What do doctors typically charge for Pathology Examination of Tissue using a Microscope?

The nationwide median physician charge for Pathology Examination of Tissue using a Microscope (CPT 88304) is $103.18. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for CPT 88304?

The standard insurance baseline reimbursement rate is $11.20. This represents the customary allowable amount established across standard fee schedules.

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CPT 88304Medical Service

Pathology Examination of Tissue using a Microscope

Pathology examination of tissue using a microscope, moderately low complexity. Clinical pricing breakdown and utilization metrics across 8,796 practicing doctors nationwide.

$103.18

Peer Median Charge

Gross billed rate

$11.20

Standard Baseline

Customary allowable

9.2x

National Markup

Charge vs baseline

8,796

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $103.18. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $11.20 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 88304 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"