Procedure price report · Microscopic examination (bacterial smear, culture, toxicology)
Cell culture from skin or tissue biopsy for genetic testing
CPT code CPT 88233the billing code this page is about
Growing cells taken from a skin or other solid tissue biopsy in the laboratory for chromosome study of non-cancer conditions; covers the culture step only.
Hospitals typically charge $383 cash for this outpatient procedure — the median across 2,078 hospitals that filed a usable cash price; the average of the middle 60% is $415. Most fall between $179 and $749 (20th–80th percentile).
- Hospitals
- 2,078
- States
- 50
- Filings dated
- Jan 2024 – Sep 2026
- Computed
- September 25, 2026
- Prices checked
- through September 25, 2026
Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.
What hospitals charge, from cheapest to most expensive
| 10th | 25th | Median | 75th | 90th |
|---|---|---|---|---|
| $131 | $211 | $383 | $657 | $1,207 |
The most expensive tenth of hospitals charges at least 9.2× what the cheapest tenth charges ($131 vs $1,207).
How the prices are spread
| From | To | Hospitals |
|---|---|---|
| $101 | $133 | 124 |
| $133 | $176 | 175 |
| $176 | $233 | 180 |
| $233 | $309 | 217 |
| $309 | $408 | 297 |
| $408 | $540 | 244 |
| $540 | $715 | 289 |
| $715 | $945 | 153 |
| $945 | $1,250 | 97 |
| $1,250 | $1,654 | 96 |
By state
The median cash price in each state, against the national median of $383.
| State | Hospitals | Median | vs national | 20th–80th |
|---|---|---|---|---|
| Utah UT | 36 | $1,108 | +190% | $422 – $1,303 |
| New Mexico NM | 11 | $764 | +100% | $194 – $779 |
| South Carolina SC | 45 | $593 | +55% | $333 – $604 |
| Pennsylvania PA | 103 | $591 | +55% | $162 – $1,299 |
| Connecticut CT | 12 | $562 | +47% | $421 – $753 |
| Alabama AL | 23 | $550 | +44% | $228 – $2,010 |
| Maryland MD | 39 | $549 | +43% | $418 – $650 |
| Hawaii HI | 13 | $517 | +35% | $291 – $1,065 |
| Wisconsin WI | 88 | $514 | +34% | $280 – $608 |
| Massachusetts MA | 43 | $502 | +31% | $353 – $659 |
| Illinois IL | 90 | $499 | +30% | $186 – $846 |
| Kansas KS | 31 | $499 | +30% | $250 – $1,243 |
| Arizona AZ | 33 | $493 | +29% | $162 – $2,229 |
| Ohio OH | 111 | $481 | +26% | $276 – $1,015 |
| Nebraska NE | 23 | $465 | +22% | $239 – $756 |
| Washington WA | 42 | $461 | +21% | $289 – $793 |
| Idaho ID | 13 | $459 | +20% | $289 – $752 |
| New Hampshire NH | 13 | $456 | +19% | $253 – $738 |
| Virginia VA | 59 | $452 | +18% | $281 – $906 |
| Colorado CO | 49 | $425 | +11% | $190 – $1,181 |
| Kentucky KY | 36 | $422 | +10% | $262 – $1,458 |
| Texas TX | 168 | $377 | −1% | $232 – $712 |
| California CA | 77 | $375 | −2% | $141 – $418 |
| Michigan MI | 64 | $358 | −7% | $166 – $711 |
| Indiana IN | 68 | $355 | −7% | $225 – $677 |
| Georgia GA | 67 | $353 | −8% | $239 – $646 |
| Missouri MO | 51 | $330 | −14% | $226 – $525 |
| North Carolina NC | 66 | $317 | −17% | $178 – $794 |
| New York NY | 81 | $311 | −19% | $141 – $630 |
| Arkansas AR | 15 | $290 | −24% | $158 – $339 |
| Maine ME | 21 | $285 | −26% | $176 – $601 |
| Oklahoma OK | 46 | $279 | −27% | $165 – $454 |
| Oregon OR | 30 | $272 | −29% | $144 – $428 |
| Iowa IA | 32 | $243 | −36% | $180 – $749 |
| Nevada NV | 10 | $236 | −38% | $105 – $493 |
| Minnesota MN | 46 | $230 | −40% | $152 – $578 |
| Florida FL | 94 | $202 | −47% | $119 – $510 |
| Tennessee TN | 48 | $167 | −56% | $127 – $493 |
| Mississippi MS | 28 | $156 | −59% | $87 – $248 |
| New Jersey NJ | 47 | $155 | −60% | $141 – $561 |
| Louisiana LA | 31 | $154 | −60% | $86 – $318 |
| West Virginia WV | 25 | $110 | −71% | $110 – $418 |
| Vermont VT | 9 | not enough hospitals filed a usable price | ||
| Alaska AK | 8 | not enough hospitals filed a usable price | ||
| Montana MT | 8 | not enough hospitals filed a usable price | ||
| North Dakota ND | 7 | not enough hospitals filed a usable price | ||
| South Dakota SD | 6 | not enough hospitals filed a usable price | ||
| Delaware DE | 4 | not enough hospitals filed a usable price | ||
| Rhode Island RI | 4 | not enough hospitals filed a usable price | ||
| Wyoming WY | 4 | not enough hospitals filed a usable price | ||
Hospitals like yours
The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $383.
| Segment | Hospitals | Median | 20th–80th |
|---|---|---|---|
| Hospital type | |||
| Acute care | 1,689 | $382 | $169 – $753 |
| Children’s | 48 | $436 | $245 – $912 |
| Critical access | 333 | $386 | $212 – $711 |
| Ownership | |||
| For-profit | 278 | $463 | $225 – $1,125 |
| Government | 242 | $355 | $163 – $719 |
| Non-profit | 1,550 | $381 | $172 – $714 |
| System affiliation | |||
| Part of a system | 1,803 | $383 | $179 – $753 |
| Independent | 275 | $385 | $183 – $701 |
Cash price vs list price
At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.
The same procedure, inpatient
1,509 hospitals filed a usable inpatient cash price for this code. The median is $418 and the average of the middle 60% is $443; most fall between $190 and $754.
| 10th | 25th | Median | 75th | 90th |
|---|---|---|---|---|
| $135 | $239 | $418 | $673 | $1,152 |
The most expensive tenth of hospitals charges at least 8.5× what the cheapest tenth charges ($135 vs $1,152).
Of the 1,681 hospitals that filed this code inpatient, 1,509 gave a usable cash price; 102 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 70 a list price only.
How complete is this
2,078 of the 3,956 hospitals with a price file in our corpus (53%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.
| Usable cash price — counted | 2,078 |
|---|---|
| Cash price carrying a plausibility flag — shown on the compare tool, excluded here | 131 |
| A number the filing itself marks as not a price (a placeholder, a ratio) — excluded | 0 |
| An estimate rather than a filed cash price — excluded | 1 |
| A list price only, no cash figure — excluded | 80 |
| Hospitals that filed this code | 2,290 |
Sections not shown for this setting
- Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
- Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.
We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.
Related procedures
Part of the Microscopic examination (bacterial smear, culture, toxicology) family.
Hospitals file this code under descriptions such as HC Tissue Culture Processing
.
Method
- Source
- The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
- What counts
- One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
- Statistics
- Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
- Names
- Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.
The full rules — sources, statistics, thresholds, limitations — are on the methodology page.
Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.
Cite: HospitalRates.com, “Cell culture from skin or tissue biopsy for genetic testing (CPT 88233) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-88233-cell-culture-from-skin-or-tissue-biopsy-for-genetic-testing