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Procedure price report · Pathology

Second-opinion review with new slides from outside tissue

CPT 88323the billing code this page is about

A pathologist prepares fresh slides from material sent by another facility, reviews them, and issues a written consultation report. Billed once per consultation.

Hospitals typically charge $160 cash for this outpatient procedure — the median across 2,113 hospitals that filed a usable cash price; the average of the middle 60% is $171. Most fall between $71 and $333 (20th–80th percentile).

Hospitals
2,113
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

Cash price percentiles, outpatient, across 2,113 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$53$84$160$276$476

The most expensive tenth of hospitals charges at least 8.9× what the cheapest tenth charges ($53 vs $476).

How the prices are spread

$38 – $51: 80 hospitals$38$51 – $69: 219 hospitals$69 – $92: 173 hospitals$69$92 – $123: 255 hospitals$123 – $165: 260 hospitals$123$165 – $221: 257 hospitals$221 – $297: 280 hospitals$221$297 – $398: 196 hospitals$398 – $533: 118 hospitals$398$533 – $714: 65 hospitals$533median $160price bands are equal on a log scale
Hospitals per price band (1,903 of 2,113 — the bands cover the 5th to 95th percentile)
FromToHospitals
$38$5180
$51$69219
$69$92173
$92$123255
$123$165260
$165$221257
$221$297280
$297$398196
$398$533118
$533$71465

Against Medicare

Medicare pays (OPPS 2026, national rate)$53
Median cash price$160
Cash as a multiple of Medicare3.0×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $160.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $93 across 15 hospitalsME$93Vermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $207 across 49 hospitalsWA$207Idaho: median $160 across 13 hospitalsID$160Montana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: median $163 across 11 hospitalsND$163Minnesota: median $115 across 65 hospitalsMN$115Illinois: median $217 across 97 hospitalsIL$217Wisconsin: median $373 across 74 hospitalsWI$373Michigan: median $90 across 65 hospitalsMI$90New York: median $135 across 75 hospitalsNY$135Massachusetts: median $213 across 38 hospitalsMA$213Oregon: median $200 across 24 hospitalsOR$200Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $215 across 10 hospitalsSD$215Iowa: median $176 across 52 hospitalsIA$176Indiana: median $120 across 65 hospitalsIN$120Ohio: median $236 across 97 hospitalsOH$236Pennsylvania: median $185 across 91 hospitalsPA$185New Jersey: median $59 across 40 hospitalsNJ$59Connecticut: median $135 across 11 hospitalsCT$135Rhode Island: median $184 across 10 hospitalsRI$184California: median $150 across 114 hospitalsCA$150Utah: median $160 across 35 hospitalsUT$160Colorado: median $212 across 47 hospitalsCO$212Nebraska: median $165 across 42 hospitalsNE$165Missouri: median $182 across 49 hospitalsMO$182Kentucky: median $144 across 34 hospitalsKY$144West Virginia: median $115 across 27 hospitalsWV$115Virginia: median $142 across 49 hospitalsVA$142Maryland: median $312 across 13 hospitalsMD$312Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $217 across 29 hospitalsAZ$217New Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $163 across 37 hospitalsKS$163Arkansas: median $175 across 21 hospitalsAR$175Tennessee: median $68 across 49 hospitalsTN$68North Carolina: median $182 across 68 hospitalsNC$182South Carolina: median $133 across 35 hospitalsSC$133Oklahoma: median $82 across 52 hospitalsOK$82Louisiana: median $90 across 29 hospitalsLA$90Mississippi: median $77 across 35 hospitalsMS$77Alabama: median $140 across 23 hospitalsAL$140Georgia: median $222 across 69 hospitalsGA$222Hawaii: median $163 across 17 hospitalsHI$163Texas: median $230 across 161 hospitalsTX$230Florida: median $165 across 115 hospitalsFL$165
Cash price by state, most expensive first. National median $160. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI74$373+133%$172 – $378
Maryland MD13$312+95%$26 – $435
Ohio OH97$236+48%$149 – $278
Texas TX161$230+44%$90 – $338
Georgia GA69$222+39%$65 – $276
Arizona AZ29$217+36%$57 – $613
Illinois IL97$217+36%$104 – $426
South Dakota SD10$215+35%$101 – $390
Massachusetts MA38$213+33%$136 – $265
Colorado CO47$212+33%$114 – $736
Washington WA49$207+30%$99 – $339
Oregon OR24$200+25%$78 – $311
Pennsylvania PA91$185+16%$65 – $456
Rhode Island RI10$184+15%$135 – $203
Missouri MO49$182+14%$124 – $391
North Carolina NC68$182+14%$63 – $404
Iowa IA52$176+10%$97 – $294
Arkansas AR21$175+10%$57 – $223
Florida FL115$165+3%$64 – $512
Nebraska NE42$165+3%$90 – $280
Kansas KS37$163+2%$79 – $222
Hawaii HI17$163+2%$67 – $316
North Dakota ND11$163+2%$160 – $231
Idaho ID13$1600%$96 – $410
Utah UT35$1600%$131 – $188
California CA114$150−6%$91 – $476
Kentucky KY34$144−10%$92 – $219
Virginia VA49$142−11%$60 – $216
Alabama AL23$140−13%$70 – $373
Connecticut CT11$135−15%$112 – $196
New York NY75$135−15%$63 – $410
South Carolina SC35$133−17%$107 – $268
Indiana IN65$120−25%$76 – $215
West Virginia WV27$115−28%$92 – $281
Minnesota MN65$115−28%$77 – $258
Maine ME15$93−42%$35 – $218
Louisiana LA29$90−43%$50 – $167
Michigan MI65$90−44%$68 – $137
Oklahoma OK52$82−48%$50 – $165
Mississippi MS35$77−52%$53 – $186
Tennessee TN49$68−57%$30 – $114
New Jersey NJ40$59−63%$40 – $71
Alaska AK9not enough hospitals filed a usable price
Montana MT9not enough hospitals filed a usable price
New Mexico NM9not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Wyoming WY5not 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 $160.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,666$157$68 – $320
Children’s41$222$121 – $338
Critical access396$165$83 – $347
Ownership
For-profit275$176$67 – $554
Government324$138$66 – $255
Non-profit1,504$161$75 – $335
System affiliation
Part of a system1,789$162$72 – $339
Independent324$148$67 – $294

Cash price vs list price

Median list price (chargemaster)$272
Median cash price$160
Cash as a share of list, median hospital60%

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

1,487 hospitals filed a usable inpatient cash price for this code. The median is $168 and the average of the middle 60% is $182; most fall between $77 and $347.

Cash price percentiles, inpatient, across 1,487 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$57$95$168$292$476

The most expensive tenth of hospitals charges at least 8.3× what the cheapest tenth charges ($57 vs $476).

Of the 1,649 hospitals that filed this code inpatient, 1,487 gave a usable cash price; 114 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 48 a list price only.

How complete is this

2,113 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.

What the 2,300 hospitals that filed this code at all gave us
Usable cash price — counted2,113
Cash price carrying a plausibility flag — shown on the compare tool, excluded here127
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded59
Hospitals that filed this code2,300

Sections not shown for this setting

  • 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 Pathology family.

Hospitals file this code under descriptions such as Consltj&Reprt Referred Matrl Requiring Prepj Sld|PROFESSIONAL COMPONENT.

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, “Second-opinion review with new slides from outside tissue (CPT 88323) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-88323-second-opinion-review-with-new-slides-from-outside-tissue