Based on public Medicaid payment data.

Average Medicaid Pathology & Lab Services Payments in Bronx, NY: $57.20

Avg. Paid

$57.20

Range

$0.19 – $240.06

Total Claims

240,465

Providers

Typical Payment Range

Typical Medicaid Pathology & Lab Services payments fall between $21.67 and $50.06 per claim (median: $34.23). The top 10% of payments exceed $74.70.

Based on per-provider averages across all Medicaid claims in this category.

Laboratory testing and analysis of tissue, blood, and other specimens for diagnostic purposes. Includes surgical pathology and clinical laboratory tests.

Understanding these costs

The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.

Providers Offering Pathology & Lab Services in Bronx, NY

Provider	Avg. Paid	Claims	Patients
Montefiore Medical Center 111 E 210Th St	$62.54	92,493	88,958
Bronxcare Health System 1650 Grand Concourse	$42.74	20,172	19,664
Montefiore Medical Center 111 E 210Th St	$78.06	16,124	14,722
St. Barnabas Hospital 4422 Third Avenue	$10.27	13,326	12,023
New York City Health And Hospitals Corporation 1400 Pelham Pkwy S	$56.57	11,709	11,321
Maria Sabatini 1842 Williamsbridge Rd	$15.90	8,111	7,747
New York City Health And Hospitals Corporation 234 E 149Th St	$47.65	7,528	7,342
Jennifer Marie Oliver-Krasinski 111 E 210Th St Fl 4	$82.79	5,829	5,789
Ali Chaudhri 4422 3Rd Ave	$35.07	5,781	5,182
Robert Allen Sable 3765 Riverdale Ave	$47.32	5,656	5,514
Esperanza Villanueva-Siles Mmc - Dept. Of Pathology	$66.49	5,585	5,562
Adam Jay Gersten 111 E 210Th St	$67.91	3,456	3,438
Berrin Ustun 111 E 210Th St	$67.31	3,270	3,253
Yue Hua Zhang 3584 Jerome Ave	$77.29	2,872	2,235
Tiffany Michele Hebert 111 E 210Th St	$70.29	2,511	2,503
Doctor Yitzchak Goldstein 111 E 210Th St	$31.23	2,306	2,063
Kathleen D Whitney Mmc - Dept. Of Pathology	$78.33	2,140	2,131
Changcheng Zhu Mmc - Dept Of Pathology	$74.73	2,018	2,008
Bronxcare Health System 1650 Grand Concourse	$64.93	1,732	1,705
Ronald Rice 1117 Pierce Ave	$29.39	1,692	1,542
Antonio Cajigas 111 E 210Th St	$36.06	1,545	1,489
Shu-Shan Ma 1650 Grand Concourse	$58.67	1,450	1,437
Ronaldo De Leon Zamuco 234 E 149Th St	$41.84	1,409	1,360
Mark J Suhrland Mmc - Dept. Of Pathology	$35.98	1,384	1,337
Susan A Fineberg Mmc - Dept. Of Pathology	$84.87	1,382	1,353
Katherine Y. Sun 111 E 210Th St	$131.51	1,313	1,310
Yang Shi 111 E 210Th St	$65.86	1,229	1,129
Maria A Abadi 1400 Pelham Pkwy S	$38.55	1,143	1,030
Montefiore Medical Center 111 E 210Th St	$184.16	1,110	974
Nichelle T Simmons 1400 Pelham Pkwy S	$35.67	1,074	978
Edwin Young Ko 1650 Grand Concourse	$50.84	1,000	981
Shweta Gera 111 E 210Th St	$32.81	994	965
Kathryn E Tanaka 111 E 210Th St	$79.23	897	894
James M Pullman Mmc - Dept. Of Pathology	$77.96	834	816
Stephen Michael Factor 1400 Pelham Pkwy S	$46.52	784	744
Esther Hannah Adler 111 E 210Th St	$72.17	749	747
Judy Sarungbam 111 E 210 Street	$67.70	688	688
New York City Health And Hospitals Corporation 1225 Gerard Ave	$27.78	647	647
Hua Chen 3251 Westchester Ave	$57.87	622	514
New York City Health And Hospitals Corporation 3424 Kossuth Ave	$87.08	609	581
Tarek Elrafei 1200 Waters Pl	$240.06	501	498
Marilyn Nedumcheril 1650 Grand Concourse	$58.61	493	483
Jessica Niakan Beyda 111 E 210Th St	$62.62	483	470
Fabio Volterra 2330 Eastchester Rd	$229.83	456	456
Yanhua Wang 111 East 210Th Street	$69.06	362	339
New York City Health And Hospitals Corporation 545 E 142Nd St	$27.43	312	312
Samer Khader 111 E 210Th St	$39.19	209	204
Samer Ali 111 E 210Th St	$56.11	190	190
Daniel S Reich Md Gastroenterology Pllc 5500 Broadway	$201.30	189	178
Tylis Y Chang Mmc - Dept. Of Pathology	$29.66	189	181

What to Expect: Pathology & Lab Services

Pathology services happen behind the scenes after a specimen is collected. A pathologist examines tissue under a microscope or runs specialized tests. Results for simple blood tests are available in hours to days. Surgical pathology results (biopsies, surgical specimens) typically take 3-7 days. Special stains or molecular tests may take longer.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code	Description	Avg. Paid	Claims	Providers
88305	Surgical pathology level IV	$43.26	33,352,065	19,029
88175	Cytopathology ThinPrep	$15.65	17,357,978	3,878
88342	Immunohistochemistry 1st	$31.10	4,789,088	7,877
88304	Surgical pathology level III	$16.71	3,866,853	7,943
88307	Surgical pathology level V	$64.86	3,481,099	7,457
88312	Special stains group I	$44.11	2,331,523	3,354
88313	Special stains group II	$36.51	1,714,455	2,520
88341	Immunohistochemistry each	$61.75	1,105,147	2,700
88112	Cytopathology selective cell	$22.38	1,090,548	2,321
88185	Flow cytometry each addl	$127.67	495,262	404
88184	Flow cytometry 1st marker	$32.07	461,077	409
88300	Surgical pathology gross	$9.56	452,431	1,569
88311	Decalcification procedure	$6.06	406,574	1,598
88108	Cytopathology concentrate	$16.61	329,898	1,088
88189	Flow cytometry 16+ markers	$39.42	282,439	711
88173	Cytopathology eval FNA interp	$47.98	282,106	840
88360	Morphometric tumor analysis	$53.44	252,520	408
88302	Surgical pathology gross micro	$13.57	223,940	1,364
88291	Cytogenetics interpret report	$13.78	103,955	162
88187	Flow cytometry 2-8 markers	$24.34	97,065	100
88230	Tissue culture lymphocyte	$53.53	80,629	70
88262	Chromosome analysis 15-20	$57.97	80,420	78
88237	Tissue culture bone marrow	$57.33	72,765	97
88374	Morphometric analysis tumor IHC	$97.11	72,021	44
88172	Cytopathology eval FNA	$37.75	67,493	203
88377	Morphometric analysis tumor ISH	$107.24	66,832	109
88365	In situ hybridization (FISH)	$72.18	65,175	65
88346	Immunofluorescence each	$26.70	54,893	168
88104	Cytopathology fluids	$16.11	52,729	180
88271	Chromosome banding	$43.42	48,982	82
88321	Pathology consultation	$41.03	47,344	181
88361	In situ hybridization (ISH)	$92.47	47,059	33
88182	Flow cytometry cell cycle	$70.61	44,055	27
88264	Chromosome analysis 20-25 amni	$53.10	37,283	61
88356	Morphometric analysis nerve	$124.76	32,297	13
88275	Chromosome fragility study	$48.60	30,698	60
88325	Pathology consultation comprehensive	$69.99	30,582	13
88331	Frozen section pathology	$52.63	21,424	126
88314	Histochemical staining	$53.49	20,120	18
88188	Flow cytometry 9-15 markers	$40.72	19,664	137
88280	Chromosome karyotype study	$17.32	19,562	50
88348	Electron microscopy	$65.31	16,368	79
88323	Pathology consultation complex	$38.58	13,633	40
88235	Tissue culture fetal skin	$71.81	13,315	16
88364	In situ hybridization addl	$76.37	13,135	26
88285	Chromosome add karyotype	$11.45	12,275	14
88274	Chromosome analysis interphase	$28.54	11,282	16
88309	Surgical pathology level VI	$113.10	10,091	54
88267	Chromosome analysis amniotic	$87.99	8,794	5
88289	Chromosome add study	$12.31	8,572	15
88367	Morphometric in situ hybrid	$39.30	7,779	14
88373	Morphometric analysis quant	$23.36	7,057	7
88160	Cytopathology smear other	$26.96	4,211	40
88333	Cytopathology FNA addl site	$23.14	4,140	43
88368	Morphometric analysis manual	$20.87	3,481	29
88261	Chromosome analysis 50-100	$199.31	2,814	10
88233	Tissue culture skin/biopsy	$75.17	2,536	3
88369	Morphometric analysis computer	$20.89	2,159	21
88363	Exam & select tissue FISH	$5.90	1,717	20
88161	Cytopathology smear prep	$45.02	1,545	14
88269	Chromosome analysis chorionic	$90.29	1,392	2
88366	FISH each addl probe	$55.73	782	6
88332	Frozen section addl tissue	$117.88	742	2
88329	Pathology consultation clinical	$12.50	475	16
88334	Cytopathology FNA addl eval	$21.28	371	11
88272	Chromosome high resolution	$12.79	157	1
88239	Tissue culture tumor	$0.00	118	1
88355	Morphometric analysis bone	$0.00	109	1
88263	Chromosome analysis 20-25	$76.05	65	1
88273	Chromosome analysis count only	$0.00	13	1
88283	Chromosome banding high res	—	—	—
88362	Nerve teasing preparation	—	—	—

These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.

Frequently Asked Questions

How much does a Pathology & Lab Services cost in Bronx, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Pathology & Lab Services in Bronx, NY is $57.20 per claim, based on 240,465 claims from 71 providers. Typical payments fall between $21.67 and $50.06. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Pathology & Lab Services in Bronx, NY?

There are 71 Medicaid providers offering Pathology & Lab Services related services in Bronx, NY according to public payment data.

What is the price range for Pathology & Lab Services in Bronx, NY?

Medicaid reimbursement for Pathology & Lab Services in Bronx, NY ranges from $0.19 to $240.06 per claim, with an average of $57.20. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Pathology & Lab Services Payments in Bronx, NY: $57.20

Providers Offering Pathology & Lab Services in Bronx, NY

What to Expect: Pathology & Lab Services

Cost Components

Frequently Asked Questions

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