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Price reports for 88305 Lab - Tissue Level IV, Gross & Microscopic Examination

Community member

Price charged

$0.00

Insurance paid

$0.00

You paid

$450.00

Provider: Aurora Health Center
Phone: (262) 857-5000
Address: Pleasant Prairie, 12500, Aurora Drive, WI
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PriceCheck journalist

Price charged

$12.44

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.saintclares.com/463483967_SaintClaresHealth_standardcharges.json .
Provider: St. Clare's Denville
Phone: 973-625-6000
Address: Denville, 25 Pocono Rd., NJ
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$21.92

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.smmcnj.com/for-patients-visitors/financial-assistance/ .
Provider: St. Michael's Medical Center
Phone: 973-877-5000
Address: Newark, 111 Central Ave., NJ
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$40.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.margaretvillehosp.org/billing-insurance-and-financial-assistance .
Provider: Margaretville Hospital
Phone: 845-586-2631
Address: Margaretville, 42084 State Hwy. 28, NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$56.89

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://carepointhealth.org/patients-visitors/hospital-charges/ .
Provider: Carepoint Health - Hoboken University Medical Center
Phone: 201-418-1000
Address: Hoboken, 308 Willow Ave., NJ
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$56.89

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://carepointhealth.org/patients-visitors/hospital-charges/ .
Provider: Carepoint Health - Christ Hospital
Phone: 201-795-8200
Address: Jersey City, 176 Palisade Ave., NJ
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$56.89

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://carepointhealth.org/patients-visitors/hospital-charges/ .
Provider: Carepoint Health - Bayonne Medical Center
Phone: 201-858-5000
Address: Bayonne, 29 E. 29th St., NJ
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$56.89

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://carepointhealth.org/patients-visitors/hospital-charges/ .
Provider: Carepoint Health - Bayonne Medical Center
Phone: 201-858-5000
Address: Bayonne, 29 E. 29th St., NJ
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$60.12

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.montefioreslc.org/patients/billing-insurance-information/ .
Provider: Montefiore - St. Lukes Cornwall Hospital
Phone: (845) 561-4400
Address: Newburgh, 70 Dubois St., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$61.19

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.montefiorenyack.org/price-transparency .
Provider: Montefiore - Nyack Hospital
Phone: 845-348-2000
Address: Nyack, 160 N. Midland Ave., NY
Click to get contact details of the provider.
Community member

Price charged

$68.29

Insurance paid

$0.00

You paid

$68.29

This insurance claim is 2 of 2 claims made 3 weeks apart.The first claim was submitted to the insurance company. There was a plan discount of $102.73, leaving a balance due of $152.27, which was applied to my deductible. The second claim was not submitted to the insurance and my billing cost was $68.29. I was not given a choice to submit or not submit to the insurance company. Having insurance for this procedure was not to my advantage.
Provider: MAWD Pathology Group PA
Phone: (816) 241-3338
Address: Lenexa, 9705, Lenexa Drive, KS
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PriceCheck journalist

Price charged

$69.14

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://uhnj.org/transparency/charges.htm .
Provider: University Hospital Newark
Phone: 973-972-4300
Address: Newark, 150 Bergen St., NJ
Click to get contact details of the provider.
Community member

Price charged

$70.00

Insurance paid

$0.00

You paid

$70.00

Insurer: Anthem Blue Cross Blue Shield
Provider: LabCorp
Phone: (315) 434-9821
Address: East Syracuse, 4939, Brittonfield Parkway, NY
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Community member

Price charged

$78.96

Insurance paid

$77.38

You paid

$0.00

Insurer: Florida Blue: Blue Cross Blue Shield of Florida
Provider: Manatee County Rural Health
Phone: (941) 747-8404
Address: Bradenton, 250, 2nd St E # 4G, FL
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PriceCheck journalist

Price charged

$86.80

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Francis Hospital
Phone: 516-562-6000
Address: Roslyn, 100 Port Washington Blvd., NY
Click to get contact details of the provider.
Community member

Price charged

$88.00

Insurance paid

$0.00

You paid

$2,628.00

Tried to ask the drs office to work with me.on this price st.the time my husband lost his job his father passed away suddenly and we had to pay for a funeral. They would not I am on disability we are still paying this drs office 50.00 a month to just keep this bill out of collections
Insurer: Blue Cross Blue Shield of Michigan
Provider: Michigan Healthcare Professionals Pc
Phone: (248) 851-1430
Address: Farmington Hills, 29992, Northwestern Highway, MI
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Community member

Price charged

$89.41

Insurance paid

$0.00

You paid

$89.41

Insurer: Blue Cross Blue Shield of Rhode Island
Provider: New England Tissue Issue Inc
Phone: (508) 235-1118
Address: Fall River, 1822, North Main Street, MA
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PriceCheck journalist

Price charged

$99.45

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.ynhh.org/patients-visitors/billing-insurance/Pricing .
Provider: Yale-New Haven Hospital
Phone: 203-688-4242
Address: New Haven, 20 York St., CT
Click to get contact details of the provider.
Community member

Price charged

$100.00

Insurance paid

$30.81

You paid

$0.00

Medicare supplement paid 7.7.
Insurer: Medicare
Provider: Loose, Dr. Jeffrey MD
Phone: (985) 898-4097
Address: Covington, 1202 S. Tyler St., LA
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Community member

Price charged

$100.00

Insurance paid

$30.81

You paid

$0.00

Medicare supplement paid 7.7.
Insurer: Medicare
Provider: Morvant, Dr. Dale MD
Phone: (985) 273-5158
Address: Shreveport, 2915 Missouri Ave., LA
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PriceCheck journalist

Price charged

$100.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.midhudsonregional.org/billing-insurance-and-financial-assistance .
Provider: MidHudson Regional Hospital
Phone: 845-483-5000
Address: Poughkeepsie, 241 North Rd., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$100.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.hahv.org/billing-insurance-and-financial-assistance .
Provider: Health Alliance Mary's Avenue
Phone: 845-331-3131
Address: Kingston, 105 Mary's Ave., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$100.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.bonsecourscommunityhosp.org/navigation/1652 .
Provider: Good Samaritan Hospital
Phone: 845-368-5000
Address: Suffern, 255 Lafayette Ave., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$100.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.bonsecourscommunityhosp.org/billing-insurance-and-financial-assistance .
Provider: Bon Secours Community Hospital
Phone: 845-858-7000
Address: Port Jervis, 160 E. Main St., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$100.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.westchestermedicalcenter.org/billing-insurance-and-financial-assistance .
Provider: Westchester Medical Center
Phone: 914-493-7000
Address: Valhalla, 100 Woods Rd., NY
Click to get contact details of the provider.
Community member

Price charged

$113.00

Insurance paid

$31.60

You paid

$7.90

Insurer: HighMark Blue Cross Blue Shield
Provider: Chester County Hospital Radiology
Phone: (610) 431-5130
Address: West Chester, 701, East Marshall Street, PA
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Community member

Price charged

$123.00

Insurance paid

$0.00

You paid

$123.00

Provider: University Dermatology
Phone: (704) 596-1787
Address: Charlotte, 3006, Baucom Road, NC
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PriceCheck journalist

Price charged

$133.24

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Joseph Hospital
Phone: 516-579-6000
Address: Bethpage, 4295 Hempstead Tpke., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$133.24

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Charles Hospital
Phone: 631-474-6000
Address: Port Jefferson, 200 Belle Terre Rd., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$133.24

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Catherine of Siena Medical Center
Phone: 631-862-3000
Address: Smithtown, 50 NY-25A, NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$133.24

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health Mercy Hospital
Phone: 516-626-3729
Address: Rockville Centre, 1000 N. Village Ave., NY
Click to get contact details of the provider.
Community member

Price charged

$135.00

Insurance paid

$52.80

You paid

$82.20

Initially I was told that I should pay only $59.11 which I did. almost a year later I was bill another $23.09
Insurer: Coventry Health Care
Provider: Broward Health Coral Spg Center
Phone: (954) 344-3180
Address: Coral Springs, 3100, Coral Hills Drive, FL
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PriceCheck journalist

Price charged

$137.01

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health Good Samaritan Hospital
Phone: 631-376-3000
Address: West Islip, 1000 Montauk Hwy., NY
Click to get contact details of the provider.
Community member

Price charged

$152.00

Insurance paid

$76.32

You paid

$19.08

Insurer: Blue Cross Blue Shield of Louisiana
Provider: Dr. Shams K. Halat, MD
Phone: (504) 842-4025
Address: Jefferson, 1514, Jefferson Highway, LA
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PriceCheck journalist

Price charged

$156.14

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.montefiorehealthsystem.org/MountVernon .
Provider: Montefiore Munt Vernon
Phone: 914-664-8000
Address: Mount Vernon, 12 N. 7th Ave., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$156.14

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.montefiorehealthsystem.org/MountVernon .
Provider: Montefiore Munt Vernon
Phone: 914-664-8000
Address: Mount Vernon, 12 N. 7th Ave., NY
Click to get contact details of the provider.
PriceCheck journalist

Price charged

$156.14

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.montefiorehealthsystem.org/MountVernon .
Provider: Montefiore Munt Vernon
Phone: 914-664-8000
Address: Mount Vernon, 12 N. 7th Ave., NY
Click to get contact details of the provider.
Community member

Price charged

$174.78

Insurance paid

$113.38

You paid

$61.40

Insurer: UnitedHealthcare
Provider: Minh Dang MD Dermatology
Phone: (925) 251-9012
Address: Pleasanton, 6155, Stoneridge Drive, CA
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Community member

Price charged

$175.00

Insurance paid

$19.75

You paid

$96.97

Self insured. Insurance directly through Insurance company. Lab charged me $175 for each tissue biopsy. Insurance reduced/adjusted cost from $175 to $116.73 and then paid $19.75, leaving me to pay $96.97 per biopsy exam. I had 8 prostate biopsies taken, so my bill was almost $800.
Insurer: LifeWise
Provider: Incyte Pathology PS
Phone: (509) 892-2700
Address: Spokane Valley, 13103, East Mansfield Avenue, WA
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Community member

Price charged

$175.00

Insurance paid

$136.38

You paid

$38.62

Insurer: Humana
Provider: Skin & Cancer Associates
Phone: (561) 637-4040
Address: Delray Beach, 13550, Jog Road, FL
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Community member

Price charged

$187.88

Insurance paid

$0.00

You paid

$187.88

Provider: Thomas C. Boldry, DPM
Phone: (816) 455-1155
Address: Liberty, 550, Rush Creek Parkway, MO
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Community member

Price charged

$250.00

Insurance paid

$0.00

You paid

$250.00

Have VA Healthcare, but this procedure was not covered for oral diagnostic so I paid full amount. They also charged $170 for Immunocytochemistry as part of biopsy.
Provider: UCLA Oral & Maxillofacial Surgery
Phone: (310) 825-0834
Address: Los Angeles, 10833, Le Conte Avenue, CA
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Community member

Price charged

$250.00

Insurance paid

$0.00

You paid

$250.00

per Anthem BC - 250 is the max acceptable charge, so they did not adjust it down and with a high deductible plan I paid 250 a pop for 4 biopsies.
Insurer: Anthem Blue Cross (California)
Provider: UCSF Dermatopathology and Oral Pathology Services
Phone: (415) 353-7546
Address: San Francisco, 1701, Divisadero Street, CA
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Community member

Price charged

$255.00

Insurance paid

$0.00

You paid

$152.27

This insurance claim is 1 of 2 claims made 3 weeks apart.The first claim was submitted to the insurance company. There was a plan discount of $102.73, leaving a balance due of $152.27, which was applied to my deductible. The second claim was not submitted to the insurance and my billing cost was $68.29. I was not given a choice to submit or not submit to the insurance company.
Insurer: UnitedHealthcare
Provider: MAWD Pathology Group PA
Phone: (816) 241-3338
Address: Lenexa, 9705, Lenexa Drive, KS
Open map
Community member

Price charged

$258.00

Insurance paid

$145.13

You paid

$112.87

Insurer: Aetna
Provider: Austin Regional Clinic: ARC Far West
Phone: (512) 346-6611
Address: Austin, 6835, Austin Center Boulevard, TX
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Community member

Price charged

$258.00

Insurance paid

$108.24

You paid

$27.06

blue cross adjusted cost = - 122.70
Insurer: Anthem Blue Cross (California)
Provider: Affiliated Pathologists Medical Group, Inc
Phone: (310) 225-3221
Address: Los Angeles County, 2374, East Pacifica Place, CA
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Community member

Price charged

$262.00

Insurance paid

$63.20

You paid

$15.80

Insurer: HighMark Blue Cross Blue Shield
Provider: Hospital of the University of Pennsylvania
Phone: (215) 662-4000
Address: Philadelphia, 3400, Spruce Street, PA
Open map
Community member

Price charged

$265.00

Insurance paid

$14.92

You paid

$0.00

This was times 4, over 1K for one round of labs, its outrageous and I have no recourse. I would have not gotten the labs if know this was the cost.
Insurer: Cigna
Provider: Jennifer Toyohara, MD, FAAD
Phone: (978) 371-7010
Address: Concord, 54, Baker Avenue Extension, MA
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Community member

Price charged

$270.89

Insurance paid

$0.00

You paid

$135.45

Service Code 88305-26. Description is TISSUE EXAM BY PATHOLOGIST. Billing is out of South Carolina, but no office listed for where exam was performed.
Provider: Great Lakes Pathologists: Doos Wilhelm G MD
Phone: (414) 649-6831
Address: Milwaukee, 2900, West Oklahoma Avenue, WI
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PriceCheck journalist

Price charged

$273.34

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.stjosephshealth.org/about-st-josephs/patient-and-visitor-information/itemlist/category/791-paying-for-your-care .
Provider: St. Joseph's University Medical Center
Phone: 973-754-2000
Address: Paterson, 703 Main St., NJ
Click to get contact details of the provider.

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What Medicare pays here?

Lab - Tissue Level IV, Gross & Microscopic Examination
Region Price
Alabama $65.09
Alaska $88.41
Arizona $68.87
Arkansas $64.42
Anaheim/Santa Ana, CA $80.31
Los Angeles, CA $77.36
Marin/Napa/Solano, CA $81.52
Oakland/Berkeley, CA $82.03
Rest of California $74.02
San Francisco, CA $86.88
San Mateo, CA $86.63
Santa Clara, CA $86.04
Ventura, CA $78.91
Colorado $71.08
Connecticut $75.84
DC + MD/VA Suburbs $80.42
Delaware $71.40
Fort Lauderdale, FL $71.64
Miami, FL $73.19
Rest of Florida $68.64
Atlanta, GA $70.24
Rest of Georgia $66.10
Hawaii/Guam $76.45
Idaho $65.62
Chicago, IL $72.93
East St. Louis, IL $68.43
Rest of Illinois $67.09
Suburban Chicago, IL $73.37
Indiana $66.19
Iowa $65.73
Kansas $66.11
Kentucky $65.02
New Orleans, LA $69.14
Rest of Louisiana $65.73
Rest of Maine $66.63
Southern Maine $70.21
Baltimore/Surr. Cntys, MD $75.22
Rest of Maryland $72.00
Metropolitan Boston $76.71
Rest of Massachusetts $73.71
Detroit, MI $70.56
Rest of Michigan $66.88
Minnesota $70.05
Mississippi $64.11
Metropolitan Kansas City, MO $68.80
Metropolitan St Louis, MO $68.60
Rest of Missouri $64.49
Montana $70.96
Nebraska $65.74
Nevada $70.95
New Hampshire $72.23
Northern NJ $78.91
Rest of New Jersey $76.04
New Mexico $67.21
Manhattan, NY $79.94
NYC Suburbs/Long I., NY $81.27
Poughkpsie/N NYC Suburbs, NY $74.00
Queens, NY $81.33
Rest of New York $67.73
North Carolina $67.04
North Dakota $69.78
Ohio $66.78
Oklahoma $65.63
Portland, OR $72.59
Rest of Oregon $68.65
Metropolitan Philadelphia, PA $74.40
Rest of Pennsylvania $67.61
Puerto Rico $70.56
Rhode Island $73.11
South Carolina $66.08
South Dakota $69.62
Tennessee $65.59
Austin, TX $70.89
Beaumont, TX $66.90
Brazoria, TX $70.52
Dallas, TX $70.94
Fort Worth, TX $69.60
Galveston, TX $71.11
Houston, TX $71.25
Rest of Texas $67.44
Utah $67.38
Vermont $70.47
Virgin Islands $70.56
Virginia $69.59
Rest of Washington $70.63
Seattle (King Cnty), WA $77.09
West Virginia $64.57
Wisconsin $67.76
Wyoming $70.15
Bakersfield, CA $73.52
Chico, CA $73.46
El Centro, CA $73.47
Fresno, CA $73.46
Hanford-Corcoran, CA $73.49
Los Angeles-Long Beach-Anaheim (Los Angeles Cnty), CA $78.65
Los Angeles-Long Beach-Anaheim (Orange Cnty), CA $78.65
Madera, CA $73.46
Merced, CA $73.46
Modesto, CA $73.46
Napa, CA $81.97
Oxnard-Thousand Oaks-Ventura, CA $77.99
Redding, CA $73.46
Riverside-San Bernardino-Ontario, CA $73.70
Sacramento--Roseville--Arden-Arcade, CA $74.41
Salinas, CA $74.76
San Diego-Carlsbad, CA $75.32
San Francisco-Oakland-Hayward (Alameda/Contra Costa Cnty), CA $85.38
San Francisco-Oakland-Hayward (Marin Cnty), CA $83.72
San Francisco-Oakland-Hayward (San Francisco Cnty), CA $85.38
San Francisco-Oakland-Hayward (San Mateo Cnty), CA $85.38
San Jose-Sunnyvale-Santa Clara (San Benito Cnty), CA $80.23
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty), CA $86.78
San Luis Obispo-Paso Robles-Arroyo Grande, CA $73.89
Santa Cruz-Watsonville, CA $77.40
Santa Maria-Santa Barbara, CA $75.98
Santa Rosa, CA $75.93
Stockton-Lodi, CA $73.46
Vallejo-Fairfield, CA $81.97
Visalia-Porterville, CA $73.46
Yuba City, CA $73.46
Rest Of California, CA $73.46
Hawaii, GUam $76.04
Metropolitan Boston, MA $78.78

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