88329

Pathology examination of specimen during surgery

Medicare pricing data for 3,734 providers across 50 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

Pathology examination of specimen during surgery (HCPCS code 88329) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $35.87, but hospitals typically charge $176.29 — a 4.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.17

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $35.87, your out-of-pocket cost would be approximately $7.17. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$35.87
Average Hospital Charge
$176.29
Markup Ratio
4.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$176.29
Medicare Allowed$35.87
Medicare Payment$28.40

Hospitals charge 4.9x more than what Medicare allows for this procedure. Medicare actually pays $28.40 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$46$4759126+28.3%
Louisiana$40$14328194+11.2%
New Jersey$39$19075257+8.7%
California$39$1724192,355+7.5%
District of Columbia$38$12114125+6.8%
New York$38$203151607+5.4%
New Mexico$37$29523151+3.6%
Washington$37$141101465+2.7%
Massachusetts$37$146157731+2.7%
Virginia$37$19675484+1.8%
New Hampshire$36$233614+1.6%
Arizona$36$222100515+1.3%
Maryland$36$16150145+1.1%
Pennsylvania$36$153141535+1.1%
Connecticut$36$20349212+0.4%
Illinois$36$184173786+0.3%
Iowa$36$14161505-0.4%
Rhode Island$35$13126102-1.1%
Florida$35$1982922,001-1.2%
Michigan$35$15792329-1.9%
Texas$35$1973452,244-2.1%
Nebraska$35$26030110-2.1%
Delaware$35$155714-2.2%
Tennessee$35$129128937-2.3%
Colorado$35$13567224-2.6%
Oregon$35$1262696-3.1%
North Dakota$35$1581346-3.3%
Nevada$35$17832175-3.4%
Hawaii$35$1131249-3.7%
Ohio$34$126124536-4.0%
Missouri$34$16283351-4.2%
Maine$34$1301035-4.7%
South Carolina$34$18675425-4.8%
Montana$34$1341139-4.9%
Vermont$34$3151692-5.0%
Utah$34$14232103-5.0%
Georgia$34$17982389-5.4%
South Dakota$34$15819167-5.4%
Minnesota$34$170114598-5.9%
Kentucky$34$15041189-6.0%
West Virginia$34$1631326-6.0%
North Carolina$34$15776312-6.2%
Wisconsin$34$29589206-6.2%
Indiana$33$20861189-6.8%
Kansas$33$14231316-6.9%
Alabama$33$12530134-7.0%
Mississippi$33$13530259-8.1%
Idaho$33$1581022-8.3%
Oklahoma$33$1292398-8.6%
Arkansas$33$11719140-9.1%

⚠️ 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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