Based on public Medicaid payment data.

Average Medicaid Pathology & Lab Services Payments in San Jose, CA: $9.29

Avg. Paid

$9.29

Range

$0.00 – $113.53

Total Claims

109,655

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 San Jose, CA

Provider	Avg. Paid	Claims	Patients
County Of Santa Clara 751 S. Bascom Avenue	$3.25	42,235	35,879
Dawn Marie Darbonne 751 S Bascom Ave	$7.76	17,335	13,609
Zheng Ma 2105 Forest Ave	$9.32	7,659	4,999
Sharmila Bose Pramanik 751 S Bascom Ave	$10.58	7,404	6,328
Wendy Deng Wu 751 S Bascom Ave	$15.23	5,311	3,406
Thomas Tao-Tsyr Chou 2105 Forest Ave	$13.77	4,011	2,783
Yan Huang 250 Hospital Pkwy	$70.77	2,774	2,763
Trevor Starnes 777 Turner Dr Ste 230	$42.21	1,707	1,469
Sofia Mahari 751 S Bascom Ave	$2.67	1,347	1,328
County Of Santa Clara 750 S Bascom Ave	$0.07	1,251	1,053
Jason E Williams 751 S Bascom Ave	$7.21	1,246	885
Gerald A Weiss 225 N Jackson Ave	$7.92	1,212	1,112
John Michael Gonzales 100-C Albright Way	$27.61	1,201	1,138
Jana Lynn Mannan 500 Tully Rd	$3.20	1,137	1,118
Alvaro Daniel Davila 751 S Bascom Ave	$9.35	1,060	799
Jiajie Lu 751 S Bascom Ave	$7.65	897	595
Hoan Van Tran 200 Jose Figueres Ave Ste 355	$2.84	857	850
Joy Lynn Brown 751 S Bascom Ave	$1.52	756	756
Susan Amber Cummings 751 S Bascom Ave	$12.15	644	463
Physicians Medical Group Of San Jose Inc 2304 Zanker Road	$0.00	637	589
County Of Santa Clara 500 Tully Rd	$0.04	628	594
Jenny Daci Yang 2331 Montpelier Dr Ste B	$4.43	616	591
Robert Gonzales Atienza 250 Hospital Pkwy	$26.89	585	583
Nimeesh K Shah 751 S. Bascom Avenue	$8.59	568	409
Khanh Kim Nguyen 2331 Montpelier Dr Ste B	$1.05	556	551
Jacqueline Fr Lou 751 S Bascom Ave	$6.40	483	477
County Of Santa Clara 1993 Mckee Rd	$0.00	449	441
Huy Anh Nguyen 2331 Montpelier Dr Ste B	$0.00	426	426
David Lin 751 S Bascom Ave	$7.63	408	265
Hashem M Farr 2375 Forest Ave	$113.53	387	383
Nalini Bhat 260 International Cir	$38.56	379	375
Thuong-Thuong Nguyen 750 S Bascom Ave Ste 300	$2.16	344	336
Eugenie Shieh 2331 Montpelier Dr Ste B	$3.53	313	255
Jacqueline Balachandran 1140 Little John Way	$0.00	305	297
County Of Santa Clara 2400 Moorpark Ave	$0.11	206	201
Mary Christine Suarez 2577 Samaritan Dr	$3.81	197	196
Sebastien Marie Gerard De Feraudy 2420 Samaritan Dr	$44.36	172	172
Cheryl Pan 750 S Bascom Ave	$3.71	166	165
Miel Marie Vallejo-Brooks 751 S Bascom Ave	$2.02	138	125
Lily Khanh-Linh Thi Nguyen 500 W Tully Rd	$0.38	122	121
Madhur Bhatnagar 55 E Julian St	$1.71	121	121
Ahmad Kamal 751 S Bascom Ave	$15.16	112	112
Victoria J Fong 751 S Bascom Ave	$0.84	111	111
Rae-Pei Cherng 751 S Bascom Ave	$1.91	110	106
Morgan Wong 2331 Montpelier Dr Ste B	$3.96	100	90
Christl Elaine Kirchner 750 S Bascom Ave	$0.00	99	99
Geeta Raman Kutty 2331 Montpelier Dr Ste B	$5.03	79	77
Kaiser Foundation Hospitals 250 Hospital Pkwy	$2.68	79	79
County Of Santa Clara 751 S. Bascom Avenue	$0.83	79	42
Judith Agudo Galario 455 Oconnor Dr Ste 250	$0.75	69	67

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 San Jose, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Pathology & Lab Services in San Jose, CA is $9.29 per claim, based on 109,655 claims from 67 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 San Jose, CA?

There are 67 Medicaid providers offering Pathology & Lab Services related services in San Jose, CA according to public payment data.

What is the price range for Pathology & Lab Services in San Jose, CA?

Medicaid reimbursement for Pathology & Lab Services in San Jose, CA ranges from $0.00 to $113.53 per claim, with an average of $9.29. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Pathology & Lab Services Payments in San Jose, CA: $9.29

Providers Offering Pathology & Lab Services in San Jose, CA

What to Expect: Pathology & Lab Services

Cost Components

Frequently Asked Questions

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