88237

Tissue culture for tumor disorders of bone marrow and blood cells

Medicare pricing data for 225 providers across 34 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

Tissue culture for tumor disorders of bone marrow and blood cells (HCPCS code 88237) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $140.57, but hospitals typically charge $455.54 — a 3.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$28.11

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $140.57, your out-of-pocket cost would be approximately $28.11. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$140.57
Average Hospital Charge
$455.54
Markup Ratio
3.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$455.54
Medicare Allowed$140.57
Medicare Payment$140.57

Hospitals charge 3.2x more than what Medicare allows for this procedure. Medicare actually pays $140.57 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Hawaii$141$449315+0.2%
Illinois$141$3965107+0.2%
Indiana$141$392563+0.2%
Maine$141$260132+0.2%
Maryland$141$5083103+0.2%
Massachusetts$141$567370+0.2%
Michigan$141$312347+0.2%
Nevada$141$6301118+0.2%
New Mexico$141$861122+0.2%
Oklahoma$141$4722138+0.2%
Oregon$141$361218+0.2%
Utah$141$421944+0.2%
Virginia$141$42715399+0.2%
West Virginia$141$430125+0.2%
Alabama$141$3302209+0.2%
Arizona$141$60131,634+0.2%
Colorado$141$515416+0.2%
North Carolina$141$5534891+0.2%
Pennsylvania$141$6655667+0.2%
Minnesota$141$1,0659813+0.1%
California$141$285184,783+0.1%
New York$141$534101,174+0.1%
New Jersey$141$58553,475+0.0%
Texas$141$359293,402+0.0%
Ohio$141$531589-0.0%
Tennessee$141$593162,904-0.0%
Florida$141$356188,831-0.0%
Wisconsin$141$5431160-0.0%
Georgia$140$3633558-0.1%
Connecticut$140$53761,829-0.2%
Kansas$140$5926113-0.3%
Washington$140$4957567-0.4%
Puerto Rico$137$140260-2.3%
Missouri$137$520125-2.6%

⚠️ 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