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Organization and Summary of Significant Accounting Policies Principles of Consolidation (Details) (USD $)
0 Months Ended 3 Months Ended
Feb. 18, 2015
Mar. 31, 2015
country
subsidiary
Test
Mar. 31, 2014
Dec. 31, 2014
Principles of Consolidation        
Number of wholly-owned subsidiaries   2ghdx_NumberOfWhollyOwnedSubsidiaries    
Revenue Recognition        
Minimum Number of Tests by Exclusive Distribution Agreements   1ghdx_MinimumNumberOfTestsByExclusiveDistributionAgreements    
Minimum Number of Countries Covered for Exclusive Distribution Agreements   90ghdx_MinimumNumberOfCountriesCoveredForExclusiveDistributionAgreements    
Accrued refunds   $ 1,100,000us-gaap_CustomerRefundLiabilityCurrent $ 944,000us-gaap_CustomerRefundLiabilityCurrent  
Contracts Revenue   0us-gaap_ContractsRevenue 0us-gaap_ContractsRevenue  
Allowance for Doubtful Accounts        
Allowance for Doubtful Accounts Receivable, Write-offs   1,000,000us-gaap_AllowanceForDoubtfulAccountsReceivableWriteOffs 1,500,000us-gaap_AllowanceForDoubtfulAccountsReceivableWriteOffs  
Bad debt expense   1,000,000us-gaap_ProvisionForDoubtfulAccounts 1,500,000us-gaap_ProvisionForDoubtfulAccounts  
Investments in Privately Held Companies        
Initial public offering of its common stock and converted to common stock (in shares) 2,207,793us-gaap_ConversionOfStockSharesConverted1      
Available-for-sale marketable security 37,000,000us-gaap_ConversionOfStockAmountConverted1      
Property and equipment | Minimum        
Property and Equipment and Internal-Use Software        
Estimated useful lives of the assets   3 years    
Property and equipment | Maximum        
Property and Equipment and Internal-Use Software        
Estimated useful lives of the assets   7 years    
Private company 2        
Investments in Privately Held Companies        
Carrying value of investments in privately held companies       $ 13,900,000us-gaap_CostMethodInvestments
/ us-gaap_MajorTypesOfDebtAndEquitySecuritiesAxis
= ghdx_PrivateCompany2Member
Genomic Health International Holdings, LLC        
Principles of Consolidation        
Number of wholly-owned subsidiaries   10ghdx_NumberOfWhollyOwnedSubsidiaries
/ dei_LegalEntityAxis
= ghdx_GenomicHealthInternationalHoldingsLLCMember