88332

Pathology examination of specimen during surgery, each additional tissue block

Medicare pricing data for 6,171 providers across 52 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, each additional tissue block (HCPCS code 88332) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $42.22, but hospitals typically charge $124.98 — a 3.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$8.44

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $42.22, your out-of-pocket cost would be approximately $8.44. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$42.22
Average Hospital Charge
$124.98
Markup Ratio
3.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$124.98
Medicare Allowed$42.22
Medicare Payment$33.65

Hospitals charge 3.0x more than what Medicare allows for this procedure. Medicare actually pays $33.65 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$51$10846446,817+21.3%
Virginia$49$941382,371+15.6%
Idaho$49$12420676+15.2%
Arkansas$45$78542,033+7.2%
Nevada$45$14624243+5.9%
Wyoming$44$181420+5.1%
Alabama$44$85911,875+4.9%
New Jersey$44$1221171,540+4.7%
Massachusetts$44$1502032,882+4.6%
Maryland$44$1261351,815+4.2%
Illinois$43$1312604,653+1.1%
Tennessee$42$911631,602+0.1%
California$42$1314874,672-1.4%
Oregon$41$14271637-2.9%
Alaska$40$2561046-6.1%
Kentucky$38$100921,572-9.2%
Indiana$38$1351161,540-9.3%
Delaware$38$9531632-10.7%
Arizona$37$1271563,883-13.5%
New Mexico$37$12926155-13.5%
Georgia$36$1271421,591-15.1%
Texas$35$1815105,998-18.1%
New York$35$1123642,740-18.3%
Pennsylvania$34$1122923,268-18.4%
Mississippi$34$11856718-18.7%
Montana$34$9222128-19.5%
Colorado$33$12997789-23.0%
Connecticut$32$12489645-23.3%
North Carolina$32$1321762,100-24.2%
Washington$32$98103384-24.9%
Wisconsin$31$2101501,320-25.5%
Iowa$31$13273802-25.7%
Oklahoma$31$10162498-26.6%
Rhode Island$31$1091762-26.8%
District of Columbia$31$10323161-26.8%
South Carolina$31$161101586-27.0%
Nebraska$31$15760885-27.4%
Minnesota$30$18020411,077-28.4%
New Hampshire$30$27727213-28.4%
Ohio$30$1272641,859-28.7%
Puerto Rico$30$66826-28.8%
Missouri$30$113108707-29.0%
North Dakota$30$10019164-29.5%
Hawaii$30$1221650-29.5%
Michigan$30$1321801,146-29.8%
Utah$30$10748196-29.8%
Kansas$30$12587994-30.0%
South Dakota$30$10722210-30.1%
Vermont$30$15215146-30.1%
Louisiana$29$11581784-30.2%
West Virginia$29$13137233-31.8%
Maine$26$6736640-38.0%

⚠️ 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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