88187

Flow cytometry technique for dna or cell analysis, 2 to 8 markers

Medicare pricing data for 1,442 providers across 45 states

🤖AI Overview

This procedure has a 7.7x markup — hospitals charge $268.56 but Medicare allows only $34.90. Uninsured patients may face bills 7.7 times higher than what insurance negotiates. 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, 2 to 8 markers (HCPCS code 88187) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.90, but hospitals typically charge $268.56 — a 7.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.98

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $34.90, your out-of-pocket cost would be approximately $6.98. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$34.90
Average Hospital Charge
$268.56
Markup Ratio
7.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$268.56
Medicare Allowed$34.90
Medicare Payment$27.09

Hospitals charge 7.7x more than what Medicare allows for this procedure. Medicare actually pays $27.09 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$38$273932,168+8.9%
District of Columbia$37$190213+6.7%
New Jersey$37$13737769+6.5%
Virginia$37$16247699+5.9%
Maryland$37$27327257+5.5%
Massachusetts$37$29348815+5.4%
California$37$2321181,637+5.0%
Connecticut$37$27523420+4.6%
Illinois$36$30354295+2.6%
Washington$36$15963490+2.5%
Rhode Island$36$137413+1.9%
Florida$35$349961,809+1.4%
Oregon$35$1401677+1.3%
Texas$35$4001111,869+0.6%
New Hampshire$35$1,285485-0.3%
Michigan$35$15365799-0.4%
Missouri$35$22725191-0.4%
Georgia$35$1931588-0.5%
Montana$35$130121-0.6%
Puerto Rico$35$35348-0.6%
New Mexico$35$1781175-1.1%
Pennsylvania$34$23558525-1.5%
North Dakota$34$164438-1.6%
Minnesota$34$298953,309-1.9%
Maine$34$126743-2.1%
Arizona$34$23626285-2.1%
Hawaii$34$270223-2.2%
South Carolina$34$2891087-2.3%
West Virginia$34$16214263-2.3%
Ohio$34$20947340-2.9%
South Dakota$34$100483-3.0%
Wisconsin$33$50855714-4.0%
Kansas$33$15517631-4.3%
Idaho$33$85214-4.6%
Alabama$33$11424659-4.8%
Iowa$33$28621386-4.9%
Indiana$33$15512246-5.0%
Kentucky$33$1591047-5.1%
Nebraska$33$1768159-5.3%
North Carolina$33$23244605-6.6%
Tennessee$33$43435864-6.8%
Arkansas$32$202152,042-7.0%
Utah$32$169514-7.1%
Louisiana$32$119514-7.2%
Oklahoma$32$18212247-7.4%

⚠️ 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

💊 Need post-procedure medications? Check costs on OpenPrescriber