Microscopic genetic analysis of tissue, manual, initial procedure
Medicare pricing data for 1,006 providers across 38 states
Prices vary significantly by location — from $39 in Arkansas to $143 in Connecticut. 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 tissue, manual, initial procedure (HCPCS code 88368) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $76.17, but hospitals typically charge $358.48 — 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 $76.17, your out-of-pocket cost would be approximately $15.23. 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 $60.44 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Connecticut | $143 | $511 | 7 | 614 | +87.5% |
| New Jersey | $126 | $634 | 11 | 1,747 | +65.0% |
| New York | $116 | $528 | 69 | 2,365 | +52.4% |
| Nevada | $93 | $186 | 15 | 167 | +21.7% |
| Texas | $82 | $313 | 95 | 2,108 | +7.8% |
| California | $80 | $401 | 95 | 2,191 | +4.9% |
| Illinois | $69 | $320 | 79 | 536 | -9.3% |
| Georgia | $53 | $255 | 12 | 976 | -30.1% |
| South Carolina | $53 | $312 | 8 | 103 | -30.9% |
| Iowa | $49 | $233 | 27 | 64 | -35.7% |
| Wisconsin | $48 | $365 | 38 | 166 | -37.0% |
| Kentucky | $47 | $200 | 15 | 138 | -37.9% |
| Ohio | $46 | $165 | 28 | 144 | -39.5% |
| Virginia | $45 | $265 | 26 | 901 | -40.4% |
| Washington | $44 | $117 | 19 | 444 | -42.1% |
| Arizona | $44 | $128 | 39 | 411 | -42.3% |
| Hawaii | $43 | $238 | 8 | 44 | -43.0% |
| Massachusetts | $43 | $229 | 33 | 758 | -43.0% |
| Maryland | $42 | $317 | 3 | 54 | -44.4% |
| Oregon | $42 | $379 | 24 | 257 | -44.6% |
| Michigan | $42 | $203 | 12 | 77 | -45.1% |
| Pennsylvania | $42 | $220 | 35 | 127 | -45.3% |
| Florida | $42 | $285 | 49 | 413 | -45.5% |
| New Mexico | $42 | $358 | 2 | 37 | -45.5% |
| Rhode Island | $41 | $272 | 11 | 42 | -45.6% |
| Utah | $41 | $180 | 17 | 55 | -45.6% |
| Missouri | $41 | $231 | 34 | 548 | -45.7% |
| Indiana | $41 | $172 | 6 | 58 | -46.1% |
| Louisiana | $41 | $116 | 12 | 54 | -46.5% |
| Minnesota | $40 | $411 | 12 | 353 | -47.0% |
| Tennessee | $40 | $211 | 41 | 454 | -47.1% |
| Maine | $40 | $118 | 3 | 50 | -47.5% |
| Vermont | $40 | $219 | 1 | 23 | -47.8% |
| North Carolina | $40 | $207 | 13 | 66 | -47.8% |
| Kansas | $40 | $193 | 24 | 650 | -48.1% |
| Idaho | $39 | $112 | 4 | 25 | -48.2% |
| Nebraska | $39 | $123 | 10 | 29 | -48.6% |
| Arkansas | $39 | $248 | 5 | 21 | -49.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber