Surgical pathology consultation and report, comprehensive
Medicare pricing data for 228 providers across 27 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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, comprehensive (HCPCS code 88325) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $159.94, but hospitals typically charge $413.92 — a 2.6x 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 $159.94, your out-of-pocket cost would be approximately $31.99. 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 2.6x more than what Medicare allows for this procedure. Medicare actually pays $125.44 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $175 | $848 | 8 | 46 | +9.7% |
| California | $166 | $256 | 24 | 4,140 | +3.8% |
| Massachusetts | $165 | $749 | 2 | 32 | +3.3% |
| Illinois | $163 | $659 | 3 | 45 | +2.0% |
| Connecticut | $163 | $630 | 1 | 37 | +1.6% |
| Washington | $158 | $325 | 4 | 14 | -1.0% |
| Colorado | $156 | $603 | 1 | 16 | -2.4% |
| Texas | $155 | $319 | 12 | 481 | -3.2% |
| Minnesota | $154 | $680 | 91 | 1,667 | -4.0% |
| Florida | $153 | $564 | 14 | 79 | -4.2% |
| Missouri | $153 | $629 | 3 | 12 | -4.3% |
| Arizona | $151 | $781 | 12 | 432 | -5.3% |
| Georgia | $150 | $609 | 3 | 144 | -6.1% |
| Utah | $149 | $319 | 2 | 335 | -6.7% |
| New Mexico | $149 | $1,003 | 1 | 17 | -6.8% |
| Ohio | $149 | $527 | 6 | 198 | -7.0% |
| District of Columbia | $146 | $490 | 2 | 23 | -8.5% |
| New Jersey | $142 | $951 | 3 | 23 | -11.4% |
| Pennsylvania | $141 | $679 | 15 | 104 | -11.9% |
| Tennessee | $139 | $435 | 5 | 11 | -12.9% |
| Maryland | $138 | $654 | 5 | 261 | -14.0% |
| Michigan | $133 | $445 | 32 | 273 | -17.1% |
| Virginia | $131 | $470 | 6 | 26 | -18.1% |
| Kentucky | $128 | $368 | 4 | 39 | -20.3% |
| Oklahoma | $128 | $510 | 8 | 15 | -20.3% |
| Louisiana | $127 | $375 | 5 | 36 | -20.5% |
| North Carolina | $127 | $580 | 18 | 400 | -20.5% |
⚠️ 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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