88112

Cell examination of specimen, selective cellular enhancement technique

Medicare pricing data for 8,335 providers across 52 states

🤖AI Overview

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

Cell examination of specimen, selective cellular enhancement technique (HCPCS code 88112) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $39.11, but hospitals typically charge $183.91 — a 4.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.82

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $39.11, your out-of-pocket cost would be approximately $7.82. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$39.11
Average Hospital Charge
$183.91
Markup Ratio
4.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$183.91
Medicare Allowed$39.11
Medicare Payment$29.77

Hospitals charge 4.7x more than what Medicare allows for this procedure. Medicare actually pays $29.77 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$53$8824291+34.2%
Maryland$51$21213518,252+30.4%
New Jersey$50$15819345,846+28.2%
Hawaii$49$245371,277+26.2%
New York$48$21746099,472+22.3%
District of Columbia$46$186243,600+16.7%
Tennessee$45$18628936,125+15.0%
Connecticut$42$22312910,201+6.8%
Virginia$42$20121918,866+6.2%
California$41$17686071,404+5.9%
Arizona$40$16918220,378+1.7%
Florida$40$16851572,220+1.0%
Oklahoma$40$1745917,252+1.0%
Georgia$39$21323317,464+0.7%
Arkansas$39$159708,312-0.5%
Texas$39$18153128,820-1.0%
Alaska$38$21312343-1.7%
Illinois$38$22831031,928-2.5%
Minnesota$38$23230010,220-3.0%
Massachusetts$37$18830643,373-4.9%
Nevada$37$189784,825-5.0%
Pennsylvania$37$18535042,890-6.1%
West Virginia$36$157553,323-7.8%
Oregon$35$155914,291-10.5%
Indiana$35$20316713,495-10.7%
Washington$34$14628315,281-13.4%
Michigan$34$15422022,859-14.1%
Alabama$33$123886,420-15.3%
South Carolina$33$2009912,461-15.6%
Missouri$33$16912910,869-16.3%
Colorado$33$1361287,885-16.4%
Utah$33$134813,061-16.5%
Idaho$32$112231,026-17.9%
New Mexico$31$186412,206-20.9%
Delaware$31$147325,748-20.9%
Nebraska$31$117584,273-21.8%
North Carolina$30$15224627,886-22.2%
Wyoming$30$16913290-24.4%
Kansas$30$119966,124-24.5%
Iowa$29$203847,179-24.8%
New Hampshire$29$232384,347-25.0%
Ohio$29$16837127,314-25.1%
Mississippi$29$208584,568-25.3%
Louisiana$29$1391469,006-26.8%
Rhode Island$28$173282,571-27.2%
Wisconsin$28$34415111,539-27.7%
Maine$28$89493,349-28.0%
South Dakota$27$121522,448-29.7%
Montana$27$116282,367-30.8%
North Dakota$27$158322,034-31.0%
Kentucky$27$1341098,425-31.8%
Vermont$26$147191,914-32.3%

⚠️ 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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