fees are billed separately.
Source: Research Psychiatric Center price file · checked Oct 2026
See all prices for Breast cancer 21-gene expression test (e.g. Oncotype DX)
Common questions
Do I need a doctor's order?
In most states, direct-to-consumer labs can sell many tests without a separate doctor visit. Some states and some tests still require an order.
Is the blood draw included?
Usually yes for lab stores and booking sites. Hospitals sometimes bill the draw (venipuncture) separately.
Why are prices so different?
Each hospital and clinic sets its own cash price. Hospitals publish prices because federal rules require it; clinics and booking sites set prices to compete. The same service can cost several times more at one place than at another nearby.
Can I pay cash if I have insurance?
Yes. You can choose to self-pay. A cash price is often lower than what you would pay before meeting your deductible. Cash payments may not count toward your deductible, so check with your plan. Our cash vs. insurance tool can help you decide.
What is a Good Faith Estimate?
If you are uninsured or paying cash, providers must give you a Good Faith Estimate of the cost on request. If your final bill is $400 or more above the estimate, you can dispute it.