Surgical pathology consultation and report on referred slides prepared elsewhere
Medicare pricing data for 7,210 providers across 50 states
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
Surgical pathology consultation and report on referred slides prepared elsewhere (HCPCS code 88321) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $90.78, but hospitals typically charge $321.57 — a 3.5x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $90.78, your out-of-pocket cost would be approximately $18.16. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $70.37 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $107 | $399 | 3 | 33 | +18.0% |
| California | $101 | $261 | 737 | 31,798 | +11.3% |
| Maryland | $98 | $327 | 127 | 6,316 | +8.3% |
| Connecticut | $97 | $293 | 112 | 2,488 | +7.4% |
| Idaho | $94 | $175 | 4 | 514 | +3.5% |
| New York | $93 | $408 | 702 | 18,989 | +2.4% |
| Minnesota | $93 | $497 | 205 | 3,422 | +2.1% |
| Washington | $92 | $252 | 172 | 3,847 | +1.4% |
| Nevada | $92 | $296 | 17 | 89 | +1.0% |
| New Jersey | $91 | $346 | 169 | 1,502 | +0.6% |
| Colorado | $91 | $340 | 84 | 1,292 | -0.1% |
| Arizona | $90 | $472 | 130 | 2,391 | -0.4% |
| Massachusetts | $90 | $337 | 401 | 10,801 | -0.7% |
| District of Columbia | $90 | $250 | 21 | 139 | -1.3% |
| North Dakota | $89 | $285 | 9 | 63 | -1.4% |
| Hawaii | $89 | $178 | 34 | 112 | -1.8% |
| Missouri | $89 | $289 | 132 | 3,132 | -2.0% |
| Oregon | $89 | $329 | 67 | 1,417 | -2.1% |
| Rhode Island | $88 | $407 | 20 | 240 | -2.6% |
| Illinois | $88 | $403 | 305 | 4,490 | -2.7% |
| Ohio | $88 | $257 | 361 | 6,096 | -2.8% |
| Utah | $88 | $229 | 82 | 1,694 | -3.0% |
| Florida | $88 | $342 | 390 | 12,285 | -3.4% |
| Oklahoma | $87 | $315 | 65 | 336 | -4.2% |
| Virginia | $86 | $333 | 148 | 2,711 | -5.0% |
| New Mexico | $86 | $388 | 33 | 370 | -5.2% |
| Pennsylvania | $86 | $278 | 406 | 7,425 | -5.5% |
| Wisconsin | $86 | $395 | 148 | 2,231 | -5.6% |
| Louisiana | $85 | $250 | 56 | 356 | -6.0% |
| Texas | $85 | $315 | 405 | 12,512 | -6.3% |
| Delaware | $84 | $267 | 18 | 66 | -7.4% |
| Georgia | $84 | $382 | 138 | 1,190 | -7.5% |
| South Dakota | $84 | $290 | 25 | 553 | -7.8% |
| New Hampshire | $84 | $481 | 46 | 410 | -7.8% |
| Michigan | $84 | $338 | 288 | 6,103 | -8.0% |
| Indiana | $83 | $221 | 114 | 1,588 | -8.1% |
| South Carolina | $83 | $324 | 87 | 1,667 | -8.3% |
| North Carolina | $83 | $248 | 185 | 3,390 | -9.1% |
| Iowa | $83 | $341 | 91 | 1,533 | -9.1% |
| Tennessee | $82 | $390 | 186 | 3,199 | -9.6% |
| Montana | $82 | $249 | 11 | 19 | -9.8% |
| Alabama | $82 | $241 | 76 | 737 | -10.1% |
| Mississippi | $81 | $293 | 38 | 393 | -10.9% |
| Kentucky | $81 | $285 | 89 | 1,425 | -11.1% |
| Maine | $81 | $272 | 27 | 120 | -11.2% |
| Arkansas | $80 | $206 | 62 | 804 | -12.2% |
| West Virginia | $80 | $228 | 21 | 228 | -12.2% |
| Kansas | $79 | $219 | 63 | 1,247 | -12.5% |
| Nebraska | $78 | $303 | 39 | 963 | -13.8% |
| Vermont | $77 | $427 | 35 | 382 | -14.9% |
⚠️ 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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