88184

Flow cytometry technique for dna or cell analysis, first marker

Medicare pricing data for 1,446 providers across 46 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

Flow cytometry technique for dna or cell analysis, first marker (HCPCS code 88184) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $79.10, but hospitals typically charge $233.31 — a 2.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$15.82

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $79.10, your out-of-pocket cost would be approximately $15.82. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$79.10
Average Hospital Charge
$233.31
Markup Ratio
2.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$233.31
Medicare Allowed$79.10
Medicare Payment$61.38

Hospitals charge 2.9x more than what Medicare allows for this procedure. Medicare actually pays $61.38 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$91$289121+14.9%
New York$90$30415214,478+13.4%
Massachusetts$89$228584+11.9%
Maryland$88$240521,057+11.5%
California$86$2027911,863+9.1%
New Jersey$86$3223510,382+8.5%
Virginia$84$2161114,728+5.8%
Hawaii$83$17012125+4.3%
Connecticut$81$24845,161+2.2%
Washington$80$152481,066+1.1%
Rhode Island$77$193352-3.1%
Colorado$77$27346589-3.2%
Illinois$75$228311,129-5.3%
Minnesota$75$3081352,086-5.6%
Missouri$75$20013351-5.8%
Florida$74$1883211,394-6.2%
Nevada$74$1902478-6.2%
Montana$74$155117-6.3%
Puerto Rico$74$751078-6.5%
Arizona$74$179303,936-6.9%
Maine$73$1002134-7.5%
Wisconsin$73$23712395-7.7%
Oregon$73$19315238-8.0%
Michigan$71$17032343-9.8%
Texas$71$2262229,040-10.2%
Pennsylvania$71$1699217-10.4%
South Dakota$71$216648-10.8%
Utah$69$13610221-13.1%
North Carolina$69$148122,886-13.4%
Nebraska$68$15918316-13.8%
Indiana$68$17820303-14.2%
North Dakota$68$253317-14.2%
South Carolina$68$21228407-14.6%
Kansas$67$21940394-15.1%
Georgia$67$22919576-15.2%
Mississippi$67$200426-15.4%
West Virginia$67$330141-15.5%
New Mexico$67$2972193-15.9%
Tennessee$66$173634,508-16.7%
Louisiana$66$140331-17.2%
Alabama$66$232541,366-17.2%
Oklahoma$65$12816567-17.4%
Arkansas$62$15328843-21.7%
Kentucky$61$144214-23.3%
Ohio$60$17017571-24.7%
Iowa$55$111355-30.2%

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

Related from TheDataProject.ai

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