88275

Chromosome analysis for genetic defects, analyze 100-300 cells

Medicare pricing data for 165 providers across 31 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

Chromosome analysis for genetic defects, analyze 100-300 cells (HCPCS code 88275) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $50.02, but hospitals typically charge $208.40 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$10.00

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $50.02, your out-of-pocket cost would be approximately $10.00. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$50.02
Average Hospital Charge
$208.40
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$208.40
Medicare Allowed$50.02
Medicare Payment$50.02

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $50.02 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$50$2152179+0.3%
Hawaii$50$195283+0.3%
Indiana$50$1384110+0.3%
Iowa$50$370283+0.3%
Kansas$50$2531427+0.3%
Maine$50$106151+0.3%
Maryland$50$2434746+0.3%
Massachusetts$50$2312197+0.3%
Michigan$50$1123121+0.3%
New Jersey$50$23831,069+0.3%
New York$50$17651,485+0.3%
Oklahoma$50$1923107+0.3%
Pennsylvania$50$22651,008+0.3%
Tennessee$50$21125,437+0.3%
Utah$50$94796+0.3%
Virginia$50$1764148+0.3%
Washington$50$21231,036+0.3%
Wisconsin$50$2949230+0.3%
Alabama$50$1382954+0.3%
Colorado$50$2694288+0.3%
Arizona$50$21254,901+0.3%
Illinois$50$2016200+0.3%
North Carolina$50$20552,175+0.3%
Minnesota$50$175301,916+0.2%
Texas$50$136138,092+0.2%
California$50$2339865-0.0%
Ohio$50$1768334-0.3%
Nevada$50$2841408-0.4%
Florida$50$2659224-0.5%
Connecticut$49$29736,442-1.2%
Missouri$49$300174-2.4%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber