Mississippi · 88300

Pathology Examination Of Tissue Using A Microscope, Limited Examination in Mississippi

Mississippi Medicare Avg
$3.62
7% below national avg
National Medicare Avg
$3.90
All states combined
Billed Charge (MS)
$45.66
What providers submit
Est. Commercial (MS)
$10.23
National avg: $11.19
Est. Cash / Self-Pay (MS)
$16.05
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

1.3K
Services in MS
79
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Mississippi

Provider Medicare Services
Spataro, Michael M.D. $3.11 66
Cobb, Jared MD $3.21 65
Causey, Jack MD $3.21 60

Mississippi Pricing in Context

In Mississippi, CPT code 88300 (Pathology Examination Of Tissue Using A Microscope, Limited Examination) carries an average Medicare payment of $3.62 — 7% below the national benchmark of $3.90. 79 providers across the state submitted claims for this procedure in 2023, performing 1.3K total services. Individual payments in MS ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Mississippi is $45.66, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Mississippi sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Pathology procedures, the estimated commercial insurance price in Mississippi lands near $10.23, with self-pay cash prices typically around $16.05. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Pathology Examination Of Tissue Using A Microscope, Limited Examination cost in Mississippi?

The average Medicare payment for Pathology Examination Of Tissue Using A Microscope, Limited Examination in Mississippi is $3.62, which is 7% below the national average of $3.90. Providers in MS typically bill $45.66 for this procedure.

What does Pathology Examination Of Tissue Using A Microscope, Limited Examination cost with insurance in Mississippi?

With commercial insurance in Mississippi, Pathology Examination Of Tissue Using A Microscope, Limited Examination costs an estimated $10.23. Without insurance, the estimated cash price is $16.05. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Pathology Examination Of Tissue Using A Microscope, Limited Examination in Mississippi?

79 providers in Mississippi billed Medicare for Pathology Examination Of Tissue Using A Microscope, Limited Examination in 2023, performing 1.3K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Pathology Examination Of Tissue Using A Microscope, Limited Examination cheaper in Mississippi than the national average?

Yes — Pathology Examination Of Tissue Using A Microscope, Limited Examination costs 7% below the national average in Mississippi. The state average Medicare payment is $3.62 compared to $3.90 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial