88334

Pathology cytologic examination of specimen during surgery, each additional site

Medicare pricing data for 2,536 providers across 45 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, each additional site (HCPCS code 88334) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $37.08, but hospitals typically charge $146.82 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.42

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $37.08, your out-of-pocket cost would be approximately $7.42. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$37.08
Average Hospital Charge
$146.82
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$146.82
Medicare Allowed$37.08
Medicare Payment$29.49

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $29.49 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$40$1741572,420+8.2%
California$40$1472652,630+7.6%
Arizona$40$14052698+7.3%
Washington$39$9471702+5.3%
Massachusetts$39$13475404+4.9%
Virginia$38$134731,066+2.8%
Maryland$38$12041467+2.5%
New Jersey$38$14863447+2.2%
Hawaii$38$9321507+1.8%
Connecticut$38$14427240+1.8%
Oregon$38$14221131+1.7%
District of Columbia$38$13113143+1.6%
New Hampshire$38$131728+1.3%
Florida$37$1491271,057+0.5%
Colorado$37$8434179-0.5%
Montana$37$1181049-0.8%
Illinois$37$1671893,407-1.1%
North Dakota$37$10612391-1.2%
Nevada$37$181817-1.3%
Michigan$36$11034192-1.8%
Minnesota$36$13332156-2.0%
Pennsylvania$36$1141511,174-2.3%
Texas$36$1302151,490-3.0%
New Mexico$36$1544120-3.1%
Utah$36$11421351-3.5%
Nebraska$36$14320207-3.8%
Missouri$36$14141351-3.9%
Maine$36$93727-4.1%
Georgia$36$15971946-4.3%
North Carolina$35$176571,069-4.4%
Oklahoma$35$1121430-4.6%
Kentucky$35$13038520-4.6%
Ohio$35$118114977-4.8%
Wisconsin$35$253761,150-4.8%
South Carolina$35$13637221-4.9%
Iowa$35$10839390-5.0%
Tennessee$35$11368571-5.3%
West Virginia$35$16217204-5.4%
Kansas$35$16924659-5.4%
Idaho$35$197842-5.8%
Louisiana$35$1241367-6.2%
Arkansas$35$1071882-6.4%
Mississippi$35$14813108-6.4%
Alabama$34$11024242-7.4%
Indiana$33$12158684-10.0%

⚠️ 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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