CPT 88323 Pathology/Laboratory

How Much Does Consultation&reprt Matrl Preparation Sld Cost?

Also known as: Consltj&reprt matrl prep sld (CPT 88323)

Consultation&reprt Matrl Preparation Sld (CPT 88323) costs $113 at Medicare rates. Hospital outpatient rate: $53.

Cost Comparison by Payer

How much Consltj&reprt matrl prep sld costs across different settings and payers

Medicare
Facility rate
$113
Hospital Outpatient
OPPS rate
$53
Medicare (Facility)
$113
CMS PFS 2026 national rate
Hospital Outpatient
$53
OPPS rate

Procedures Commonly Done Together

These procedures are frequently performed alongside Consltj&reprt matrl prep sld

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How to Reduce Your Cost for Consltj&reprt matrl prep sld

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

1.78
Work RVU
1.58
Practice Expense RVU
0.02
Malpractice RVU
3.38
Total RVU

Payment = Total RVU (3.38) x CF ($33.40) = $113

Frequently Asked Questions

How much does Consltj&reprt matrl prep sld cost?

The Medicare facility rate for Consltj&reprt matrl prep sld is $113. In a hospital outpatient setting, the rate is $53. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Consltj&reprt matrl prep sld cost without insurance?

Without insurance, the cost of Consltj&reprt matrl prep sld can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Consltj&reprt matrl prep sld?

Most commercial health insurance plans and Medicare cover Consltj&reprt matrl prep sld when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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