In pathology, it is truly difficult to provide a Good Faith Estimate (GFE) that is always precise. The ultimate cost depends on how extensive the diagnostic services need to be in order to understand if there is cancer, is there malignancy, or what is the prognosis of a patient’s health. However, there are some “typical” situations we see:
Simple Diagnosis of a Body Tissue
Diagnosis Service | CPT Code | Total |
GI Colon Biopsy Level IV | 88305 | $152.86 |
TOTAL | $152.86 |
More Complicated Diagnosis of Tissue
Diagnosis Service | Quantity | CPT Code | Unit Price | Total |
Skin Lesions (2) Level IV | 2 | 88305 | $152.86 | $305.72 |
Special Stain | 1 | 88312 | $248.04 | $248.04 |
Immunohistochemistry Stain | 2 | 88342 | $218.50 | $437.00 |
Immunohistochemistry Stain Additional | 1 | 88341 | $189.10 | $189.10 |
TOTAL | $1,179.86 |
Our GFE is a "Reimbursement-based Market Fee Schedule." HPL will work directly with self-pay or uninsured patients ONLY, with exceptions by request.