88374

Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure

Medicare pricing data for 1,576 providers across 44 states

🤖AI Overview

Prices vary significantly by location — from $39 in Louisiana to $298 in Alaska. 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, computer-assisted technology, initial procedure, each multiplex procedure (HCPCS code 88374) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $116.96, but hospitals typically charge $330.50 — a 2.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$23.39

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $116.96, your out-of-pocket cost would be approximately $23.39. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$116.96
Average Hospital Charge
$330.50
Markup Ratio
2.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$330.50
Medicare Allowed$116.96
Medicare Payment$92.99

Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $92.99 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$298$513125+154.9%
New Jersey$209$836329,242+78.5%
Florida$200$4408150,801+70.9%
Minnesota$133$33813170+13.7%
Arizona$119$220795,849+1.3%
Connecticut$114$41420599-2.5%
North Dakota$114$202289-2.8%
Tennessee$104$23610910,226-11.3%
California$84$25120352,429-28.3%
Washington$83$339962,774-29.0%
Kansas$70$25328620-39.8%
Georgia$70$216461,198-40.1%
Hawaii$64$15715154-45.5%
North Carolina$56$39657976-52.2%
Maryland$53$27539878-54.5%
New Mexico$52$188779-55.6%
Pennsylvania$50$451822,124-57.3%
Indiana$50$12314354-57.5%
New York$49$193541,532-58.2%
South Carolina$47$240331,643-59.5%
Iowa$47$172301,378-59.6%
Mississippi$46$1798407-60.8%
Virginia$45$187431,990-61.3%
Texas$44$20611420,379-62.4%
New Hampshire$44$152212-62.7%
Nebraska$44$1223142-62.7%
Oregon$43$32418282-62.9%
Massachusetts$43$29639994-63.3%
Delaware$43$162921-63.3%
Alabama$43$17321664-63.3%
Colorado$43$12014441-63.6%
Ohio$42$272451,391-64.0%
Michigan$42$38627525-64.4%
Nevada$41$476581-64.6%
Montana$41$876592-64.7%
Wyoming$41$900133-64.7%
Wisconsin$41$74915389-65.0%
Illinois$41$25641590-65.1%
Missouri$41$14715367-65.2%
Utah$41$244985-65.3%
Idaho$41$92663-65.4%
Arkansas$40$127292,571-65.6%
Oklahoma$40$19519609-65.7%
Louisiana$39$932108-66.6%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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