OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid · OpenFeds · OpenSpending

© 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodology•Download Data
  1. Home
  2. Procedures
  3. 88120
  4. Cost Analysis

How Much Does Cell examination of urine, manual Cost on Medicare?

Cost analysis for CPT 88120 — Cell examination of urine, manual

Share:

Average Medicare Payment

$281.61

2023 data

Total Payments (2023)

$22.1M

Services (2023)

59.5K

Price Change (2014–2023)

+3.8%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$271.32$38.9M98.6K—
2015$272.60$36.8M91.0K+0.5%
2016$283.51$37.3M88.0K+4.0%
2017$282.81$30.7M73.8K-0.2%
2018$310.35$29.0M67.9K+9.7%
2019$305.90$25.4M63.3K-1.4%
2020$294.47$20.5M51.6K-3.7%
2021$304.10$24.4M55.9K+3.3%
2022$309.18$23.2M58.8K+1.7%
2023$281.61$22.1M59.5K-8.9%

🗺️ State-by-State Cost Variation

The most expensive state pays 5.8x more than the cheapest for this procedure. DC averages $479.47 vs DE at $82.26.

StateAvg PaymentTotal PaymentsServicesProviders
DC$479.47$444.5K9273
MD$454.98$642.9K1.4K10
NY$446.04$4.1M9.3K31
IL$424.37$778.3K1.8K7
MI$421.85$98.3K2334
TN$418.69$1.0M2.4K7
TX$417.90$1.8M4.3K15
CA$396.73$2.1M5.3K17
CT$374.17$860.2K2.3K5
MO$373.46$143.0K3835
FL$354.60$1.3M3.7K17
NJ$352.00$5.0M14.2K18
VA$351.63$307.3K8746
OK$345.31$668.9K1.9K1
MA$325.15$1.6M5.0K28
MN$303.80$47.7K1575
AZ$302.84$590.8K2.0K16
KS$225.09$26.3K1171
PA$164.17$357.4K2.2K9
OH$97.25$40.6K41712
DE$82.26$13.3K1624

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Bader PedemontePathologyNJ$2.4M8.8K$275.19
Michael NagarPathologyNY$2.3M4.0K$579.54
Emeritus Medical Technology LlcClinical LaboratoryCA$1.2M2.3K$505.90
Raul RudelliPathologyNJ$905.8K1.6K$580.62
Nicholas MaruniakPathologyFL$877.3K1.9K$453.63
Eastgene Laboratories IncClinical LaboratoryNY$815.6K1.6K$519.81
Dianon Systems, IncClinical LaboratoryCT$814.0K2.0K$401.20
Dianon Systems IncClinical LaboratoryOK$668.9K1.9K$345.31
Neogenomics Laboratories IncClinical LaboratoryTX$610.7K1.4K$433.41
Michael BrancaccioPathologyDC$441.5K866$509.82
Convergent Diagnostics, LlcClinical LaboratoryTX$425.9K958$444.53
Mona SharaanPathologyNJ$408.4K706$578.46
David HullPathologyTX$406.8K902$450.98
Quest Diagnostics Nichols InstituteClinical LaboratoryCA$392.7K784$500.88
Petronela IorgaPathologyMA$343.2K1.2K$282.93
Richard RobertsPathologyTN$330.2K794$415.91
Changhyun ChoiPathologyTN$326.4K787$414.79
Amjad KhanPathologyNJ$286.7K583$491.80
Lincoln Diagnostics LlcClinical LaboratoryNJ$284.4K543$523.77
Jim LuPathologyIL$273.7K584$468.62

🤔 Is Cell examination of urine, manual Overpriced?

The data suggests significant pricing inconsistencies for CPT 88120. With a 5.8x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.

Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.