88387

Pathologist examination, dissection, and preparation of tissue

Medicare pricing data for 15 providers across 11 states

🤖AI Overview

Prices vary significantly by location — from $9 in Virginia to $35 in Illinois. 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

Pathologist examination, dissection, and preparation of tissue (HCPCS code 88387) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.74, but hospitals typically charge $99.62 — a 2.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.95

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $34.74, your out-of-pocket cost would be approximately $6.95. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$34.74
Average Hospital Charge
$99.62
Markup Ratio
2.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$99.62
Medicare Allowed$34.74
Medicare Payment$27.24

Hospitals charge 2.9x more than what Medicare allows for this procedure. Medicare actually pays $27.24 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Illinois$35$10016,911+0.5%
Connecticut$29$2251101-16.6%
New York$29$2218350-16.9%
California$29$57132-17.2%
Massachusetts$29$2234286-17.3%
Maryland$28$33411-18.5%
Texas$26$134322-24.2%
Georgia$26$103411-24.4%
Utah$26$87114-25.9%
Pennsylvania$25$941369-27.5%
Virginia$9$43127-73.2%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber