88173

Evaluation of fine needle aspirate with interpretation and report

Medicare pricing data for 8,198 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 with interpretation and report (HCPCS code 88173) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $85.04, but hospitals typically charge $276.42 — a 3.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$17.01

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $85.04, your out-of-pocket cost would be approximately $17.01. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$85.04
Average Hospital Charge
$276.42
Markup Ratio
3.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$276.42
Medicare Allowed$85.04
Medicare Payment$66.67

Hospitals charge 3.3x more than what Medicare allows for this procedure. Medicare actually pays $66.67 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$124$33441231,396+46.3%
California$115$35885740,036+34.7%
Puerto Rico$100$12034400+17.5%
Nevada$97$223652,978+14.4%
Connecticut$93$2611134,668+9.8%
Alaska$92$50112351+8.3%
New Jersey$89$2902098,653+4.2%
Delaware$87$225282,517+2.5%
Arizona$87$2201797,152+2.3%
Arkansas$87$215833,100+1.7%
Oregon$86$287842,081+1.4%
Tennessee$85$2322679,476+0.3%
Hawaii$85$201441,001-0.3%
District of Columbia$84$215211,917-1.4%
Florida$82$28353321,697-3.9%
Maryland$81$2331638,063-5.1%
Georgia$81$2532157,215-5.2%
Oklahoma$80$237653,483-5.7%
Virginia$80$2501947,421-6.4%
Texas$78$30762820,841-8.8%
Washington$78$1932436,983-8.8%
West Virginia$77$245521,485-9.4%
Utah$77$206811,751-9.6%
Massachusetts$75$28227011,815-11.4%
Indiana$74$2651367,953-13.0%
Alabama$73$180993,107-14.0%
New Mexico$73$243481,176-14.1%
North Carolina$73$21323410,983-14.5%
Montana$73$178331,260-14.7%
Minnesota$72$2962526,561-15.1%
Colorado$72$2171475,255-15.3%
Idaho$72$31122485-15.7%
Ohio$71$26331311,339-16.6%
Nebraska$71$226632,718-16.7%
South Carolina$71$2461337,157-16.9%
Mississippi$71$252672,329-17.0%
South Dakota$70$228541,414-17.5%
New Hampshire$70$481402,133-17.7%
Pennsylvania$70$21633416,414-17.9%
Illinois$70$29933415,461-18.0%
Iowa$70$246833,541-18.3%
Louisiana$69$1761264,218-18.4%
Rhode Island$69$343201,078-18.5%
Wisconsin$69$4541416,471-18.9%
Michigan$69$2312109,069-19.3%
Maine$68$198371,336-19.6%
Kansas$68$221843,218-19.7%
North Dakota$68$218301,147-19.9%
Missouri$68$2251655,831-20.0%
Kentucky$68$2201064,850-20.2%
Vermont$67$33319949-21.0%
Wyoming$67$24110126-21.2%

⚠️ 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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