88172

Evaluation of fine needle aspirate

Medicare pricing data for 5,210 providers across 52 states

🤖AI Overview

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

Evaluation of fine needle aspirate (HCPCS code 88172) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $37.22, but hospitals typically charge $155.96 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.44

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $37.22, your out-of-pocket cost would be approximately $7.44. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$37.22
Average Hospital Charge
$155.96
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$155.96
Medicare Allowed$37.22
Medicare Payment$29.38

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $29.38 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$47$14827811,056+25.0%
Alaska$46$260353+24.7%
Delaware$45$12624785+20.2%
Puerto Rico$42$4321320+11.6%
California$40$15450811,665+8.5%
District of Columbia$40$12318861+8.1%
Rhode Island$40$9715193+7.3%
Virginia$39$1481252,941+5.3%
Oklahoma$39$13230889+4.6%
Tennessee$39$1291343,482+3.8%
Arizona$39$941032,166+3.8%
New Jersey$38$2071122,991+2.6%
Florida$38$1433105,809+2.1%
Oregon$38$10853901+2.1%
Massachusetts$37$1351532,992-1.6%
Connecticut$37$16873790-1.7%
Maryland$36$1271011,829-2.6%
Hawaii$36$8629637-3.0%
Washington$36$1121502,017-3.1%
Indiana$36$1661022,883-3.1%
Texas$36$2304319,827-4.5%
Ohio$36$1602415,161-4.5%
New Hampshire$35$18517339-5.1%
Mississippi$35$13342528-5.4%
Colorado$35$1241283,371-5.5%
Pennsylvania$35$1442586,007-6.3%
Illinois$35$1922728,580-6.7%
North Dakota$35$11122583-6.8%
Nevada$35$13835584-7.0%
Montana$34$8524402-7.4%
North Carolina$34$1481293,211-7.6%
Georgia$34$1381422,422-7.8%
Wyoming$34$1658105-7.8%
Missouri$34$1421091,957-8.1%
Vermont$34$16615589-8.3%
Michigan$34$1491382,401-8.5%
Wisconsin$34$312921,463-8.6%
Minnesota$34$135901,018-8.6%
Maine$34$10928521-8.7%
Iowa$34$143702,201-8.7%
South Dakota$34$15831572-9.0%
New Mexico$34$10831359-9.1%
Nebraska$34$15129621-9.5%
Utah$34$11936418-9.9%
Kentucky$33$118971,823-10.5%
South Carolina$33$162923,109-10.6%
Kansas$33$14350431-10.7%
Arkansas$33$11337640-10.9%
West Virginia$33$14526239-11.4%
Louisiana$33$110701,212-11.5%
Alabama$33$13148786-11.7%
Idaho$33$14712276-11.8%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber