88377

Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure

Medicare pricing data for 2,629 providers across 47 states

🤖AI Overview

Prices vary significantly by location — from $60 in West Virginia to $394 in Puerto Rico. 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, each additional multiplex stain procedure (HCPCS code 88377) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $174.35, but hospitals typically charge $577.52 — a 3.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$34.87

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $174.35, your out-of-pocket cost would be approximately $34.87. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$174.35
Average Hospital Charge
$577.52
Markup Ratio
3.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$577.52
Medicare Allowed$174.35
Medicare Payment$138.78

Hospitals charge 3.3x more than what Medicare allows for this procedure. Medicare actually pays $138.78 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$394$428846+125.9%
Connecticut$366$1,370323,253+109.8%
New Jersey$296$1,1257014,926+69.8%
New York$257$1,21716712,626+47.4%
South Dakota$197$200114+12.9%
Texas$197$49820310,790+12.7%
California$178$46436629,606+2.4%
Arizona$148$287757,209-15.0%
Wisconsin$136$60831278-21.8%
Tennessee$134$3191412,747-22.9%
Maryland$133$43243378-23.9%
Massachusetts$131$486721,518-24.8%
Illinois$127$3431133,764-27.4%
New Mexico$122$45917625-30.2%
Washington$116$243996,992-33.4%
Florida$114$3701777,234-34.6%
Hawaii$111$23724242-36.1%
Georgia$106$264315,533-39.3%
Minnesota$100$4521162,405-42.9%
Nebraska$99$2427107-43.3%
Missouri$98$424481,164-43.7%
Virginia$98$479543,928-43.7%
Oklahoma$93$30311137-46.7%
Montana$89$1933252-49.1%
Oregon$88$26117266-49.3%
Ohio$87$3771021,710-50.0%
North Carolina$87$32554616-50.2%
Louisiana$86$200461,050-50.9%
Alaska$84$651618-51.9%
Colorado$82$20758610-53.2%
Kansas$79$25624282-54.5%
Michigan$76$34836632-56.2%
Pennsylvania$72$399903,091-58.5%
South Carolina$72$30835628-58.8%
Indiana$72$251321,220-58.9%
Alabama$70$33243358-59.7%
Iowa$70$25918402-59.8%
Arkansas$68$25642754-60.9%
Mississippi$67$28711137-61.3%
New Hampshire$66$207213-62.0%
Kentucky$66$16191,150-62.0%
Maine$65$19027757-62.6%
Rhode Island$63$1709106-63.7%
Utah$63$26416172-64.0%
North Dakota$62$369855-64.5%
Vermont$62$369639-64.7%
West Virginia$60$819758-65.3%

⚠️ 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