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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.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 88313
  4. Cost Analysis

How Much Does Special stained specimen slides to examine tissue including interpretation and report Cost on Medicare?

Cost analysis for CPT 88313 — Special stained specimen slides to examine tissue including interpretation and report

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Average Medicare Payment

$19.67

2023 data

Total Payments (2023)

$50.2M

Services (2023)

1.4M

Price Change (2014–2023)

+17.2%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$16.78$49.7M1.7M—
2015$17.12$49.1M1.7M+2.0%
2016$17.23$45.6M1.6M+0.6%
2017$17.68$46.0M1.5M+2.6%
2018$18.32$45.5M1.5M+3.6%
2019$18.57$47.4M1.5M+1.4%
2020$19.49$42.3M1.3M+5.0%
2021$19.77$51.4M1.5M+1.4%
2022$19.49$48.9M1.4M-1.4%
2023$19.67$50.2M1.4M+0.9%

🗺️ State-by-State Cost Variation

The most expensive state pays 6.4x more than the cheapest for this procedure. MD averages $58.02 vs VT at $9.10.

StateAvg PaymentTotal PaymentsServicesProviders
MD$58.02$4.1M69.9K138
NJ$52.96$5.7M107.1K182
CT$47.34$1.1M24.2K104
FL$42.20$5.5M129.6K472
NY$40.60$5.7M139.9K469
CA$40.49$6.6M163.6K669
AZ$39.70$1.7M43.1K169
GA$39.23$2.1M54.6K210
TX$35.14$3.7M105.7K551
LA$35.11$579.6K16.5K94
SC$34.58$847.3K24.5K127
NM$33.09$105.3K3.2K29
TN$32.45$1.5M47.2K203
CO$29.65$355.5K12.0K94
IL$29.43$1.1M36.3K282
PA$28.93$1.7M59.3K309
NV$28.08$93.7K3.3K30
PR$27.12$3.1K1133
DE$26.86$146.0K5.4K28
IN$24.58$339.0K13.8K107
MA$23.64$772.5K32.7K274
OK$23.25$272.5K11.7K58
UT$23.11$135.5K5.9K54
VA$22.83$726.7K31.8K139
WA$22.76$301.5K13.2K140
OR$21.98$78.1K3.6K63
AL$21.90$216.5K9.9K86
OH$21.89$598.8K27.4K234
AR$21.56$1.9M87.4K105
DC$21.13$213.6K10.1K23
WV$21.03$59.3K2.8K30
NC$20.98$378.9K18.1K185
KS$20.21$162.5K8.0K59
HI$18.56$21.5K1.2K16
MN$17.53$261.5K14.9K143
WI$16.61$198.5K12.0K139
MO$16.50$299.3K18.1K144
IA$16.06$91.6K5.7K89
NH$15.22$39.9K2.6K39
ID$14.63$22.4K1.5K16
NE$13.57$60.5K4.5K45
KY$13.57$73.7K5.4K79
RI$13.53$12.8K94920
MT$12.52$20.1K1.6K21
ME$12.39$25.6K2.1K25
AK$12.23$8.0K6568
MS$12.19$52.6K4.3K45
MI$12.13$143.2K11.8K155
WY$11.07$3.3K2983
ND$10.82$15.8K1.5K21
SD$10.08$16.8K1.7K11

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Annapath, IncClinical LaboratoryMD$1.4M20.1K$67.73
Acupath Laboratories, Inc.Clinical LaboratoryNY$1.2M18.2K$68.02
Advanced Pathology Solutions, PllcClinical LaboratoryAR$975.7K49.0K$19.90
Texas Digestive Disease Consultants, PllcClinical LaboratoryTX$613.1K9.8K$62.74
Cap Diagnostics LlcClinical LaboratoryCA$584.3K9.0K$65.25
Bioreference Health, LlcClinical LaboratoryNJ$574.8K8.6K$66.61
Inform Diagnostics, IncClinical LaboratoryTX$556.4K12.5K$44.38
Hadia AtaPathologyNJ$537.6K7.4K$72.78
Theranostix IncClinical LaboratoryMD$484.7K7.0K$69.36
Stacey LongoPathologyNJ$472.2K8.2K$57.69
Mohammad QureshiPathologyNJ$448.3K6.8K$65.93
Mark TranDermatologyCA$436.7K5.7K$77.07
Jasminka BalderacchiPathologyNY$401.9K5.6K$72.14
Ellie LekovPathologyCA$394.8K6.2K$63.97
Joshua CantorPathologyPA$388.4K5.7K$67.78
Catherine LeeDermatologyCA$379.8K5.0K$76.18
Pathology Solutions LlcClinical LaboratoryNJ$379.5K6.0K$63.52
Robert AportelaPathologyFL$377.9K5.9K$63.85
Karabi SinhaPathologyNJ$360.9K4.9K$73.10
Dianon Systems, IncClinical LaboratoryCT$358.6K6.4K$56.15

🤔 Is Special stained specimen slides to examine tissue including interpretation and report Overpriced?

The data suggests significant pricing inconsistencies for CPT 88313. With a 6.4x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.

Costs have risen 17.2% since 2014, outpacing inflation and raising questions about whether reimbursement rates reflect actual costs.

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.