Pathology examination of tissue using a microscope, moderately high complexity
Medicare pricing data for 13,016 providers across 52 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 examination of tissue using a microscope, moderately high complexity (HCPCS code 88307) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $88.09, but hospitals typically charge $361.48 — a 4.1x 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 $88.09, your out-of-pocket cost would be approximately $17.62. 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 4.1x more than what Medicare allows for this procedure. Medicare actually pays $69.73 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $112 | $581 | 17 | 1,579 | +26.8% |
| California | $103 | $373 | 1,400 | 88,858 | +16.9% |
| Maryland | $101 | $350 | 251 | 21,736 | +14.9% |
| New Jersey | $100 | $388 | 274 | 21,152 | +13.5% |
| Puerto Rico | $96 | $116 | 63 | 760 | +8.7% |
| Nebraska | $94 | $351 | 98 | 8,119 | +6.4% |
| New York | $92 | $420 | 904 | 61,148 | +4.9% |
| Arkansas | $92 | $261 | 125 | 8,993 | +4.7% |
| Wyoming | $91 | $369 | 15 | 446 | +3.8% |
| Colorado | $91 | $336 | 182 | 13,677 | +3.7% |
| Connecticut | $91 | $400 | 202 | 9,136 | +3.7% |
| Oregon | $91 | $370 | 152 | 8,507 | +2.9% |
| Washington | $90 | $293 | 330 | 22,061 | +2.5% |
| Hawaii | $90 | $252 | 57 | 2,100 | +1.9% |
| Tennessee | $90 | $327 | 381 | 23,828 | +1.9% |
| Florida | $89 | $377 | 744 | 63,158 | +0.7% |
| Virginia | $88 | $354 | 246 | 24,087 | -0.5% |
| Massachusetts | $87 | $349 | 505 | 39,379 | -1.2% |
| Georgia | $87 | $339 | 274 | 21,445 | -1.4% |
| District of Columbia | $87 | $268 | 45 | 4,262 | -1.5% |
| Indiana | $86 | $380 | 198 | 16,690 | -1.8% |
| Texas | $86 | $401 | 1,036 | 60,056 | -2.0% |
| New Mexico | $86 | $316 | 57 | 3,799 | -2.9% |
| North Carolina | $85 | $321 | 321 | 26,616 | -3.1% |
| Arizona | $85 | $253 | 254 | 21,434 | -3.1% |
| Iowa | $85 | $402 | 128 | 11,443 | -3.4% |
| North Dakota | $85 | $280 | 47 | 2,884 | -3.9% |
| Oklahoma | $84 | $273 | 113 | 10,063 | -4.3% |
| Minnesota | $84 | $373 | 431 | 17,665 | -4.4% |
| Montana | $84 | $251 | 34 | 3,732 | -4.7% |
| Delaware | $84 | $252 | 31 | 4,417 | -4.9% |
| Illinois | $84 | $389 | 545 | 36,636 | -5.0% |
| Nevada | $84 | $384 | 72 | 4,357 | -5.1% |
| Kansas | $83 | $356 | 140 | 11,191 | -5.3% |
| Rhode Island | $83 | $411 | 54 | 2,972 | -5.7% |
| Utah | $83 | $285 | 136 | 7,482 | -6.0% |
| Pennsylvania | $82 | $360 | 555 | 43,109 | -7.0% |
| Alabama | $82 | $310 | 167 | 12,013 | -7.3% |
| Missouri | $81 | $322 | 271 | 21,344 | -7.5% |
| Wisconsin | $81 | $582 | 282 | 16,728 | -7.8% |
| Louisiana | $81 | $276 | 185 | 11,356 | -7.9% |
| New Hampshire | $81 | $646 | 56 | 5,154 | -8.2% |
| Mississippi | $81 | $297 | 93 | 8,317 | -8.4% |
| Michigan | $81 | $318 | 402 | 23,130 | -8.6% |
| South Dakota | $80 | $280 | 47 | 5,432 | -8.8% |
| Idaho | $80 | $450 | 30 | 2,694 | -9.0% |
| Kentucky | $80 | $324 | 159 | 12,976 | -9.1% |
| Ohio | $80 | $377 | 543 | 32,620 | -9.1% |
| Maine | $79 | $255 | 67 | 3,766 | -9.8% |
| South Carolina | $79 | $344 | 173 | 18,157 | -10.5% |
| Vermont | $79 | $414 | 40 | 1,896 | -10.6% |
| West Virginia | $77 | $426 | 66 | 4,061 | -12.4% |
⚠️ 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