Average Medicaid Pathology & Lab Services Payments in Springfield, MA: $29.37
Avg. Paid
$29.37
Range
$11.36 – $147.80
Total Claims
210,137
Providers
43
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 Springfield, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Timothy J Menz
50 Wason Ave Fl 1 |
$147.80 | 13 | 12 |
|
Vandita Johari
759 Chestnut St |
$21.70 | 33 | 28 |
|
Pioneer Valley Urology, Pc
100 Wason Avenue |
$31.84 | 44 | 44 |
|
Kevin Patrick Asher
100 Wason Ave |
$17.58 | 70 | 63 |
|
Baystate Medical Center Inc
211 Carando Dr |
$16.66 | 98 | 97 |
|
Michael E Zavaski
100 Wason Ave Ste 120 |
$11.36 | 155 | 154 |
|
Gerald Nash
299 Carew Street |
$27.62 | 183 | 172 |
|
Sandy Zhuo Liu
299 Carew St |
$33.17 | 203 | 167 |
|
William E Swanson
100 Wason Avenue |
$14.49 | 313 | 287 |
|
Ankush Chander
759 Chestnut St |
$30.20 | 501 | 496 |
|
Geoffrey M Mikita
759 Chestnut Street |
$57.12 | 877 | 873 |
|
Allison M. Wasserman
299 Carew St |
$28.10 | 896 | 768 |
|
Christopher N Otis
759 Chestnut St |
$39.40 | 1,284 | 1,267 |
|
Olga A Krasnozhen-Ratush
759 Chestnut Street |
$37.94 | 1,382 | 1,363 |
|
Luis A Moral
759 Chestnut St |
$37.53 | 1,631 | 1,559 |
|
Ashraf Khan
759 Chestnut Street |
$27.27 | 1,729 | 1,703 |
|
Amy Ann Adas Lynn
271 Carew St Dept Of Pathology |
$32.87 | 1,810 | 1,715 |
|
Rukmini M Kashikar
759 Chestnut St |
$26.22 | 2,103 | 2,020 |
|
Ediz F. Cosar
759 Chestnut Street |
$29.85 | 2,305 | 2,224 |
|
Roxanne R Florence
759 Chestnut St |
$25.44 | 2,335 | 2,260 |
|
Mary M Zakhary
759 Chestnut St |
$39.87 | 2,519 | 2,476 |
|
David L Gang
759 Chestnut St |
$54.04 | 2,545 | 2,525 |
|
William J. Selove
759 Chestnut St # D1170 |
$24.85 | 2,786 | 2,639 |
|
John P Hunt
759 Chestnut St |
$40.59 | 2,939 | 2,858 |
|
Jonathan K Freeman
759 Chestnut St |
$38.21 | 3,052 | 2,985 |
|
Lisa Lynne Cole
759 Chestnut St |
$38.54 | 3,074 | 2,993 |
|
Giovanna M Crisi
759 Chestnut St |
$30.50 | 3,345 | 3,311 |
|
Maria Antonia Gorgan
299 Carew St |
$37.31 | 3,604 | 3,221 |
|
Monika Seth
759 Chestnut St |
$35.67 | 4,054 | 3,910 |
|
Martin E Bur
299 Carew St |
$31.97 | 4,264 | 3,809 |
|
Dianne E Grunes
271 Carew St |
$35.69 | 4,471 | 3,918 |
|
Katya R Ford
759 Chestnut St |
$36.41 | 4,627 | 4,552 |
|
New England Pathology Associates Pc
299 Carew St |
$36.76 | 4,814 | 4,699 |
|
Wayne H Duke
759 Chestnut St |
$16.00 | 6,337 | 6,253 |
|
Rahul Madhukar Jawale
759 Chestnut St |
$40.74 | 6,865 | 6,784 |
|
James D Mueller
759 Chestnut St |
$40.77 | 7,077 | 6,998 |
|
Patricia A Krebs
299 Carew St |
$30.99 | 8,207 | 7,703 |
|
Aneta B Rafalowski
759 Chestnut St |
$38.30 | 9,856 | 8,624 |
|
The Mercy Hospital Inc
271 Carew St |
$15.82 | 10,771 | 10,482 |
|
Baystate Medical Center Inc
759 Chestnut St |
$29.06 | 15,158 | 15,012 |
|
Jeffrey Sussman
299 Carew St |
$28.40 | 20,608 | 18,850 |
|
Robert A Goulart
222 Carew St |
$28.89 | 23,040 | 21,651 |
|
Baystate Medical Center Inc
759 Chestnut St |
$19.77 | 38,159 | 36,419 |
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 Springfield, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pathology & Lab Services in Springfield, MA is $29.37 per claim, based on 210,137 claims from 43 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 Springfield, MA?
There are 43 Medicaid providers offering Pathology & Lab Services related services in Springfield, MA according to public payment data.
What is the price range for Pathology & Lab Services in Springfield, MA?
Medicaid reimbursement for Pathology & Lab Services in Springfield, MA ranges from $11.36 to $147.80 per claim, with an average of $29.37. 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
Avg $39.83
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Burlington, NC
Avg $22.04
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Elmwood Park, NJ
Avg $27.20
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Avg $12.74
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Charleston, WV
Avg $20.19
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Avg $26.07
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New York, NY
Avg $58.48
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Other Procedures in Springfield, MA
Substance Abuse Treatment
Avg $20.44
8,386,620 claims
Office Visit
Avg $71.94
2,654,243 claims
Blood Work & Lab Tests
Avg $7.91
2,608,014 claims
Psychiatric Evaluation
Avg $77.04
2,573,099 claims
Behavioral & Mental Health Therapy
Avg $146.55
1,190,715 claims
Emergency Room Visit
Avg $119.65
960,403 claims
Non-Emergency Medical Transportation
Avg $22.82
911,143 claims
Personal Care Services
Avg $86.61
764,746 claims