Average Medicaid Pathology & Lab Services Payments in Rockford, IL: $34.30
Avg. Paid
$34.30
Range
$18.41 – $41.06
Total Claims
24,250
Providers
26
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 Rockford, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Matthew H Twohig
1401 E State St |
$35.12 | 4,055 | 3,647 |
|
Sara Fleming
1401 E State St |
$35.00 | 3,411 | 3,068 |
|
Eva K Drinka
1401 E State St |
$35.80 | 3,233 | 2,980 |
|
Tarek Jazaerly
1401 E State St |
$34.01 | 3,096 | 2,811 |
|
Korrin Kathryn Meier
1401 E State St |
$32.47 | 3,019 | 2,810 |
|
Lindsay Ann Brackney
5666 E State St |
$31.00 | 1,885 | 1,654 |
|
Ania Katarzyna Henning
8201 E Riverside Blvd |
$41.06 | 1,482 | 1,390 |
|
Laura Sinada-Bottros
2400 N Rockton Ave |
$34.60 | 1,440 | 1,299 |
|
James A Harker
2400 N Rockton Ave |
$29.41 | 525 | 507 |
|
Steven O Ikenberry
401 Roxbury Rd |
$30.85 | 281 | 261 |
|
Chandrashekhar Thukral
401 Roxbury Rd |
$33.20 | 245 | 235 |
|
Hiului Lau
1400 Charles St |
$34.60 | 234 | 231 |
|
Talha Qureshi
401 Roxbury Rd |
$36.07 | 196 | 187 |
|
Samuel Park
1400 Charles St |
$30.16 | 182 | 179 |
|
Connie M Vitali
2400 N Rockton Ave |
$21.18 | 130 | 128 |
|
John J Deguide
401 Roxbury Rd |
$32.79 | 123 | 120 |
|
Sunil Shashikant Patel
401 Roxbury Rd |
$30.62 | 122 | 119 |
|
Ilche Teodore Nonevski
401 Roxbury Rd |
$34.24 | 115 | 108 |
|
Michael J Manley
401 Roxbury Rd |
$32.50 | 101 | 93 |
|
George Chahine Tannous
401 Roxbury Rd |
$32.22 | 98 | 94 |
|
Clinton T Snedegar
401 Roxbury Rd |
$31.23 | 90 | 85 |
|
Nabil David Baddour
401 Roxbury Rd |
$32.94 | 55 | 53 |
|
Rebekha Neu
1400 Charles St |
$27.80 | 50 | 49 |
|
Joseph J Vicari
401 Roxbury Rd |
$22.63 | 42 | 42 |
|
Aaron J Shiels
401 Roxbury Rd |
$30.34 | 25 | 24 |
|
Sumoulindra T. Bhattacharya
5970 Churchview Dr |
$18.41 | 15 | 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 Rockford, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pathology & Lab Services in Rockford, IL is $34.30 per claim, based on 24,250 claims from 26 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 Rockford, IL?
There are 26 Medicaid providers offering Pathology & Lab Services related services in Rockford, IL according to public payment data.
What is the price range for Pathology & Lab Services in Rockford, IL?
Medicaid reimbursement for Pathology & Lab Services in Rockford, IL ranges from $18.41 to $41.06 per claim, with an average of $34.30. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Avg $30.80
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