Based on public Medicaid payment data.

Average Medicaid Pathology & Lab Services Payments in Rochester, NY: $70.89

Avg. Paid

$70.89

Range

$0.00 – $135.00

Total Claims

139,788

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 Rochester, NY

Provider	Avg. Paid	Claims	Patients
Enzo Fallone 1425 Portland Avenue	$49.07	12	12
Nicholas Kho Yan Lim Chow Tom 601 Elmwood Ave	$30.44	12	12
Lucy Ashley Sheils 1425 Portland Ave	$45.15	13	13
Brooke Sarah Henninger 1425 Portland Ave # 400	$41.44	13	12
Jason Gordon Mathis 601 Elmwood Ave	$0.00	13	13
Tatsiana Pukhalskaya 1425 Portland Ave	$22.24	15	14
Sachica C Cheris 601 Elmwood Ave	$105.88	24	24
Theodor Karl Mayer 1425 Portland Ave Rochester General Hospital	$44.00	26	26
Julieann Nagle Warner 1425 Portland Avenue	$27.61	28	25
Marissa Gloria Levine 2655 Ridgeway Ave Ste 180	$22.35	39	39
Joseph Hatem 1425 Portland Avenue	$34.75	42	41
Joel Lawrence Shapiro 1425 Portland Ave	$51.65	50	41
Lee Fu Peng 1425 Portland Ave	$0.17	53	53
Brendan Francis Boyce 601 Elmwood Ave	$14.95	82	81
Jason P Gutman 1425 Portland Ave	$40.68	103	12
Acm Medical Laboratory Inc 160 Elmgrove Park	$61.48	108	108
Tamera Ann Paczos 601 Elmwood Ave	$20.05	158	158
David Michael Crossland 1561 Long Pond Rd	$17.31	191	185
Amber Angela Petrolla 1425 Portland Ave	$41.31	195	175
Planned Parenthood Of Central And Western New York, Inc 114 University Ave	$23.71	207	207
Alexandra Danakas 601 Elmwood Avenue, 626	$56.29	221	220
Kathleen Anne Mannava 400 Red Creek Dr Ste 200	$40.54	223	209
Bruce Smoller 601 Elmwood Ave	$42.54	224	222
Mushal Noor 601 Elmwood Ave	$50.57	318	315
Alexander W Vanamerongen 1555 Long Pond Rd	$20.98	327	299
Fadi Hatem 1425 Portland Ave	$46.62	397	390
Jiqing Ye 601 Elmwood Avenue, Box 626	$38.00	453	426
Timothy Craig Harkcom 1561 Long Pond Rd Ste 130	$29.94	549	464
Malcolm Schinstine 1425 Portland Ave # 400	$25.52	565	531
Dating Liu 1561 Long Pond Rd	$46.07	593	587
Glynis Scott 601 Elmwood Ave	$68.41	620	527
Jian Shen 601 Elmwood Ave	$41.36	790	737
Solomon Lee 1555 Long Pond Rd	$33.30	1,139	1,026
Wenqing Cao 601 Elmwood Avenue	$135.00	1,385	1,374
Layla Hatem 1555 Long Pond Rd	$65.70	2,028	1,754
Matthew S Turner 1425 Portland Ave	$30.92	2,430	2,116
Simha R Sastry 1555 Long Pond Rd	$48.75	2,546	2,459
Tejashree Arun Karnik 1555 Long Pond Road	$59.33	2,673	2,390
Denisa Slova 1555 Long Pond Rd	$45.68	2,746	2,477
Scott F. Lapoint 1425 Portland Ave # 400	$30.81	2,928	2,701
Josenia Narcisa Mailed Tan 1561 Long Pond Rd Ste 130	$60.31	3,362	3,121
Meenal Sharma 1561 Long Pond Rd Ste 130	$58.13	3,377	3,043
Andrew Lindsey Jackson Dunn 601Elmwood Avenue	$43.26	3,518	3,384
The Unity Hospital Of Rochester 1555 Long Pond Rd	$133.40	3,796	3,423
Jorge Lo Yao 601 Elmwood Avenue Box 626	$37.25	4,664	4,548
David Garrett Wagner 601 Elmwood Ave	$34.71	5,289	3,402
The Unity Hospital Of Rochester 1555 Long Pond Rd	$63.80	6,390	6,006
Highland Hospital Of Rochester 1000 South Ave	$77.41	7,201	6,141
Sapna S Patel 601 Elmwood Ave	$26.53	7,398	6,660
U Of R Neurology Department 601 Elmwood Ave	$45.95	12,053	9,031

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 Rochester, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Pathology & Lab Services in Rochester, NY is $70.89 per claim, based on 139,788 claims from 53 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 Rochester, NY?

There are 53 Medicaid providers offering Pathology & Lab Services related services in Rochester, NY according to public payment data.

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

Medicaid reimbursement for Pathology & Lab Services in Rochester, NY ranges from $0.00 to $135.00 per claim, with an average of $70.89. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Pathology & Lab Services Payments in Rochester, NY: $70.89

Providers Offering Pathology & Lab Services in Rochester, NY

What to Expect: Pathology & Lab Services

Cost Components

Frequently Asked Questions

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