88108

Cell examination of specimen, concentration technique

Medicare pricing data for 5,382 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $21 in Indiana to $51 in Puerto Rico. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Cell examination of specimen, concentration technique (HCPCS code 88108) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $27.95, but hospitals typically charge $134.34 — a 4.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.59

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $27.95, your out-of-pocket cost would be approximately $5.59. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$27.95
Average Hospital Charge
$134.34
Markup Ratio
4.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$134.34
Medicare Allowed$27.95
Medicare Payment$21.69

Hospitals charge 4.8x more than what Medicare allows for this procedure. Medicare actually pays $21.69 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$51$8320284+82.0%
Connecticut$48$104453,144+72.3%
Tennessee$42$1281303,111+48.6%
New Jersey$40$17113117,050+42.8%
Illinois$32$17728312,877+16.1%
New York$32$15331912,922+14.3%
Oregon$31$109621,001+10.3%
Alaska$30$27516550+7.9%
Florida$30$12337117,522+7.1%
Alabama$29$81671,494+2.0%
California$28$11661022,175-1.6%
Massachusetts$27$1161134,007-4.6%
Washington$26$981601,688-7.7%
Hawaii$26$8544737-7.8%
Nevada$25$167512,337-9.1%
Michigan$25$1031392,006-9.1%
Kansas$25$105422,393-11.7%
New Mexico$25$8432567-11.7%
Minnesota$24$1311362,058-12.6%
Virginia$24$1231453,282-14.6%
Arizona$24$112832,098-15.1%
District of Columbia$24$11211119-15.2%
South Carolina$24$132822,840-15.3%
Maryland$23$132942,961-16.0%
Missouri$23$1251275,639-16.1%
Arkansas$23$66571,751-17.4%
Colorado$23$125872,344-17.6%
North Dakota$23$9216790-17.6%
Texas$23$16652518,593-18.6%
Rhode Island$22$10512136-20.0%
Delaware$22$1201385-20.1%
Wisconsin$22$289962,207-20.1%
New Hampshire$22$35220346-20.9%
South Dakota$22$9233649-21.6%
Pennsylvania$22$1002246,614-21.8%
West Virginia$22$10431579-21.8%
Montana$22$6215773-22.1%
Utah$22$8843691-22.1%
Wyoming$22$91371-22.6%
Vermont$22$11321205-22.8%
Kentucky$22$108622,244-22.9%
North Carolina$22$1131171,816-23.1%
Idaho$21$8319377-23.3%
Mississippi$21$118391,694-23.3%
Oklahoma$21$8128871-23.8%
Maine$21$8324344-23.9%
Nebraska$21$81441,185-24.3%
Iowa$21$116531,891-24.4%
Louisiana$21$105571,017-24.5%
Georgia$21$981272,989-24.5%
Ohio$21$912054,370-24.6%
Indiana$21$111763,210-25.3%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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