88305
Surgical pathology, gross and microscopic examination
Surgical pathology, gross and microscopic examination is the #131 most-billed Medicaid procedure code, with $1.44B in payments across 33.4M claims from 2018–2024. The national median cost per claim is $35.80. Costs vary widely — the 90th percentile is $87.92 per claim, 2.5× the median.
Total Paid
$1.44B
0.13% of all spending
Total Claims
33.4M
Providers
8K
Avg Cost/Claim
$43
National Cost Distribution
How much do providers bill per claim for 88305? Based on 8K providers billing this code nationally.
Median
$35.80
Average
$46.08
Std Dev
$70.84
Max
$4,546.63
Percentile Distribution (Cost per Claim)
50% of providers bill between $19.87 and $55.74 per claim for this code.
90% bill between $5.25 and $87.92.
Top 1% bill above $224.69.
About This Procedure
HCPCS code 88305 (Surgical pathology, gross and microscopic examination) was billed by 8K providers across 33.4M claims, totaling $1.44B in Medicaid payments from 2018–2024. This code was used for 28.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$35.80
Providers Billing
8K
National Spending
$1.44B
Avg/Median Ratio
1.29×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88305
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1740460583 | $11.5M |
| 2 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $9.5M |
| 3 | 1598760985 | $9.0M |
| 4 | 1205835600 | $8.9M |
| 5 | 1174503999 | $8.5M |
| 6 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $8.5M |
| 7 | 1871627067 | $8.3M |
| 8 | Associated Pathologists, Llc Nashville, TN · Medical Genetics, Clinical Genetics (M.D.) | $7.8M |
| 9 | 1467433292 | $7.7M |
| 10 | 1326086745 | $6.9M |
| 11 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $6.7M |
| 12 | Montefiore Medical Center Bronx, NY · Anesthesiology | $6.1M |
| 13 | 1033173182 | $5.8M |
| 14 | 1134119233 | $5.8M |
| 15 | 1043275787 | $5.6M |
| 16 | 1942374517 | $5.5M |
| 17 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $5.5M |
| 18 | 1962480608 | $5.4M |
| 19 | 1346271251 | $5.4M |
| 20 | 1225016140 | $5.2M |
Showing top 20 of 8K providers billing this code