CPT 88331 Pathology/Laboratory
Path consltj surg 1 blk 1spc Cost
Body System: General
Medicare Facility Rate
$97
CMS PFS CY2026
Medicare Non-Facility Rate
$97
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.16
Work RVU
1.72
Facility PE RVU
0.03
Malpractice RVU
2.91
Total RVU
Frequently Asked Questions
How much does Path consltj surg 1 blk 1spc cost?
The Medicare facility rate is $97. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Path consltj surg 1 blk 1spc cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $97.