88333

Pathology cytologic examination of specimen during surgery, initial site

Medicare pricing data for 4,862 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 cytologic examination of specimen during surgery, initial site (HCPCS code 88333) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $61.43, but hospitals typically charge $235.50 — a 3.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$12.29

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $61.43, your out-of-pocket cost would be approximately $12.29. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$61.43
Average Hospital Charge
$235.50
Markup Ratio
3.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$235.50
Medicare Allowed$61.43
Medicare Payment$48.69

Hospitals charge 3.8x more than what Medicare allows for this procedure. Medicare actually pays $48.69 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$82$478727+33.4%
New York$66$2732795,231+7.9%
California$66$2604825,594+7.9%
New Jersey$65$2461221,383+6.5%
District of Columbia$65$23421164+5.2%
Florida$64$2552883,243+4.7%
Arizona$63$22888865+3.3%
Massachusetts$63$220123990+3.2%
Maryland$63$205881,000+3.1%
Hawaii$63$15030495+2.5%
Washington$63$1571592,265+2.3%
New Hampshire$62$2951787+1.2%
Connecticut$62$23938214+1.1%
Virginia$62$2291272,629+0.9%
Nevada$62$22032201+0.1%
Rhode Island$61$1641485-0.2%
Colorado$61$215921,132-0.4%
North Dakota$61$18520255-1.5%
Illinois$60$2782513,607-1.6%
Pennsylvania$60$2882473,616-1.8%
South Dakota$60$22722208-2.1%
Minnesota$60$235114918-2.5%
Oregon$60$17844234-2.5%
Delaware$60$20014124-2.6%
Montana$60$16917227-2.6%
Michigan$60$24189398-2.6%
New Mexico$60$20117202-2.9%
Maine$60$2001160-3.0%
Utah$59$17642429-3.6%
Texas$59$2084685,005-3.8%
Nebraska$59$21436429-3.9%
Missouri$59$21782760-4.0%
Ohio$59$2121991,844-4.3%
Iowa$59$20757847-4.4%
Wisconsin$59$4321141,240-4.6%
Vermont$59$2058108-4.8%
North Carolina$58$2211021,577-4.8%
Arkansas$58$16251339-4.9%
South Carolina$58$19868803-5.0%
Georgia$58$2301091,488-5.0%
Kentucky$58$173901,330-5.2%
Louisiana$58$20166792-5.3%
Tennessee$58$1861592,016-5.3%
Oklahoma$58$23124190-5.6%
West Virginia$57$18230411-6.6%
Mississippi$57$24528239-6.6%
Idaho$57$29113153-6.7%
Alabama$57$17346684-6.8%
Indiana$57$2161091,529-6.9%
Kansas$56$25846490-9.4%

⚠️ 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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