Surgical pathology consultation and report on referred material requiring preparation of slides
Medicare pricing data for 2,861 providers across 45 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 material requiring preparation of slides (HCPCS code 88323) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $95.32, but hospitals typically charge $294.54 — a 3.1x 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 $95.32, your out-of-pocket cost would be approximately $19.06. 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 3.1x more than what Medicare allows for this procedure. Medicare actually pays $74.72 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $119 | $263 | 7 | 28 | +24.8% |
| Delaware | $112 | $312 | 7 | 209 | +17.5% |
| Maryland | $110 | $397 | 38 | 1,115 | +15.0% |
| Idaho | $106 | $144 | 3 | 39 | +11.2% |
| Georgia | $106 | $361 | 55 | 804 | +11.0% |
| Massachusetts | $104 | $371 | 95 | 596 | +9.1% |
| California | $104 | $266 | 384 | 10,636 | +8.9% |
| Arizona | $101 | $331 | 54 | 550 | +6.4% |
| Illinois | $100 | $462 | 134 | 669 | +5.2% |
| Missouri | $100 | $283 | 46 | 230 | +4.9% |
| Oregon | $100 | $318 | 52 | 629 | +4.8% |
| New York | $100 | $365 | 240 | 1,270 | +4.7% |
| Colorado | $97 | $346 | 44 | 404 | +2.3% |
| Arkansas | $97 | $242 | 44 | 176 | +1.9% |
| Florida | $95 | $256 | 161 | 2,050 | -0.0% |
| Wisconsin | $94 | $369 | 50 | 209 | -1.7% |
| Minnesota | $93 | $496 | 57 | 1,124 | -2.3% |
| Indiana | $93 | $271 | 55 | 460 | -2.4% |
| North Carolina | $93 | $257 | 62 | 318 | -2.6% |
| Washington | $93 | $251 | 88 | 790 | -2.7% |
| Michigan | $93 | $273 | 58 | 320 | -2.8% |
| Texas | $93 | $297 | 200 | 1,901 | -2.9% |
| Virginia | $92 | $246 | 46 | 564 | -3.9% |
| New Jersey | $92 | $236 | 43 | 579 | -3.9% |
| Utah | $91 | $207 | 62 | 283 | -4.2% |
| District of Columbia | $91 | $243 | 14 | 72 | -4.2% |
| Oklahoma | $91 | $216 | 26 | 87 | -4.2% |
| New Mexico | $91 | $640 | 3 | 53 | -4.3% |
| Pennsylvania | $90 | $289 | 135 | 967 | -5.4% |
| Kentucky | $90 | $192 | 36 | 394 | -5.9% |
| South Carolina | $87 | $398 | 35 | 249 | -8.5% |
| New Hampshire | $87 | $756 | 20 | 37 | -8.9% |
| Alabama | $86 | $242 | 49 | 255 | -9.4% |
| Connecticut | $86 | $287 | 24 | 337 | -9.8% |
| South Dakota | $86 | $284 | 10 | 202 | -9.9% |
| Montana | $85 | $185 | 3 | 17 | -11.0% |
| Maine | $84 | $213 | 12 | 22 | -11.5% |
| Mississippi | $83 | $279 | 15 | 60 | -12.8% |
| West Virginia | $83 | $267 | 11 | 29 | -13.2% |
| Nebraska | $82 | $189 | 15 | 229 | -14.4% |
| Tennessee | $79 | $387 | 62 | 528 | -17.3% |
| Iowa | $78 | $389 | 59 | 852 | -18.2% |
| Ohio | $66 | $201 | 161 | 2,308 | -30.3% |
| Kansas | $65 | $187 | 32 | 275 | -32.3% |
| Louisiana | $62 | $162 | 22 | 65 | -35.3% |
⚠️ 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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