Biopsy pathology exam cost in North Carolina
In North Carolina, 57 hospitals publish a cash price for biopsy tissue exam by a pathologist (level IV): from $44.50 to $2,185.29, with a median of $178.80. The lowest price is at Alleghany County Memorial Hospital (Sparta). The highest price is 49.1× the lowest.
- The median here, $178.80, is 5% above the US median of $171.00.
- That is 3.4× Medicare's 2026 national rate for the same service ($53.24).
- North Carolina ranks 28th of 50 states by median, cheapest first.
- 7 of 57 hospitals list a cash price equal to their full list price, with no self-pay discount.
Outpatient cash prices, one line per hospital — its lowest listed price for code 88305. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 11, 2026. See them on a map
Lowest$44.50Alleghany County Memorial Hospital
Median$178.80half of hospitals charge less
Highest$2,185.29in North Carolina
Lowest saves$134.30vs the median
Hospitals in North Carolina, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Alleghany County Memorial Hospital lowest Sparta · Sparta, NC HC SURG PATH LEVEL IV | $44.50 | $89.00 | Aug 12, 2025 source file |
| ECU Health Beaufort Hospital Washington · Washington, NC Surg Path Tissue Exam/Gross Micro IV-Tc-Ref-Neo | $58.30 | $110.00 | Apr 1, 2026 source file |
| ECU Health Medical Center Greenville · Greenville, NC Surg Path Tissue Exam/Gross Micro IV-Tc-Ref-Neo | $58.30 | $110.00 | Apr 1, 2026 source file |
| ECU Health Bertie Hospital Windsor · Windsor, NC Surg Path Tissue Exam/Gross Micro IV-Tc-Ref-Neo | $61.60 | $110.00 | Apr 1, 2026 source file |
| ECU Health Chowan Hospital Edenton · Edenton, NC Surg Path Tissue Exam/Gross Micro IV-Tc-Ref-Neo | $61.60 | $110.00 | Apr 1, 2026 source file |
| ECU Health Duplin Hospital Kenansville · Kenansville, NC Surg Path Tissue Exam/Gross Micro IV-Tc-Ref-Neo | $61.60 | $110.00 | Apr 1, 2026 source file |
| ECU Health Edgecombe Hospital Tarboro · Rocky Mount, NC Surg Path Tissue Exam/Gross Micro IV-Tc-Ref-Neo | $61.60 | $110.00 | Apr 1, 2026 source file |
| ECU Health North Hospital Roanoke Rapids · Roanoke Rapids, NC Surg Path Tissue Exam/Gross Micro IV-Tc-Ref-Neo | $61.60 | $110.00 | Apr 1, 2026 source file |
| East Carolina Health Ahoskie · Ahoskie, NC Surg Path Tissue Exam/Gross Micro IV-Tc-Ref-Neo | $61.60 | $110.00 | Apr 1, 2026 source file |
| The Outer Banks Hospital Nags Head · Kill Devil Hills, NC Surg Path Tissue Exam/Gross Micro IV-Tc-Ref-Neo | $61.60 | $110.00 | Apr 1, 2026 source file |
| WakeMed Cary Hospital Cary · Raleigh-Cary, NC HC Level IV Biopsy | $80.56 | $212.00 | Feb 11, 2026 source file |
| WakeMed Raleigh Campus Raleigh · Raleigh-Cary, NC HC Level IV Biopsy | $80.56 | $212.00 | Feb 11, 2026 source file |
| Iredell Memorial Hospital Statesville · Charlotte-Concord-Gastonia, NC-SC 88305 AP Bill Surgical Pathology Level IV Complexity | $82.62 | $306.00 | Dec 31, 2025 source file |
| Erlanger Murphy Medical Center Murphy · Murphy, NC HC Surg Path Lev IV Gross & Micro | $83.30 | $119.00 | Jan 25, 2026 source file |
| Person Memorial Hospital Roxboro · Durham-Chapel Hill, NC Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronc | $95.60 | $239.00 | Jul 10, 2026 source file |
| Northern Regional Hospital Mount Airy · Mount Airy, NC Gross & Microscopic - Level 4 | $111.52 | $164.00 | Nov 12, 2025 source file |
| Duke University Hospital Durham · Durham, NC Surg Path Gross Micro Level 4 | $115.02 | $426.00 | Apr 1, 2026 source file |
| Duke Health Raleigh Hospital Raleigh · Raleigh-Cary, NC Surg Path Gross Micro Level 4 | $115.02 | $426.00 | Apr 1, 2026 source file |
| Duke Regional Hospital Durham · Durham-Chapel Hill, NC Surg Path Gross Micro Level 4 | $115.02 | $426.00 | Apr 1, 2026 source file |
| Sentara Albemarle Regional Medical Center Elizabeth City · Elizabeth City, NC Chgl Cytology Cell Block | $127.00 | $254.00 | Apr 1, 2026 source file |
| Sampson Regional Medical Center Clinton · Clinton, NC Pathology examination of tissue using a microscope, intermediate complexity | $127.40 | $182.00 | Nov 2, 2026 source file |
| Scotland Memorial Hospital and Edwin Morgan Center Laurinburg · Laurinburg, NC HC PROSTATE BIOPSY | $141.00 | $282.00 | Oct 28, 2026 source file |
| Randolph Health Asheboro · Asheboro, NC SURGICAL PATH IV | $159.00 | $795.00 | Dec 30, 2024 source file |
| Wilkes Regional Medical Center North Wilkesboro · North Wilkesboro, NC HC SURG PATH LEVEL IV | $171.00 | $342.00 | Oct 8, 2025 source file |
| North Carolina Baptist Hospital Winston Salem · Winston-Salem, NC HC SURG PATH LEVEL IV | $172.00 | $344.00 | Oct 8, 2025 source file |
| Harris Regional Hospital Sylva · Sylva, NC Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronc | $173.67 | $434.17 | Jul 10, 2026 source file |
| Hugh Chatham Memorial Hospital Elkin · Mount Airy, NC HC SURG PATH LEVEL IV | $178.00 | $356.00 | Oct 30, 2026 source file |
| Betsy Johnson Hospital Dunn · Anderson Creek, NC PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY | $178.80 | $298.00 | Apr 7, 2026 source file |
| Cape Fear Valley - Bladen County Hospital Elizabethtown · Elizabethtown, NC PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY | $178.80 | $298.00 | Mar 21, 2026 source file |
| Cape Fear Valley - Hoke Hospital Raeford · Fayetteville, NC PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY | $178.80 | $298.00 | Mar 30, 2026 source file |
| Cape Fear Valley Medical Center Fayetteville · Fayetteville, NC TISSUE EXAM BY PATHOLOGIST | $178.80 | $298.00 | Mar 21, 2026 source file |
| Highsmith-Rainey Specialty Hospital Fayetteville · Fayetteville, NC PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY | $178.80 | $298.00 | Mar 22, 2026 source file |
| North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC HC SURG PATH LEVEL IV | $181.50 | $363.00 | Oct 30, 2026 source file |
| Lexington Medical Center Lexington · Winston-Salem, NC HC SURG PATH LEVEL IV | $183.00 | $366.00 | Oct 30, 2026 source file |
| AdventHealth Polk Columbus · Columbus, NC HC SURGICAL PATHOLOGY LEVEL IV | $186.27 | $186.27 | Apr 1, 2026 source file |
| Duke Health Lake Norman Hospital Mooresville · Charlotte-Concord-Gastonia, NC-SC Surg Path Gross Micro Level 4 | $201.96 | $748.00 | Apr 1, 2026 source file |
| Wilson Medical Center Wilson · Wilson, NC Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronc | $215.20 | $538.00 | Jul 10, 2026 source file |
| Columbus Regional Healthcare System Whiteville · Whiteville, NC 88305 AP Bill Non-Gyn Cytology Cell Block | $235.50 | $336.42 | Sep 1, 2025 source file |
| High Point Regional Health High Point · Greensboro-High Point, NC HC SURG PATH LEVEL IV | $253.50 | $507.00 | Oct 30, 2026 source file |
| Rutherford Regional Medical Center Rutherfordton · Forest City, NC Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronc | $285.00 | $712.49 | Jul 10, 2026 source file |
| CaroMont Regional Medical Center - Gastonia Gastonia · Charlotte-Concord-Gastonia, NC-SC CHG PATH: LEVEL IV GROSS/MICRO | $340.00 | $340.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Mount Holly · Charlotte-Concord-Gastonia, NC-SC CHG PATH: LEVEL IV GROSS/MICRO | $340.00 | $340.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Belmont · Charlotte-Concord-Gastonia, NC-SC CHG PATH: LEVEL IV GROSS/MICRO | $340.00 | $340.00 | May 11, 2026 source file |
| Atrium Health Anson Wadesboro · Charlotte-Concord-Gastonia, NC-SC HC SURG PATH LEVEL IV | $361.00 | $722.00 | Oct 28, 2026 source file |
| Atrium Health Cleveland Shelby · Shelby-Kings Mountain, NC HC SURG PATH LEVEL IV | $361.00 | $722.00 | Oct 28, 2026 source file |
| Atrium Health Lincoln Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC SURG PATH LEVEL IV | $361.00 | $722.00 | Oct 29, 2026 source file |
| Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC SURG PATH LEVEL IV | $361.00 | $722.00 | Oct 29, 2026 source file |
| Atrium Health Pineville Charlotte · Charlotte-Concord-Gastonia, NC-SC HC SURG PATH LEVEL IV | $361.00 | $722.00 | Oct 29, 2026 source file |
| Atrium Health Union Monroe · Charlotte-Concord-Gastonia, NC-SC HC SURG PATH LEVEL IV | $361.00 | $722.00 | Oct 29, 2026 source file |
| Atrium Health University City Charlotte · Charlotte-Concord-Gastonia, NC-SC HC SURG PATH LEVEL IV | $361.00 | $722.00 | Oct 29, 2026 source file |
| Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC SURG PATH LEVEL IV | $361.00 | $722.00 | Oct 29, 2026 source file |
| Carolinas Medical Center-Northeast Concord · Charlotte-Concord-Gastonia, NC-SC HC SURG PATH LEVEL IV | $361.00 | $722.00 | Nov 4, 2026 source file |
| Stanly Regional Medical Center Albermarle · Albemarle, NC HC SURG PATH LEVEL IV | $361.00 | $722.00 | Oct 29, 2026 source file |
| Frye Regional Medical Center Hickory · Hickory-Lenoir-Morganton, NC TISSUE EXAM BY PATHOLOGIST | $378.22 | $945.56 | Jul 8, 2026 source file |
| AdventHealth Hendersonville Hendersonville · Asheville, NC HC SURGICAL PATHOLOGY LEVEL IV | $581.00 | $581.00 | Apr 1, 2026 source file |
| Mission Hospital McDowell Marion · Marion, NC SURG PATH LEVEL 4 | $2,185.29 | $2,185.29 | Sep 1, 2026 source file |
| Transylvania Regional Hospital Brevard · Brevard, NC Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, | $2,185.29 | $2,185.29 | Sep 1, 2026 source file |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | 13 | $82.62 | $361.00 |
| Fayetteville, NC | 3 | $178.80 | $178.80 |
| Raleigh-Cary, NC | 3 | $80.56 | $80.56 |
| Winston-Salem, NC | 3 | $172.00 | $181.50 |
| Durham-Chapel Hill, NC | 2 | $95.60 | $105.31 |
| Mount Airy, NC | 2 | $111.52 | $144.76 |
| Ahoskie, NC | 1 | $61.60 | $61.60 |
| Asheboro, NC | 1 | $159.00 | $159.00 |
| Albemarle, NC | 1 | $361.00 | $361.00 |
| Anderson Creek, NC | 1 | $178.80 | $178.80 |
| Asheville, NC | 1 | $581.00 | $581.00 |
| Brevard, NC | 1 | $2,185.29 | $2,185.29 |
| Clinton, NC | 1 | $127.40 | $127.40 |
| Columbus, NC | 1 | $186.27 | $186.27 |
| Durham, NC | 1 | $115.02 | $115.02 |
| Edenton, NC | 1 | $61.60 | $61.60 |
| Elizabethtown, NC | 1 | $178.80 | $178.80 |
| Elizabeth City, NC | 1 | $127.00 | $127.00 |
| Forest City, NC | 1 | $285.00 | $285.00 |
| Greensboro-High Point, NC | 1 | $253.50 | $253.50 |
| Greenville, NC | 1 | $58.30 | $58.30 |
| Hickory-Lenoir-Morganton, NC | 1 | $378.22 | $378.22 |
| Kenansville, NC | 1 | $61.60 | $61.60 |
| Kill Devil Hills, NC | 1 | $61.60 | $61.60 |
| Laurinburg, NC | 1 | $141.00 | $141.00 |
| Murphy, NC | 1 | $83.30 | $83.30 |
| Marion, NC | 1 | $2,185.29 | $2,185.29 |
| North Wilkesboro, NC | 1 | $171.00 | $171.00 |
| Roanoke Rapids, NC | 1 | $61.60 | $61.60 |
| Rocky Mount, NC | 1 | $61.60 | $61.60 |
| Sparta, NC | 1 | $44.50 | $44.50 |
| Sylva, NC | 1 | $173.67 | $173.67 |
| Shelby-Kings Mountain, NC | 1 | $361.00 | $361.00 |
| Whiteville, NC | 1 | $235.50 | $235.50 |
| Windsor, NC | 1 | $61.60 | $61.60 |
| Washington, NC | 1 | $58.30 | $58.30 |
| Wilson, NC | 1 | $215.20 | $215.20 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What biopsy pathology exam is, what the price covers and why prices differ: Biopsy pathology exam explained.
Biopsy tissue exam by a pathologist (level IV) in other states
- Alabama$168.00
- Alaska$290.06
- Arizona$85.96
- Arkansas$77.39
- California$130.00
- Colorado$496.64
- Connecticut$218.35
- Delaware$381.35
- District of Columbia$353.47, 3 hospitals
- Florida$116.24
- Georgia$84.07
- Hawaii$254.80
- Idaho$219.75
- Illinois$245.00
- Indiana$259.15
- Iowa$178.10
- Kansas$218.25
- Kentucky$119.60
- Louisiana$84.96
- Maine$139.68
- Maryland$172.46
- Massachusetts$171.50
- Michigan$109.10
- Minnesota$141.92
- Mississippi$79.30
- Missouri$197.90
- Montana$201.60
- Nebraska$196.80
- Nevada$74.33
- New Hampshire$263.14
- New Jersey$97.92
- New Mexico$206.00
- New York$152.88
- North Dakota$123.22
- Ohio$203.45
- Oklahoma$140.19
- Oregon$197.60
- Pennsylvania$177.30
- Puerto Rico$140.00, 1 hospital
- Rhode Island$111.30
- South Carolina$190.80
- South Dakota$161.20
- Tennessee$75.45
- Texas$297.13
- Utah$485.46
- Vermont$261.69
- Virginia$217.80
- Washington$168.25
- West Virginia$108.67
- Wisconsin$215.80
- Wyoming$98.19
Median cash price across the state's hospitals.