88189

Flow cytometry technique for dna or cell analysis, 16 or more markers

Medicare pricing data for 3,814 providers across 51 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, 16 or more markers (HCPCS code 88189) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $84.26, but hospitals typically charge $395.89 — a 4.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$16.85

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $84.26, your out-of-pocket cost would be approximately $16.85. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$84.26
Average Hospital Charge
$395.89
Markup Ratio
4.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$395.89
Medicare Allowed$84.26
Medicare Payment$66.15

Hospitals charge 4.7x more than what Medicare allows for this procedure. Medicare actually pays $66.15 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$111$1,181653+31.3%
New York$91$41222920,154+7.8%
District of Columbia$90$29912592+6.5%
California$89$28033141,306+5.2%
New Jersey$88$40110917,786+4.9%
Massachusetts$87$456926,111+3.6%
Connecticut$86$427516,546+2.0%
Maryland$86$355722,874+1.9%
Washington$85$2761295,345+0.5%
Virginia$85$3741117,463+0.4%
Illinois$84$5261466,560+0.1%
Delaware$84$26213236-0.8%
Florida$83$41025222,738-0.9%
Oregon$83$319411,315-1.3%
Michigan$83$3231074,249-1.4%
Rhode Island$83$22514110-1.5%
Pennsylvania$83$5261706,266-1.6%
New Hampshire$83$1,8244189-1.7%
Montana$82$2268575-2.3%
Puerto Rico$82$83836-2.6%
Texas$82$61033322,470-2.7%
Hawaii$82$29134892-3.1%
Maine$82$29016843-3.1%
Nevada$82$701201,139-3.1%
Georgia$81$267805,772-3.4%
Colorado$81$440521,986-3.5%
Minnesota$81$3971412,766-3.8%
New Mexico$81$39716609-4.0%
North Dakota$81$25210167-4.0%
Mississippi$81$30328695-4.2%
Utah$81$303401,313-4.3%
Missouri$81$4081003,687-4.3%
Vermont$81$39210568-4.4%
Arizona$80$299928,147-4.5%
South Dakota$80$24312505-4.6%
Louisiana$80$223462,026-4.9%
Ohio$80$3461537,045-5.5%
Nebraska$80$29625856-5.6%
Wisconsin$79$811923,230-5.7%
West Virginia$79$30025775-6.0%
North Carolina$79$446836,528-6.1%
Kentucky$79$235321,719-6.2%
Iowa$79$448431,246-6.2%
South Carolina$79$517512,497-6.3%
Alabama$79$309352,902-6.5%
Idaho$79$163331-6.6%
Indiana$79$510592,540-6.6%
Tennessee$79$33414811,089-6.6%
Kansas$78$331482,097-6.9%
Oklahoma$78$208261,059-7.2%
Arkansas$78$293481,746-7.7%

⚠️ 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