Average Medicaid Pathology & Lab Services Payments in Santa Maria, CA: $97.29
Avg. Paid
$97.29
Range
$4.22 – $129.74
Total Claims
102,848
Providers
10
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 Santa Maria, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Diagnostic Pathology Services Of The Central Coast
1400 E Church St |
$10.27 | 503 | 485 |
|
Santa Maria Gastroenterology Medical Group Inc.
1311 S Miller St |
$34.90 | 1,177 | 1,108 |
|
Kevin L Ferguson
1400 E Church St |
$80.63 | 3,619 | 2,908 |
|
Western Diagnostic Services Laboratory, Llc
1414 E Main St |
$4.22 | 3,630 | 3,549 |
|
Lags Spine And Sportscare Medical Centers Inc
801 E Chapel St |
$17.13 | 6,497 | 6,002 |
|
Johanna Baran Moore
1400 E Church St |
$55.97 | 7,360 | 6,915 |
|
Kali Freeman
1400 E Church St |
$86.98 | 9,751 | 9,433 |
|
Vijay George
1400 E Church St |
$108.11 | 18,144 | 17,374 |
|
James Michael Lindsey
1400 E Church St |
$105.88 | 18,804 | 18,250 |
|
Francis P Lagattuta
135 Carmen Ln |
$129.74 | 33,363 | 29,259 |
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 Santa Maria, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pathology & Lab Services in Santa Maria, CA is $97.29 per claim, based on 102,848 claims from 10 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 Santa Maria, CA?
There are 10 Medicaid providers offering Pathology & Lab Services related services in Santa Maria, CA according to public payment data.
What is the price range for Pathology & Lab Services in Santa Maria, CA?
Medicaid reimbursement for Pathology & Lab Services in Santa Maria, CA ranges from $4.22 to $129.74 per claim, with an average of $97.29. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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