Pathology clinical consultation, additional 30 minutes
Medicare pricing data for 9 providers across 3 states
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
Pathology clinical consultation, additional 30 minutes (HCPCS code 80506) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $43.02, but hospitals typically charge $68.11 — a 1.6x 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 $43.02, your out-of-pocket cost would be approximately $8.60. 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 1.6x more than what Medicare allows for this procedure. Medicare actually pays $33.23 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Colorado | $44 | $68 | 1 | 886 | +3.0% |
| Texas | $43 | $68 | 1 | 12,501 | -0.2% |
| Maryland | $42 | $93 | 6 | 59 | -2.0% |
⚠️ 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