Examination of archival tissue for genetic analysis
Medicare pricing data for 3,397 providers across 45 states
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
Examination of archival tissue for genetic analysis (HCPCS code 88363) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $19.90, but hospitals typically charge $94.40 — a 4.7x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $19.90, your out-of-pocket cost would be approximately $3.98. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.7x more than what Medicare allows for this procedure. Medicare actually pays $15.72 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $26 | $255 | 7 | 159 | +28.3% |
| New York | $22 | $104 | 146 | 1,178 | +10.6% |
| Nevada | $22 | $76 | 20 | 530 | +9.0% |
| Washington | $22 | $72 | 122 | 1,149 | +8.7% |
| California | $21 | $123 | 339 | 4,683 | +7.8% |
| New Jersey | $21 | $85 | 44 | 321 | +3.7% |
| Florida | $21 | $96 | 226 | 3,615 | +3.5% |
| Maryland | $20 | $72 | 90 | 1,392 | +2.9% |
| Oregon | $20 | $89 | 27 | 234 | +2.8% |
| Massachusetts | $20 | $79 | 76 | 709 | +2.7% |
| Connecticut | $20 | $77 | 42 | 194 | +2.5% |
| West Virginia | $20 | $67 | 12 | 273 | +1.7% |
| District of Columbia | $20 | $60 | 8 | 73 | +1.5% |
| Tennessee | $20 | $82 | 50 | 577 | +1.4% |
| Illinois | $20 | $105 | 169 | 3,284 | +0.8% |
| Arkansas | $20 | $62 | 27 | 565 | +0.7% |
| Minnesota | $20 | $101 | 52 | 425 | -0.3% |
| Pennsylvania | $20 | $89 | 212 | 2,055 | -0.3% |
| North Carolina | $20 | $66 | 71 | 1,147 | -0.3% |
| Kansas | $20 | $86 | 43 | 340 | -0.6% |
| Colorado | $20 | $75 | 48 | 295 | -0.9% |
| Delaware | $19 | $73 | 4 | 54 | -2.2% |
| New Mexico | $19 | $107 | 9 | 211 | -2.7% |
| Arizona | $19 | $83 | 63 | 1,265 | -2.8% |
| Michigan | $19 | $75 | 128 | 1,205 | -3.1% |
| Texas | $19 | $122 | 246 | 3,935 | -3.1% |
| Louisiana | $19 | $88 | 26 | 472 | -3.2% |
| Utah | $19 | $59 | 43 | 420 | -3.3% |
| North Dakota | $19 | $126 | 4 | 72 | -3.6% |
| Missouri | $19 | $99 | 138 | 1,947 | -3.7% |
| Oklahoma | $19 | $89 | 16 | 526 | -3.8% |
| Mississippi | $19 | $74 | 40 | 505 | -4.0% |
| Virginia | $19 | $117 | 84 | 1,610 | -4.3% |
| Indiana | $19 | $76 | 44 | 771 | -4.4% |
| Georgia | $19 | $78 | 116 | 2,214 | -4.5% |
| Montana | $19 | $58 | 6 | 61 | -4.5% |
| Idaho | $19 | $67 | 18 | 165 | -4.7% |
| Alabama | $19 | $57 | 52 | 827 | -5.4% |
| Ohio | $19 | $84 | 196 | 2,016 | -5.5% |
| New Hampshire | $19 | $69 | 4 | 54 | -5.6% |
| Nebraska | $19 | $58 | 49 | 746 | -5.9% |
| Wisconsin | $19 | $122 | 141 | 898 | -6.2% |
| South Carolina | $19 | $89 | 54 | 669 | -6.8% |
| Iowa | $19 | $78 | 40 | 483 | -7.0% |
| Kentucky | $18 | $89 | 32 | 388 | -7.2% |
⚠️ 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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