88361

Microscopic genetic analysis of tumor, using computer-assisted technology

Medicare pricing data for 2,151 providers across 48 states

🤖AI Overview

Prices vary significantly by location — from $39 in West Virginia to $81 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 tumor, using computer-assisted technology (HCPCS code 88361) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $64.54, but hospitals typically charge $291.78 — a 4.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$12.91

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $64.54, your out-of-pocket cost would be approximately $12.91. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$64.54
Average Hospital Charge
$291.78
Markup Ratio
4.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$291.78
Medicare Allowed$64.54
Medicare Payment$51.28

Hospitals charge 4.5x more than what Medicare allows for this procedure. Medicare actually pays $51.28 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$81$4233769,176+25.1%
California$67$15518822,202+3.7%
North Dakota$66$1482284+2.1%
Texas$65$2211857,111+1.5%
New Jersey$61$224251,172-4.9%
Alaska$60$445226-7.2%
Florida$56$1791159,592-13.0%
North Carolina$55$220712,721-14.0%
Arizona$55$140684,214-15.2%
Colorado$52$17043870-20.0%
Minnesota$51$3201121,664-20.4%
Washington$51$213851,083-21.5%
Arkansas$50$219431,723-22.0%
Tennessee$50$178582,215-22.6%
Massachusetts$50$21524445-22.8%
Utah$48$215471,781-25.6%
Virginia$48$23240668-25.8%
Mississippi$48$168221,363-26.0%
South Dakota$48$2243568-26.1%
Indiana$47$212342,436-26.8%
Nebraska$46$19216560-28.2%
New Mexico$45$1304129-29.7%
Maryland$44$153552,048-31.2%
Connecticut$44$2243201-31.3%
Georgia$44$2161347,079-32.3%
New Hampshire$44$18612401-32.6%
Louisiana$43$167483,667-32.6%
Delaware$43$1082136-32.8%
Alabama$43$180501,310-32.9%
Iowa$43$189491,879-33.3%
Kansas$43$202572,462-33.3%
Wisconsin$43$32126907-33.6%
Missouri$42$233422,491-34.2%
South Carolina$42$239934,791-34.2%
Wyoming$42$1805192-34.5%
Michigan$42$454372,096-34.5%
Illinois$42$342601,719-34.6%
Rhode Island$42$250374-34.6%
Nevada$42$19515181-34.9%
Pennsylvania$42$203751,648-35.2%
Idaho$42$114143-35.2%
Maine$41$174591-35.9%
Oklahoma$41$15532297-36.2%
Ohio$41$204421,213-36.5%
Kentucky$40$21832828-37.4%
Montana$39$148555-39.1%
Hawaii$39$99474-39.4%
West Virginia$39$28217396-40.1%

⚠️ 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