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Based on public Medicaid payment data.

Average Medicaid Pathology & Lab Services Payments in Fall River, MA: $30.09

Avg. Paid

$30.09

Range

$16.94 – $78.85

Total Claims

51,058

Providers

11

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 Fall River, MA

Provider Avg. Paid Claims Patients
Carolyn A Mongeon

363 Highland Ave

 $23.84 14,439 13,963
New England Tissue Issue, Pllc

1822 N Main St

 $38.85 8,150 6,037
Wanghai Zhang

363 Highland Ave

 $35.25 6,786 6,697
Steward St. Annes Hospital Corporation

795 Middle St

 $18.63 5,527 5,301
Phyllis Rosemarie Vezza

795 Middle St

 $21.72 4,174 3,798
Southcoast Hospitals Group, Inc

363 Highland Ave

 $16.94 4,125 3,611
Thomas M Kiefer

363 Highland Ave

 $47.20 3,544 3,502
Jennifer Ahearn

1030 President Ave

 $21.57 1,659 1,574
Todd J Vinovrski

1822 N Main St

 $62.74 1,469 1,320
Erin A O'Leary

1822 N Main St

 $64.32 1,080 1,004
Caroline S Wilkel

1822 N Main St Ste 302

 $78.85 105 99

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 Fall River, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Pathology & Lab Services in Fall River, MA is $30.09 per claim, based on 51,058 claims from 11 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 Fall River, MA?

There are 11 Medicaid providers offering Pathology & Lab Services related services in Fall River, MA according to public payment data.

What is the price range for Pathology & Lab Services in Fall River, MA?

Medicaid reimbursement for Pathology & Lab Services in Fall River, MA ranges from $16.94 to $78.85 per claim, with an average of $30.09. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Pathology & Lab Services in Other Cities

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Phoenix, AZ

Avg $39.83

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Burlington, NC

Avg $22.04

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Elmwood Park, NJ

Avg $27.20

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Raritan, NJ

Avg $12.74

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Charleston, WV

Avg $20.19

1,043,744 claims · 43 providers

San Diego, CA

Avg $26.07

1,008,705 claims · 138 providers

New York, NY

Avg $58.48

877,222 claims · 362 providers

Other Procedures in Fall River, MA

Substance Abuse Treatment

Avg $23.69

1,252,274 claims

Office Visit

Avg $45.39

1,119,590 claims

Blood Work & Lab Tests

Avg $7.34

865,376 claims

Psychiatric Evaluation

Avg $83.13

393,458 claims

Dental Cleaning & Exam

Avg $38.23

302,060 claims

Case Management Services

Avg $59.12

287,270 claims

Emergency Room Visit

Avg $127.54

256,274 claims

Ambulance Transport

Avg $80.01

235,782 claims