88302

Pathology examination of tissue using a microscope

Medicare pricing data for 8,297 providers across 51 states

🤖AI Overview

This procedure has a 8.0x markup — hospitals charge $72.24 but Medicare allows only $9.03. Uninsured patients may face bills 8.0 times higher than what insurance negotiates. Prices vary significantly by location — from $6 in Idaho to $22 in Arkansas. Where you get this procedure matters more than almost any other factor. 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

Pathology examination of tissue using a microscope (HCPCS code 88302) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $9.03, but hospitals typically charge $72.24 — a 8.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.81

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $9.03, your out-of-pocket cost would be approximately $1.81. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$9.03
Average Hospital Charge
$72.24
Markup Ratio
8.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$72.24
Medicare Allowed$9.03
Medicare Payment$6.98

Hospitals charge 8.0x more than what Medicare allows for this procedure. Medicare actually pays $6.98 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Arkansas$22$40882,207+140.5%
Washington$14$551541,025+53.4%
Puerto Rico$12$142549+38.0%
Connecticut$12$85115483+33.3%
California$12$808206,498+27.6%
Delaware$10$5527231+16.2%
Alabama$10$73117947+12.6%
Maryland$10$631851,541+9.1%
Georgia$10$701911,158+6.3%
Nevada$9$12245281+2.7%
New Jersey$9$802212,169-2.4%
Florida$9$955044,313-3.9%
Virginia$8$751681,258-6.2%
Oklahoma$8$5369576-7.3%
Alaska$8$1251272-7.6%
Texas$8$956583,671-7.9%
Arizona$8$441741,109-8.6%
New York$8$605604,415-8.9%
Kansas$8$7091665-9.9%
Oregon$8$4983265-14.1%
Mississippi$8$6769504-14.7%
Colorado$8$79116556-15.3%
Illinois$8$883792,275-15.6%
Tennessee$8$532201,398-16.7%
Indiana$8$951471,115-16.8%
North Dakota$7$4834301-17.1%
Pennsylvania$7$613972,823-17.6%
North Carolina$7$722071,372-17.9%
District of Columbia$7$6130329-18.1%
Minnesota$7$63179704-18.3%
Nebraska$7$5354403-18.3%
Ohio$7$823622,158-18.4%
Massachusetts$7$483352,338-19.8%
Michigan$7$652421,374-20.7%
Missouri$7$73181976-21.8%
South Carolina$7$881251,035-22.3%
Louisiana$7$62130736-22.4%
Wisconsin$7$108172819-22.4%
Iowa$7$7982741-22.9%
New Mexico$7$6641261-23.6%
Rhode Island$7$9040162-23.6%
Maine$7$2934179-24.1%
Hawaii$7$402594-24.4%
Kentucky$7$67117839-24.7%
New Hampshire$7$10941191-24.7%
Montana$7$4023205-24.9%
South Dakota$7$3235230-25.5%
Utah$7$7649167-27.6%
Vermont$7$5528152-27.9%
West Virginia$6$5049339-28.1%
Idaho$6$571552-30.2%

⚠️ 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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