88356

Microscopic genetic analysis of nerve tissue

Medicare pricing data for 97 providers across 20 states

🤖AI Overview

Prices vary significantly by location — from $116 in Alabama to $257 in New York. Where you get this procedure matters more than almost any other factor. 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

Microscopic genetic analysis of nerve tissue (HCPCS code 88356) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $207.39, but hospitals typically charge $482.07 — a 2.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$41.48

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $207.39, your out-of-pocket cost would be approximately $41.48. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$207.39
Average Hospital Charge
$482.07
Markup Ratio
2.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$482.07
Medicare Allowed$207.39
Medicare Payment$165.22

Hospitals charge 2.3x more than what Medicare allows for this procedure. Medicare actually pays $165.22 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$257$77893,750+23.8%
Georgia$227$32942,219+9.6%
Utah$221$4558290+6.4%
South Carolina$218$232122+5.3%
Indiana$218$242153+5.2%
Tennessee$216$510238+4.2%
Texas$211$96392,446+1.8%
Arkansas$210$4311871+1.4%
California$208$4114156+0.4%
Missouri$205$896160-1.4%
Minnesota$204$7242132-1.8%
Arizona$194$3381113,308-6.6%
North Carolina$186$355286-10.5%
Maryland$177$6475499-14.8%
Florida$147$3196321-29.2%
Massachusetts$129$4531080-37.7%
Pennsylvania$123$526151-40.7%
Nevada$120$2011111-42.2%
Kansas$119$317217-42.5%
Alabama$116$340344-43.9%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber