88311

Preparation of tissue for examination by removing any calcium present

Medicare pricing data for 11,441 providers across 52 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

Preparation of tissue for examination by removing any calcium present (HCPCS code 88311) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.16, but hospitals typically charge $54.95 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.63

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $13.16, your out-of-pocket cost would be approximately $2.63. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$13.16
Average Hospital Charge
$54.95
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$54.95
Medicare Allowed$13.16
Medicare Payment$10.36

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $10.36 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Arkansas$17$3611319,108+25.5%
Puerto Rico$16$31641,018+24.8%
Arizona$15$4825713,665+14.6%
Alaska$15$8517684+13.8%
New Jersey$15$6227817,941+13.4%
New York$15$6272337,933+13.1%
Utah$15$461193,559+12.3%
California$15$511,14566,402+12.1%
New Mexico$14$52652,906+9.3%
Massachusetts$14$5142821,344+4.3%
Connecticut$14$501715,745+4.3%
Texas$13$6397245,234+1.3%
District of Columbia$13$43401,813-2.1%
Washington$13$393097,362-2.1%
Oregon$13$451332,560-2.2%
Maryland$13$4720511,102-3.1%
Delaware$13$37341,380-3.6%
Hawaii$13$37451,317-3.9%
Illinois$13$6446721,502-4.3%
Georgia$12$5226112,007-5.1%
Rhode Island$12$4839778-5.1%
Montana$12$34291,399-5.7%
Wyoming$12$3813211-5.9%
Colorado$12$501565,701-6.4%
Alabama$12$431235,089-6.8%
North Carolina$12$5130312,242-7.1%
Florida$12$6669169,620-7.4%
Nevada$12$46742,344-7.6%
New Hampshire$12$95451,910-7.7%
Pennsylvania$12$6350123,277-7.7%
Virginia$12$482109,152-8.0%
Nebraska$12$52843,481-8.1%
Maine$12$38581,525-8.7%
North Dakota$12$45401,970-8.7%
Iowa$12$57925,257-8.7%
Michigan$12$6036310,998-9.1%
Missouri$12$4723611,087-9.1%
Minnesota$12$623636,967-9.2%
Vermont$12$5433817-9.3%
Oklahoma$12$38973,924-9.6%
South Dakota$12$42452,049-10.0%
South Carolina$12$5516810,851-10.0%
Ohio$12$5245616,568-10.1%
Tennessee$12$4232116,102-10.1%
Kentucky$12$381445,435-10.2%
Kansas$12$471226,025-11.0%
Louisiana$12$381677,087-11.1%
Idaho$12$4825777-11.2%
Indiana$12$561846,978-11.2%
Mississippi$12$45883,910-11.6%
West Virginia$12$48632,595-11.6%
Wisconsin$12$932536,560-12.1%

⚠️ 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