Average Medicaid Pathology & Lab Services Payments in Santa Monica, CA: $49.52
Avg. Paid
$49.52
Range
$0.00 – $62.98
Total Claims
18,655
Providers
9
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 Monica, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jochen Thorsten Schaefer
2121 Wilshire Blvd Ste 103 |
$58.89 | 11,951 | 11,264 |
|
Winnie Wu
2121 Santa Monica Blvd |
$22.03 | 2,507 | 1,669 |
|
Steven Elliot Kolker
2121 Santa Monica Blvd |
$62.98 | 2,392 | 2,126 |
|
Zeina Hijazi
1745 11Th St |
$0.13 | 733 | 733 |
|
Pathology Medical Group Of Saint John'S
1328 22Nd St |
$17.33 | 627 | 557 |
|
Rebecca Lynn Rodriguez
1711 Ocean Park Blvd |
$0.00 | 306 | 306 |
|
Regents Of The Univ Of California
1250 16Th St |
$37.50 | 68 | 62 |
|
Rae A Joselson
2121 Santa Monica Blvd |
$13.93 | 46 | 44 |
|
Diana Hoffman
2509 Pico Blvd |
$1.86 | 25 | 24 |
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 Monica, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pathology & Lab Services in Santa Monica, CA is $49.52 per claim, based on 18,655 claims from 9 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 Monica, CA?
There are 9 Medicaid providers offering Pathology & Lab Services related services in Santa Monica, CA according to public payment data.
What is the price range for Pathology & Lab Services in Santa Monica, CA?
Medicaid reimbursement for Pathology & Lab Services in Santa Monica, CA ranges from $0.00 to $62.98 per claim, with an average of $49.52. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pathology & Lab Services in Other Cities
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Phoenix, AZ
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Burlington, NC
Avg $22.04
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Elmwood Park, NJ
Avg $27.20
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Raritan, NJ
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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
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Other Procedures in Santa Monica, CA
Office Visit
Avg $22.57
373,557 claims
Blood Work & Lab Tests
Avg $4.49
329,206 claims
X-Ray
Avg $8.96
258,632 claims
Emergency Room Visit
Avg $63.11
219,456 claims
Dental Cleaning & Exam
Avg $54.55
178,189 claims
Ultrasound
Avg $30.17
163,467 claims
Nursing Facility Care
Avg $51.77
135,686 claims
CT Scan (Computed Tomography)
Avg $61.05
127,182 claims