Based on public Medicaid payment data.

Average Medicaid Pathology & Lab Services Payments in Madison, WI: $19.70

Avg. Paid

$19.70

Range

$0.09 – $83.90

Total Claims

159,263

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 Madison, WI

Provider	Avg. Paid	Claims	Patients
University Of Wisconsin Hospitals And Clinics Authority 600 Highland Ave	$5.09	63,044	44,181
Ssm Health Care Of Wisconsin, Inc 700 S. Park St.	$18.75	14,900	8,251
Lisa M Vangemert 2550 University Ave	$22.08	7,729	5,823
Meriter Hospital, Inc. 202 S Park St	$0.09	6,285	4,518
Ssm Health Care Of Wisconsin, Inc. 700 S. Park St.	$1.77	5,973	4,449
Patrick Stephen Rush 600 Highland Ave. H4/831	$26.55	5,724	4,893
Chen Kang Chang 707 S Mills St	$33.58	2,974	2,370
Eumenia Costa Da Cunha Castro 600 Highland Ave	$54.83	2,543	2,381
Purabi Subhash Dhakras 4610 University Ave Apt 302	$27.89	2,441	2,204
Jesse L Lloyd 600 Highland Ave	$47.47	2,326	2,167
University Of Wisconsin System Non Payroll 465 Henry Mall	$83.90	2,251	1,615
Jimmie Stewart 600 Highland Ave	$33.92	2,083	1,877
Molly A Gurney 700 S Park St	$33.73	2,038	1,593
Howard Hoerl 707 S Mills St	$33.05	1,995	1,531
Kevin A Kurtz 707 S Mills St	$36.48	1,797	1,456
Saryn Van Stramecki Doucette 600 Highland Ave	$35.29	1,650	1,010
David Hernandez Gonzalo 600 Highland Ave	$53.69	1,552	1,324
Joseph David Coppock 700 S Park St	$28.95	1,507	1,232
Rakesh Sarda 600 Highland Ave	$49.30	1,499	1,364
James William Bauer Uw Hospital And Clinics	$42.25	1,498	1,263
Ranran Zhang Uw Hospital And Clinics 600 Highland Ave H4	$44.02	1,441	1,193
Molly A Hinshaw 451 Junction Rd	$25.15	1,413	1,312
Rakesh Mandal 600 Highland Ave	$33.15	1,345	1,198
Daniel David Bennett 451 Junction Rd	$23.68	1,294	1,182
Shelly M. Cook 600 Highland Ave	$68.76	1,099	1,044
Weixiong Zhong 600 Highland Ave	$14.60	1,090	978
Eric Destrampe Uw Hospitals And Clinics 600 Highland Ave	$41.05	1,087	922
Kwadwo A Oduro 600 Highland Ave	$28.32	980	824
Suzanne M Selvaggi 600 Highland Ave	$30.77	954	855
Ross Molot 707 S Mills St	$34.28	945	768
Byron Barksdale Uw Hospitals And Clinics	$43.62	881	843
William Edward Gibson 600 Highland Ave	$35.20	870	701
Elizabeth S Richards 600 Highland Ave	$43.21	837	761
Rashmi M Agni 600 Highland Ave	$39.35	793	740
John Flickinger 707 S Mills St	$34.68	785	622
Samy Desouky 707 S Mills St	$32.25	767	593
Darya Buehler Uw Hospital And Clinics	$31.09	753	683
Charlotte Lasenna 451 Junction Rd	$25.32	686	633
Michael K Fritsch 5110 Flambeau Rd	$71.19	666	629
Daniel John Forsythe 600 Highland Ave	$35.27	611	514
Prachi Baliram Raut 303 Eagle Hts	$43.97	533	488
Aparna Mahajan 600 Highland Ave	$27.75	522	484
Stephanie Marie Mcgregor 600 Highland Ave	$30.18	509	479
Christopher J Cold 600 Highland Ave	$30.23	463	424
B Jack Longley 8 N Prospect Ave	$21.02	453	428
Igor Slukvin 600 Highland Ave	$41.52	398	365
Josephine Miriam Harter 600 Highland Ave	$33.83	390	363
Marc H. Labovich 600 Highland Ave	$53.33	342	307
Jessica M. Gulliver 600 Highland Ave	$70.35	326	314
Paul Samuel Weisman Uw Hospital & Clinics	$28.48	315	295

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 Madison, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Pathology & Lab Services in Madison, WI is $19.70 per claim, based on 159,263 claims from 82 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 Madison, WI?

There are 82 Medicaid providers offering Pathology & Lab Services related services in Madison, WI according to public payment data.

What is the price range for Pathology & Lab Services in Madison, WI?

Medicaid reimbursement for Pathology & Lab Services in Madison, WI ranges from $0.09 to $83.90 per claim, with an average of $19.70. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Pathology & Lab Services Payments in Madison, WI: $19.70

Providers Offering Pathology & Lab Services in Madison, WI

What to Expect: Pathology & Lab Services

Cost Components

Frequently Asked Questions

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