Average Medicaid Pathology & Lab Services Payments in Richmond, IN: $22.76
Avg. Paid
$22.76
Range
$0.88 – $181.47
Total Claims
37,231
Providers
19
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 Richmond, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nelson Reed Spaulding
1100 Reid Pkwy |
$25.67 | 10,217 | 6,823 |
|
Joseph W Byers
1100 Reid Pkwy |
$22.82 | 8,849 | 5,627 |
|
Rulong Ren
1100 Reid Pkwy |
$26.35 | 8,232 | 6,811 |
|
Naeem Raza
1050 Reid Pkwy Ste 110 |
$8.34 | 4,977 | 2,504 |
|
Magdy Z Rofail
1080 University Blvd |
$14.05 | 2,422 | 1,563 |
|
Joseph B Clemente
1050 Reid Parkway |
$12.41 | 1,137 | 1,023 |
|
Emily D Hart
1050 Reid Pkwy Ste 220 |
$15.66 | 278 | 251 |
|
Leigh Grace Stone
135 S 21St St |
$181.47 | 264 | 228 |
|
James Edward Swonder
100 N 15Th St |
$32.77 | 246 | 145 |
|
Roberta K Patterson
1050 Reid Pkwy Ste 220 |
$11.39 | 151 | 128 |
|
Amber Burns
1050 Reid Pkwy Ste 220 |
$19.20 | 121 | 106 |
|
Tanay Shah
1050 Reid Pkwy Ste 220 |
$84.85 | 101 | 77 |
|
Reid Hospital & Health Care Services, Inc
1100 Reid Pkwy |
$29.59 | 59 | 35 |
|
Erika Barlow Brandenstein
1050 Reid Pkwy |
$13.53 | 44 | 39 |
|
Martha E Fagan
1050 Reid Parkway |
$8.67 | 33 | 30 |
|
Melinda Hegyi
1050 Reid Pkwy Ste 220 |
$11.10 | 33 | 27 |
|
Thomas A Duncan
1050 Reid Pkwy Ste 220 |
$12.38 | 29 | 27 |
|
Shawn Travis Greathouse
1911 Chester Blvd |
$0.88 | 22 | 14 |
|
Victoria Osayi
1050 Reid Pkwy Ste 220 |
$10.93 | 16 | 14 |
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 Richmond, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pathology & Lab Services in Richmond, IN is $22.76 per claim, based on 37,231 claims from 19 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 Richmond, IN?
There are 19 Medicaid providers offering Pathology & Lab Services related services in Richmond, IN according to public payment data.
What is the price range for Pathology & Lab Services in Richmond, IN?
Medicaid reimbursement for Pathology & Lab Services in Richmond, IN ranges from $0.88 to $181.47 per claim, with an average of $22.76. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pathology & Lab Services in Other Cities
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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
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Raritan, NJ
Avg $12.74
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Charleston, WV
Avg $20.19
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San Diego, CA
Avg $26.07
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New York, NY
Avg $58.48
877,222 claims · 362 providers
Other Procedures in Richmond, IN
Office Visit
Avg $54.50
598,718 claims
Blood Work & Lab Tests
Avg $6.41
347,880 claims
Behavioral & Mental Health Therapy
Avg $123.75
303,574 claims
Emergency Room Visit
Avg $98.35
259,188 claims
X-Ray
Avg $22.75
160,817 claims
Case Management Services
Avg $33.22
152,801 claims
Substance Abuse Treatment
Avg $235.08
123,136 claims
EKG / ECG (Electrocardiogram)
Avg $21.29
109,878 claims