Lab tests
Breast cancer 21-gene expression test (e.g. Oncotype DX) cost in Texas
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 Texas
From 28 hospital and 0 clinic prices in Texas.
Nationwide typical: $4,388 (most listed prices $1,820–$11,333).
Cheapest in Texas
- Baylor Scott & White Continuing Care HospitalBreast cancer 21-gene expression test (e.g. Oncotype DX)Facility fee only$504
Doctor fees are billed separately. +7 more in this system at the same published price.
Source: Baylor Scott & White Continuing Care Hospital price file · checked Oct 2026 - Baylor Scott & White Emergency Medical Center - Cedar ParkBreast cancer 21-gene expression test (e.g. Oncotype DX)Facility fee only$504
Doctor fees are billed separately. +6 more in this system at the same published price.
Source: Baylor Scott & White Emergency Medical Center - Ce price fil · checked Oct 2026 - $1,651
Doctor fees are billed separately. Location not independently confirmed.
Source: UTHealth East Texas Tyler price file · checked Oct 2026 - Houston Methodist Baytown HospitalBreast cancer 21-gene expression test (e.g. Oncotype DX)Facility fee only$2,855
Doctor fees are billed separately. +4 more in this system at the same published price.
Source: Houston Methodist Baytown Hospital price file · checked Oct 2026 - Houston Methodist Continuing Care HospitalBreast cancer 21-gene expression test (e.g. Oncotype DX)Facility fee only$2,855
Doctor fees are billed separately. +2 more in this system at the same published price.
Source: Houston Methodist Continuing Care Hospital price file · checked Oct 2026 - $2,855
Doctor fees are billed separately.
Source: Houston Methodist Hospital price file · checked Oct 2026 - Valley Regional Medical CenterBreast cancer 21-gene expression test (e.g. Oncotype DX)Facility fee only$5,647
Doctor fees are billed separately.
Source: Valley Regional Medical Center price file · checked Sep 2026 - South Austin Medical CenterBreast cancer 21-gene expression test (e.g. Oncotype DX)Facility fee only$12,801
Doctor fees are billed separately.
Source: South Austin Medical Center price file · checked Oct 2026 - $13,426
Doctor fees are billed separately.
Source: HCA Houston Northwest 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.