88188

Flow cytometry technique for dna or cell analysis, 9 to 15 markers

Medicare pricing data for 2,103 providers across 48 states

🤖AI Overview

This procedure has a 6.0x markup — hospitals charge $373.67 but Medicare allows only $61.77. Uninsured patients may face bills 6.0 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, 9 to 15 markers (HCPCS code 88188) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $61.77, but hospitals typically charge $373.67 — a 6.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$12.35

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $61.77, your out-of-pocket cost would be approximately $12.35. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$61.77
Average Hospital Charge
$373.67
Markup Ratio
6.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$373.67
Medicare Allowed$61.77
Medicare Payment$48.39

Hospitals charge 6.0x more than what Medicare allows for this procedure. Medicare actually pays $48.39 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$67$3351653,531+7.9%
New Jersey$66$34744994+6.3%
New York$66$3681543,783+6.3%
District of Columbia$65$262466+5.0%
Massachusetts$65$387711,567+5.0%
Maryland$64$29136570+4.1%
Connecticut$64$443411,045+4.0%
Washington$64$22976885+2.9%
Illinois$63$437841,551+2.1%
Pennsylvania$63$371812,606+1.9%
Rhode Island$62$1759160+0.4%
Colorado$62$36129833+0.1%
Virginia$62$34142936+0.1%
Oregon$62$23828297-0.4%
New Hampshire$61$1,9017361-0.6%
Florida$61$3301402,283-0.8%
Texas$61$7801973,253-1.1%
Hawaii$61$222965-1.3%
Michigan$61$270851,699-1.6%
Montana$61$165255-1.8%
Arizona$60$27341321-2.2%
Louisiana$60$1621186-2.3%
Utah$60$23523195-2.8%
Nevada$60$240813-2.8%
Georgia$60$259361,069-2.9%
Missouri$60$253491,063-3.2%
Minnesota$60$3081162,084-3.3%
North Dakota$60$21811368-3.7%
Maine$59$1878225-3.7%
Vermont$59$2897233-3.8%
South Dakota$59$18110144-4.0%
West Virginia$59$2389459-4.1%
New Mexico$59$24911122-4.7%
Wisconsin$59$59349898-4.8%
North Carolina$59$30757983-5.3%
South Carolina$58$36723866-5.3%
Indiana$58$31935621-5.4%
Ohio$58$331711,161-5.6%
Iowa$58$37929625-5.8%
Kansas$58$20325794-5.8%
Idaho$58$127339-5.9%
Kentucky$58$20711312-6.0%
Oklahoma$58$21123948-6.8%
Alabama$57$19918441-7.2%
Arkansas$57$27424333-7.4%
Nebraska$57$21015232-7.4%
Tennessee$57$20152721-7.5%
Mississippi$57$245673-8.0%

⚠️ 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