Microscopic genetic analysis of tissue, manual, each additional procedure
Medicare pricing data for 154 providers across 36 states
Prices vary significantly by location — from $31 in Washington to $136 in New York. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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, each additional procedure (HCPCS code 88369) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $101.30, but hospitals typically charge $320.75 — a 3.2x 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 $101.30, your out-of-pocket cost would be approximately $20.26. 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 3.2x more than what Medicare allows for this procedure. Medicare actually pays $80.76 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $136 | $402 | 10 | 2,401 | +34.2% |
| Connecticut | $129 | $431 | 4 | 1,127 | +27.8% |
| Nevada | $121 | $166 | 1 | 87 | +19.8% |
| Illinois | $118 | $250 | 9 | 78 | +16.0% |
| New Jersey | $113 | $537 | 2 | 190 | +11.9% |
| Arizona | $112 | $245 | 9 | 16 | +10.9% |
| Kentucky | $102 | $205 | 1 | 14 | +1.0% |
| Virginia | $85 | $240 | 5 | 89 | -15.8% |
| Texas | $76 | $221 | 19 | 1,434 | -24.9% |
| California | $70 | $250 | 26 | 1,086 | -30.7% |
| South Carolina | $69 | $478 | 2 | 29 | -32.1% |
| Wisconsin | $65 | $205 | 5 | 18 | -35.6% |
| Georgia | $42 | $106 | 2 | 89 | -58.4% |
| Michigan | $34 | $168 | 9 | 123 | -66.5% |
| Maryland | $34 | $322 | 2 | 51 | -66.6% |
| Utah | $34 | $168 | 11 | 57 | -66.8% |
| Oregon | $33 | $286 | 24 | 304 | -67.0% |
| Massachusetts | $33 | $174 | 20 | 143 | -67.4% |
| New Mexico | $33 | $302 | 2 | 37 | -67.5% |
| Rhode Island | $33 | $97 | 11 | 42 | -67.5% |
| Pennsylvania | $33 | $247 | 9 | 22 | -67.8% |
| Indiana | $33 | $167 | 6 | 55 | -67.8% |
| Florida | $32 | $167 | 9 | 36 | -68.1% |
| Tennessee | $32 | $140 | 14 | 434 | -68.1% |
| Louisiana | $32 | $74 | 4 | 22 | -68.2% |
| Minnesota | $32 | $350 | 9 | 358 | -68.4% |
| Missouri | $32 | $206 | 33 | 450 | -68.7% |
| Hawaii | $32 | $320 | 1 | 26 | -68.8% |
| Vermont | $32 | $170 | 1 | 23 | -68.9% |
| North Carolina | $31 | $109 | 10 | 40 | -69.0% |
| Ohio | $31 | $177 | 5 | 25 | -69.0% |
| Kansas | $31 | $171 | 24 | 647 | -69.0% |
| Idaho | $31 | $80 | 4 | 25 | -69.1% |
| Iowa | $31 | $91 | 6 | 19 | -69.2% |
| Nebraska | $31 | $98 | 10 | 29 | -69.3% |
| Washington | $31 | $393 | 3 | 14 | -69.6% |
⚠️ 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