CPT 88374 Pathology/Laboratory
M/phmtrc alys ishquant/semiq Cost
Body System: General
Medicare Facility Rate
$266
CMS PFS CY2026
Medicare Non-Facility Rate
$266
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.91
Work RVU
7.04
Facility PE RVU
0.02
Malpractice RVU
7.97
Total RVU
Frequently Asked Questions
How much does M/phmtrc alys ishquant/semiq cost?
The Medicare facility rate is $266. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does M/phmtrc alys ishquant/semiq 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 $266.