Based on public Medicaid payment data.

Average Medicaid Pathology & Lab Services Payments in Worcester, MA: $31.60

Avg. Paid

$31.60

Range

$8.18 – $84.46

Total Claims

147,911

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 Worcester, MA

Provider	Avg. Paid	Claims	Patients
Umass Memorial Medical Center, Inc. 55 Lake Avenue	$9.18	17,791	16,678
Ikjot S. Bhutani 55 Lake Ave N	$40.04	7,042	6,973
Vijay K. Vanguri 55 Lake Ave N	$38.40	5,979	5,878
Sonali P. Ayar 55 Lake Ave N	$32.84	5,842	5,324
Ali Akalin 55 Lake Ave N	$20.90	5,449	5,255
Selina Cortez Cortez 55 Lake Ave N	$32.06	5,399	4,855
Su Zheng 123 Summer St	$29.44	5,230	5,059
Andrew H. Fischer 55 Lake Ave N	$20.52	5,187	4,909
Vhs Acquisition Subsidiary Number 7 Inc 123 Summer St	$10.66	4,554	4,418
Salwa Mohamed Khedr 55 Lake Ave N	$39.40	4,392	4,263
Soheil S Dadras 55 Lake Ave N	$28.31	4,061	3,934
Xiaofei Wang 55 Lake Ave N	$35.42	4,020	3,943
Qingqing Liu 1 Innovation Dr Ste 3	$84.46	3,973	2,743
Adair Seager 281 Lincoln St	$33.01	3,870	3,465
Leslie Dowd 1 Innovation Dr	$24.35	3,815	3,632
Lesley Woods 281 Lincoln St	$16.74	3,794	3,091
Hwa Jeong Lee 55 Lake Ave N	$71.86	3,753	2,833
Otto Walter 55 Lake Ave N	$32.58	3,652	2,934
Xiaoqin Zhu 55 Lake Ave N	$31.82	3,368	3,280
Amy G Zhou 55 Lake Ave N	$72.76	3,219	2,857
Patrick J. O'Donnell 55 Lake Ave N	$23.73	2,791	2,745
Dina H. Kandil 55 Lake Ave N	$31.46	2,566	2,497
Yayan Chen 123 Summer St	$28.33	2,503	2,435
Yuxin Liu 55 Lake Ave N	$58.31	2,449	1,818
George A. Tjionas 55 Lake Ave N	$31.10	2,258	2,219
Laboratory Corporation Of America Holdings 123 Summer St	$25.85	2,207	2,193
Jennifer L. Clark 55 Lake Ave N	$42.17	2,154	2,125
Zendee Rose P. Elaba 55 Lake Ave N	$22.74	2,022	1,944
Hongwei Bai 55 Lake Ave N	$29.45	2,021	1,672
Tianle Zou 55 Lake Ave N	$33.04	1,965	1,925
Maha Nabih Farhat 55 Lake Ave N	$34.20	1,844	1,823
Zhong Jiang 55 Lake Ave N	$36.72	1,647	1,637
Minoti Magotra 1 Innovation Dr	$46.15	1,612	1,560
Benjamin J. Chen 55 Lake Ave N	$20.98	1,607	1,547
Wei Xing 1 Innovation Dr	$35.25	1,522	1,461
Stephen R Lyle 1 Innovation Dr	$64.40	1,385	1,127
Nida Shemmeri 55 Lake Ave N	$26.37	1,336	1,277
Gamze Ayata 55 Lake Ave N	$30.89	1,208	1,141
Kristine M Cornejo 55 Lake Ave N	$26.06	967	953
Christine Lian 281 Lincoln St	$21.41	966	954
Sindha Thomas 55 Lake Ave N	$18.79	886	818
Mariko Yasuda 281 Lincoln St	$27.73	748	558
Shi Bai 55 Lake Ave N	$23.04	729	701
Bruce A. Woda 55 Lake Ave N	$46.58	692	616
Hanqiao Zheng 55 Lake Ave N	$15.04	681	656
Christopher L. Owens 55 Lake Ave N	$32.10	657	638
Nader A. Morad 55 Lake Ave N	$28.48	409	406
Theresa M. Smith 55 Lake Ave N	$48.42	350	346
Mark Davis 1 Innovation Dr Ste 3	$23.49	312	293
Lanu V Stoddart 55 Lake Ave N	$55.07	307	302

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 Worcester, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Pathology & Lab Services in Worcester, MA is $31.60 per claim, based on 147,911 claims from 58 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 Worcester, MA?

There are 58 Medicaid providers offering Pathology & Lab Services related services in Worcester, MA according to public payment data.

What is the price range for Pathology & Lab Services in Worcester, MA?

Medicaid reimbursement for Pathology & Lab Services in Worcester, MA ranges from $8.18 to $84.46 per claim, with an average of $31.60. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Pathology & Lab Services Payments in Worcester, MA: $31.60

Providers Offering Pathology & Lab Services in Worcester, MA

What to Expect: Pathology & Lab Services

Cost Components

Frequently Asked Questions

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