88314

Special stained specimen slides to examine tissue and frozen preparation of specimen including interpretation and report

Medicare pricing data for 405 providers across 34 states

🤖AI Overview

Prices vary significantly by location — from $19 in North Carolina to $98 in New York. 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

Special stained specimen slides to examine tissue and frozen preparation of specimen including interpretation and report (HCPCS code 88314) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $65.14, but hospitals typically charge $167.85 — a 2.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$13.03

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $65.14, your out-of-pocket cost would be approximately $13.03. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$65.14
Average Hospital Charge
$167.85
Markup Ratio
2.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$167.85
Medicare Allowed$65.14
Medicare Payment$51.85

Hospitals charge 2.6x more than what Medicare allows for this procedure. Medicare actually pays $51.85 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$98$300273,015+50.7%
South Dakota$91$96386+39.1%
South Carolina$83$92121+27.5%
Utah$82$11110243+25.8%
Texas$80$267282,861+22.2%
Georgia$79$242322+20.6%
New Mexico$76$143331+17.3%
Nevada$70$1224477+7.2%
Arizona$67$1351113,403+3.6%
Florida$59$1591062-9.2%
Iowa$59$182975-9.7%
Arkansas$58$120221,534-11.4%
California$54$14841902-17.8%
Connecticut$50$110692-22.7%
Maryland$47$14911319-28.0%
Indiana$46$15510101-28.7%
Missouri$28$2395411-56.3%
Tennessee$27$728248-58.9%
District of Columbia$22$80354-65.8%
Wisconsin$22$1839141-66.1%
Washington$22$908116-66.9%
Massachusetts$21$8520243-67.5%
Minnesota$21$15216514-67.9%
Colorado$21$193355-68.5%
Oregon$20$784143-68.8%
Pennsylvania$20$19435471-68.8%
Michigan$20$9810136-69.0%
Illinois$20$91976-69.2%
Virginia$20$127368-69.3%
Ohio$20$951087-69.7%
Louisiana$20$190958-69.8%
Alabama$19$906155-70.3%
Nebraska$19$87468-70.5%
North Carolina$19$694125-70.6%

⚠️ 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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