Cost analysis for CPT 88342 — Special stained specimen slides to examine tissue, initial procedure
Average Medicare Payment
N/A
Total Payments (Latest)
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Services (Latest)
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Price Change (–)
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The most expensive state pays 2.4x more than the cheapest for this procedure. PR averages $65.15 vs VT at $27.00.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| PR | $65.15 | $64.2K | 986 | 16 |
| MD | $58.55 | $5.3M | 89.9K | 247 |
| AR | $54.29 | $2.5M | 47.0K | 137 |
| AZ | $53.22 | $4.5M | 84.8K | 219 |
| FL | $50.34 | $12.0M | 238.2K | 725 |
| NJ | $49.93 | $4.7M | 93.4K | 256 |
| CT | $49.41 | $1.4M | 27.7K | 172 |
| GA | $49.37 | $2.7M | 55.3K | 261 |
| CA | $48.92 | $11.2M | 229.0K | 1.0K |
| NY | $47.76 | $8.8M | 184.6K | 854 |
| TX | $47.38 | $8.1M | 171.2K | 914 |
| TN | $46.61 | $3.6M | 77.4K | 311 |
| HI | $46.60 | $218.0K | 4.7K | 41 |
| AL | $46.58 | $1.1M | 24.7K | 151 |
| NV | $45.69 | $361.2K | 7.9K | 57 |
| VA | $44.93 | $2.7M | 60.2K | 208 |
| CO | $44.35 | $1.3M | 29.8K | 165 |
| MA | $44.15 | $3.9M | 88.6K | 470 |
| DC | $43.51 | $615.3K | 14.1K | 52 |
| WI | $43.04 | $1.8M | 42.5K | 265 |
| WA | $42.63 | $1.8M | 41.3K | 246 |
| NC | $42.22 | $2.5M | 59.8K | 317 |
| IL | $41.83 | $4.4M | 104.9K | 488 |
| ID | $40.96 | $190.0K | 4.6K | 24 |
| DE | $40.53 | $518.7K | 12.8K | 37 |
| MO | $40.49 | $1.6M | 40.4K | 232 |
| PA | $39.57 | $4.2M | 106.0K | 571 |
| UT | $39.55 | $472.1K | 11.9K | 104 |
| KS | $39.36 | $997.4K | 25.3K | 106 |
| SC | $38.46 | $1.3M | 34.4K | 164 |
| MN | $37.16 | $1.2M | 32.2K | 307 |
| IN | $36.97 | $1.3M | 35.7K | 183 |
| AK | $36.96 | $62.4K | 1.7K | 13 |
| OR | $36.93 | $684.9K | 18.5K | 127 |
| OH | $36.64 | $2.6M | 70.1K | 462 |
| WY | $36.07 | $16.6K | 459 | 8 |
| MS | $36.05 | $564.9K | 15.7K | 74 |
| OK | $35.50 | $462.9K | 13.0K | 80 |
| NM | $35.25 | $260.3K | 7.4K | 54 |
| NH | $34.98 | $446.4K | 12.8K | 65 |
| IA | $34.85 | $698.3K | 20.0K | 112 |
| LA | $34.18 | $810.0K | 23.7K | 153 |
| MI | $31.72 | $1.2M | 38.2K | 393 |
| NE | $30.17 | $387.9K | 12.9K | 68 |
| RI | $29.92 | $140.5K | 4.7K | 55 |
| KY | $29.87 | $650.5K | 21.8K | 153 |
| WV | $29.48 | $224.0K | 7.6K | 59 |
| SD | $29.13 | $212.3K | 7.3K | 31 |
| MT | $28.90 | $195.8K | 6.8K | 29 |
| ND | $28.19 | $328.7K | 11.7K | 34 |
| ME | $27.76 | $171.8K | 6.2K | 50 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Texas Digestive Disease Consultants, Pllc | Clinical Laboratory | TX | $1.4M | 18.0K | $77.22 |
| Advanced Pathology Solutions, Pllc | Clinical Laboratory | AR | $1.4M | 20.0K | $68.94 |
| Annapath, Inc | Clinical Laboratory | MD | $1.2M | 17.8K | $66.90 |
| Caris Mpi, Inc. | Clinical Laboratory | AZ | $1.2M | 19.1K | $62.32 |
| Acupath Laboratories, Inc. | Clinical Laboratory | NY | $1.1M | 16.0K | $65.64 |
| Cohen Dermatopathology, P.C. | Clinical Laboratory | MA | $884.6K | 11.0K | $80.53 |
| Inform Diagnostics, Inc | Clinical Laboratory | TX | $818.5K | 12.5K | $65.41 |
| Neogenomics Laboratories Inc | Clinical Laboratory | CA | $644.0K | 11.8K | $54.81 |
| Wcp Laboratories, Inc | Clinical Laboratory | MO | $565.8K | 7.5K | $75.12 |
| Etan Marks | Pathology | FL | $561.3K | 9.9K | $56.71 |
| Independent Clinical Laboratories Inc | Clinical Laboratory | FL | $535.9K | 7.7K | $69.87 |
| Veronica Papavero | Pathology | FL | $524.2K | 6.5K | $80.80 |
| Ameripath Florida Llc | Clinical Laboratory | FL | $514.1K | 6.7K | $76.90 |
| Dominion Pathology Laboratories Pc | Clinical Laboratory | VA | $478.8K | 6.4K | $74.73 |
| Cblpath, Inc | Clinical Laboratory | NY | $471.0K | 5.2K | $90.11 |
| Cap Diagnostics Llc | Clinical Laboratory | CA | $441.3K | 7.1K | $62.05 |
| Pathology Solutions Llc | Clinical Laboratory | NJ | $439.2K | 7.0K | $62.44 |
| Tempus Ai, Inc. | Clinical Laboratory | IL | $429.5K | 5.3K | $80.63 |
| Dianon Systems, Inc | Clinical Laboratory | CT | $415.1K | 7.1K | $58.79 |
| Propath Services, Llc | Clinical Laboratory | TX | $388.3K | 5.9K | $65.33 |
The data suggests significant pricing inconsistencies for CPT 88342. With a 2.4x 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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.