88360

Microscopic genetic analysis of tumor, manual

Medicare pricing data for 11,682 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $40 in Maine to $85 in Arizona. 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 tumor, manual (HCPCS code 88360) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $60.38, but hospitals typically charge $204.91 — a 3.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$12.08

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $60.38, your out-of-pocket cost would be approximately $12.08. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$60.38
Average Hospital Charge
$204.91
Markup Ratio
3.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$204.91
Medicare Allowed$60.38
Medicare Payment$47.93

Hospitals charge 3.4x more than what Medicare allows for this procedure. Medicare actually pays $47.93 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Arizona$85$11326199,139+40.2%
Puerto Rico$77$9729187+27.9%
California$72$2261,222101,309+18.5%
Illinois$70$23746537,423+16.2%
New Jersey$69$24325617,407+13.6%
Arkansas$65$210963,043+8.1%
Nevada$64$176752,589+6.6%
New Mexico$63$273522,647+5.0%
Hawaii$61$169511,525+0.3%
Utah$60$1911163,236+0.1%
Maryland$60$22722711,626-0.0%
New York$60$26588649,121-1.4%
Florida$57$19762841,530-6.3%
Massachusetts$56$21248430,907-6.6%
Alaska$56$57113870-7.6%
Connecticut$55$2272008,335-8.2%
Tennessee$55$20437414,956-8.2%
Oregon$55$2191455,812-9.2%
Washington$54$15933015,482-10.5%
Iowa$54$2231345,887-11.0%
Texas$53$26887845,330-12.7%
Nebraska$52$187863,168-13.8%
Minnesota$51$2454078,566-15.8%
Alabama$48$1701094,010-19.9%
Kansas$48$1721174,617-20.0%
North Carolina$47$19728212,941-21.5%
Colorado$47$1751699,121-22.7%
South Carolina$46$2051435,700-23.6%
Wyoming$46$218796-23.7%
North Dakota$45$179411,961-25.3%
Virginia$45$18920913,627-26.0%
District of Columbia$44$163401,980-26.4%
Georgia$44$1792217,360-26.4%
Mississippi$44$196652,200-26.9%
New Hampshire$44$368592,757-27.1%
Delaware$44$149282,584-27.5%
Wisconsin$43$36227410,235-28.8%
Oklahoma$43$166955,467-29.1%
Michigan$43$16934011,584-29.3%
Louisiana$42$1941433,240-29.7%
Pennsylvania$42$21651123,359-30.0%
Missouri$42$1762409,649-30.1%
Kentucky$42$1661337,293-30.3%
Rhode Island$42$208451,601-30.5%
Montana$42$146282,602-30.8%
Idaho$41$150251,522-31.4%
Indiana$41$2102188,509-31.5%
Ohio$41$19052218,349-31.6%
South Dakota$41$150441,973-32.1%
West Virginia$40$162521,217-33.2%
Vermont$40$204341,127-33.3%
Maine$40$133602,496-33.5%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber