Average Medicaid Pathology & Lab Services Payments in Portland, ME: $22.45
Avg. Paid
$22.45
Range
$0.98 – $178.96
Total Claims
135,916
Providers
31
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 Portland, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mainehealth
22 Bramhall St |
$1.52 | 26,395 | 24,359 |
|
Brian C. Klazynski
22 Bramhall St |
$51.36 | 11,431 | 10,327 |
|
Hagen Blaszyk
22 Bramhall St |
$28.47 | 10,499 | 7,943 |
|
Ola Melhus
22 Bramhall St |
$19.58 | 9,151 | 6,164 |
|
Katherine Neal Kimmelshue
22 Bramhall St |
$25.69 | 6,538 | 4,806 |
|
William V. Lewis
22 Bramhall St |
$20.35 | 5,763 | 4,031 |
|
Michael A Jones
22 Bramhall St |
$23.59 | 5,699 | 4,405 |
|
Mercy Hospital
175 Fore River Pkwy |
$0.98 | 5,341 | 4,872 |
|
Ronald S Guibord
22 Bramhall St |
$20.05 | 5,068 | 3,336 |
|
Michael R. Harvey
22 Bramhall St |
$61.89 | 4,676 | 4,500 |
|
Shinya Amano
22 Bramhall St |
$16.23 | 4,590 | 4,157 |
|
Tarek Hammour
22 Bramhall St |
$17.46 | 4,506 | 2,935 |
|
Douglas M Dressel
22 Bramhall St |
$16.49 | 4,317 | 2,974 |
|
Ryan Matthew Paolino
22 Bramhall St |
$25.70 | 4,296 | 3,502 |
|
Robert A Christman
22 Bramhall St |
$23.96 | 4,273 | 3,381 |
|
Cynthia A Forker
22 Bramhall St |
$35.26 | 4,220 | 3,702 |
|
Carmen J Rinaldi
50 Sewall St |
$49.23 | 3,878 | 3,679 |
|
Emily Ek Meserve
22 Bramhall St |
$23.77 | 3,615 | 2,855 |
|
Bilal R Ahmad
22 Bramhall St |
$30.34 | 3,104 | 2,727 |
|
Katy Veprauskas
22 Bramhall St |
$12.83 | 2,916 | 1,768 |
|
Erica R Heinrich
22 Bramhall St |
$19.98 | 1,417 | 1,174 |
|
Mainehealth
887 Congress St |
$1.88 | 1,275 | 1,070 |
|
Brian Joseph Quattrochi
22 Bramhall St |
$23.16 | 1,134 | 1,056 |
|
Rebecca Cydney Batiste
22 Bramhall St |
$41.40 | 747 | 727 |
|
Milind Velankar
22 Bramhall St |
$35.92 | 461 | 393 |
|
Rachel Gormley
50 Sewall St |
$54.50 | 304 | 292 |
|
Mainehealth
887 Congress St |
$15.93 | 115 | 108 |
|
Katherine Emily Saunders
22 Bramhall St |
$37.70 | 113 | 101 |
|
Gordon A Millspaugh
161 Marginal Way |
$99.96 | 28 | 28 |
|
Noemi Baffy
161 Marginal Way |
$178.96 | 28 | 28 |
|
Marina Kim
161 Marginal Way |
$58.59 | 18 | 15 |
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 Portland, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pathology & Lab Services in Portland, ME is $22.45 per claim, based on 135,916 claims from 31 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 Portland, ME?
There are 31 Medicaid providers offering Pathology & Lab Services related services in Portland, ME according to public payment data.
What is the price range for Pathology & Lab Services in Portland, ME?
Medicaid reimbursement for Pathology & Lab Services in Portland, ME ranges from $0.98 to $178.96 per claim, with an average of $22.45. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pathology & Lab Services in Other Cities
West Hills, CA
Avg $16.14
1,726,148 claims · 6 providers
Phoenix, AZ
Avg $39.83
1,511,310 claims · 133 providers
Burlington, NC
Avg $22.04
1,401,627 claims · 11 providers
Elmwood Park, NJ
Avg $27.20
1,131,854 claims · 4 providers
Raritan, NJ
Avg $12.74
1,102,506 claims · 1 providers
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 Portland, ME
Blood Work & Lab Tests
Avg $1.50
622,485 claims
Office Visit
Avg $36.14
593,977 claims
Home Health Visit
Avg $319.11
499,937 claims
Case Management Services
Avg $67.60
459,038 claims
Substance Abuse Treatment
Avg $116.83
397,924 claims
Emergency Room Visit
Avg $145.93
357,964 claims
X-Ray
Avg $10.50
304,258 claims
Behavioral & Mental Health Therapy
Avg $199.04
231,478 claims