Biopsy pathology exam cost in Virginia
In Virginia, 66 hospitals publish a cash price for biopsy tissue exam by a pathologist (level IV): from $42.50 to $1,378.00, with a median of $217.80. The lowest price is at Augusta Health (Fishersville). The highest price is 32.4× the lowest.
- The median here, $217.80, is 28% above the US median of $170.33.
- That is 4.1× Medicare's 2026 national rate for the same service ($53.24).
- Virginia ranks 37th of 50 states by median, cheapest first.
- 13 of 66 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 1, 2026. See them on a map
Lowest$42.50Augusta Health
Median$217.80half of hospitals charge less
Highest$1,378.00in Virginia
Lowest saves$175.30vs the median
Hospitals in Virginia, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Augusta Health lowest Fishersville · Staunton-Stuarts Draft, VA Surg Path W/O Complex Disectin | $42.50 | $85.00 | Apr 1, 2026 source file |
| Dickenson Community Hospital Clintwood · Clintwood, VA HC SURGICAL PATH LEVEL IV | $74.06 | $322.00 | Mar 23, 2026 source file |
| Lee County Community Hospital Pennington Gap · Pennington Gap, VA HC SURGICAL PATH LEVEL IV | $74.06 | $322.00 | Mar 23, 2026 source file |
| Johnston Memorial Hospital Abingdon · Kingsport-Bristol, TN-VA HC SURGICAL PATH LEVEL IV | $75.45 | $503.00 | Mar 23, 2026 source file |
| Lonesome Pine Hospital Big Stone Gap · Big Stone Gap, VA HC SURGICAL PATH LEVEL IV | $75.45 | $503.00 | Mar 23, 2026 source file |
| Russell County Hospital Lebanon · Lebanon, VA HC SURGICAL PATH LEVEL IV | $75.45 | $503.00 | Mar 23, 2026 source file |
| Smyth County Community Hospital Marion · Marion, VA HC SURGICAL PATH LEVEL IV | $75.45 | $503.00 | Mar 23, 2026 source file |
| Bon Secours Southside Medical Center Petersburg · Richmond, VA HC So Tissue Level IV | $90.60 | $302.00 | Apr 1, 2026 source file |
| Mary Washington Hospital Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Tissue exam by pathologist | $111.50 | $223.00 | Dec 30, 2024 source file |
| Stafford Hospital Stafford · Washington-Arlington-Alexandria, DC-VA-MD-WV Tissue exam by pathologist | $111.50 | $223.00 | Dec 30, 2024 source file |
| Fauquier Health Warrenton · Washington-Arlington-Alexandria, DC-VA-MD-WV 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 | $114.40 | $286.00 | Jul 14, 2026 source file |
| Rappahannock General Hospital Kilmarnock · Kilmarnock, VA HC Tissue Level IV | $150.60 | $251.00 | Apr 1, 2026 source file |
| Lewisgale Hospital Alleghany Low Moor · Low Moor, VA SURG PATH LEVEL 4 | $154.00 | $154.00 | Sep 1, 2026 source file |
| Riverside Smithfield Hospital Smithfield · Virginia Beach-Chesapeake-Norfolk, VA-NC Surgical Pathology Level IV Mayo | $161.17 | $322.34 | Mar 11, 2026 source file |
| Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Hc So Tissue Level Iv | $166.18 | $276.96 | Jul 1, 2026 source file |
| Sentara Martha Jefferson Hospital Charlottesville · Charlottesville, VA Chgl Bone Marrow Bx Interpret | $168.50 | $337.00 | Apr 1, 2026 source file |
| Sentara RMH Medical Center Harrisonburg · Harrisonburg, VA Chgl Cytology Cell Block | $168.50 | $337.00 | Apr 1, 2026 source file |
| Sovah Health - Danville Danville · Danville, VA 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 | $170.00 | $425.00 | Jul 11, 2026 source file |
| Sovah Health - Martinsville Martinsville · Martinsville, VA 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 | $170.00 | $425.00 | Jul 10, 2026 source file |
| Sentara Halifax Regional Hospital South Boston · South Boston, VA Chgl Bone Marrow Asp Clot | $186.50 | $373.00 | Apr 1, 2026 source file |
| Carilion Franklin Memorial Hospital Rocky Mt · Roanoke, VA HB SURG PATH LEVEL 4 GR/MICRO | $197.40 | $564.00 | Dec 15, 2025 source file |
| Carilion Giles Community Hospital Roanoke · Roanoke, VA HB SURG PATH LEVEL 4 GR/MICRO | $197.40 | $564.00 | Dec 15, 2025 source file |
| Carilion New River Valley Medical Center Christiansburg · Blacksburg-Christiansburg-Radford, VA HB SURG PATH LEVEL 4 GR/MICRO | $197.40 | $564.00 | Dec 15, 2025 source file |
| Carilion Roanoke Community Hospital Roanoke · Roanoke, VA HB SURG PATH LEVEL 4 GR/MICRO | $197.40 | $564.00 | Dec 15, 2025 source file |
| Carilion Roanoke Memorial Hospital Roanoke · Roanoke, VA HB SURG PATH LEVEL 4 GR/MICRO | $197.40 | $564.00 | Apr 17, 2026 source file |
| Carilion Rockbridge Community Hospital Lexington · Lexington, VA HB SURG PATH LEVEL 4 GR/MICRO | $197.40 | $564.00 | Dec 15, 2025 source file |
| Carilion Tazewell Community Hospital Tazewell · Bluefield, WV-VA HB SURG PATH LEVEL 4 GR/MICRO | $197.40 | $564.00 | Dec 15, 2025 source file |
| Bon Secours Southern Virginia Medical Center Emporia · Emporia, VA HC Tissue Level IV | $205.50 | $685.00 | Apr 1, 2026 source file |
| Bon Secours Harbour View Medical Center Suffolk · Virginia Beach-Chesapeake-Norfolk, VA-NC HC So Tissue Level IV | $212.40 | $354.00 | Apr 1, 2026 source file |
| Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Tissue Level IV | $212.40 | $354.00 | Apr 1, 2026 source file |
| Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Tissue Level IV | $212.40 | $354.00 | Apr 1, 2026 source file |
| Wythe County Community Hospital Wytheville · Wytheville, VA 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 | $212.49 | $531.23 | Jul 10, 2026 source file |
| Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC Tissue Level IV | $217.80 | $363.00 | Apr 1, 2026 source file |
| Bon Secours Richmond Community Hospital Richmond · Richmond, VA HC Tissue Level IV | $217.80 | $363.00 | Apr 1, 2026 source file |
| Bon Secours St Francis Medical Center Midlothian · Richmond, VA HC Tissue Level IV | $217.80 | $363.00 | Apr 1, 2026 source file |
| Bon Secours St Marys Hospital of Richmond Richmond · Richmond, VA HC Tissue Level IV | $217.80 | $363.00 | Apr 1, 2026 source file |
| Hospital for Extended Recovery Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl Surg Path Level Iv | $219.00 | $438.00 | Apr 1, 2026 source file |
| Sentara Careplex Hospital Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl Cytology Cell Block | $219.00 | $438.00 | Apr 1, 2026 source file |
| Sentara Leigh Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl Bone Marrow Asp Clot | $219.00 | $438.00 | Apr 1, 2026 source file |
| Sentara Norfolk General Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl Bone Marrow Asp Clot | $219.00 | $438.00 | Apr 1, 2026 source file |
| Sentara Northern Virginia Medical Center Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV Chgl Cytology Cell Block | $219.00 | $438.00 | Apr 1, 2026 source file |
| Sentara Obici Hospital Suffolk · Suffolk, VA Chgl Cytology Cell Block | $219.00 | $438.00 | Apr 1, 2026 source file |
| Sentara Princess Anne Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl Cytology Cell Block | $219.00 | $438.00 | Apr 1, 2026 source file |
| Sentara Virginia Beach General Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl Bone Marrow Bx Interpret | $219.00 | $438.00 | Apr 1, 2026 source file |
| Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC LEVEL IV - SURG PATH GROSS & MICRO EXAM | $224.00 | $448.00 | Apr 1, 2026 source file |
| Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC LEVEL IV - SURG PATH GROSS & MICRO EXAM | $224.00 | $448.00 | Apr 1, 2026 source file |
| Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC LEVEL IV - SURG PATH GROSS & MICRO EXAM | $224.00 | $448.00 | Apr 1, 2026 source file |
| Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC LEVEL IV - SURG PATH GROSS & MICRO EXAM | $224.00 | $448.00 | Apr 1, 2026 source file |
| Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC LEVEL IV - SURG PATH GROSS & MICRO EXAM | $224.00 | $448.00 | Apr 1, 2026 source file |
| Twin County Regional Healthcare Galax · Galax, VA 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 | $256.06 | $640.15 | Jul 10, 2026 source file |
| Bon Secours Southampton Memorial Hospital Franklin · Roanoke, VA HC Tissue Level IV | $259.80 | $866.00 | Apr 1, 2026 source file |
| Bath Community Hospital Hot Springs · Hot Springs, VA LEVEL 4 PATHOLOGY (PER SPECIME,TECHNICAL COMPONENT | $273.35 | $390.50 | Mar 25, 2026 source file |
| Children's Hospital of the King's Daughters Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC CELL BLOCK | $333.65 | $370.72 | Mar 17, 2026 source file |
| Lewisgale Hospital Montgomery Christiansburg · Blacksburg-Christiansburg-Radford, VA SURG PATH LEVEL 4 | $629.00 | $629.00 | Sep 1, 2026 source file |
| Chippenham Hospital Chesterfield · Richmond, VA SURG PATH LEVEL 4 | $783.00 | $783.00 | Sep 1, 2026 source file |
| Henrico Doctors Hospital - Forest Mechanicsville · Richmond, VA 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, | $783.00 | $783.00 | Sep 1, 2026 source file |
| Johnston-Willis Hospital Richmond · Richmond, VA 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, | $783.00 | $783.00 | Sep 1, 2026 source file |
| Parham Doctors Hospital Richmond · Richmond, VA 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, | $783.00 | $783.00 | Sep 1, 2026 source file |
| Retreat Doctors Hospital Richmond · Richmond, VA SURG PATH LEVEL 4 | $783.00 | $783.00 | Sep 1, 2026 source file |
| Tricities Hospital Prince George · Richmond, VA 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, | $783.00 | $783.00 | Sep 1, 2026 source file |
| Spotsylvania Regional Medical Center Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV 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, | $1,122.12 | $1,122.12 | Sep 1, 2026 source file |
| Lewisgale Hospital Pulaski Pulaski · Blacksburg-Christiansburg-Radford, VA SURG PATH LEVEL 4 | $1,129.00 | $1,129.00 | Sep 1, 2026 source file |
| Clinch Valley Health Richlands · Bluefield, WV-VA 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 | $1,305.30 | $3,263.25 | Jul 14, 2026 source file |
| Stonesprings Hospital Center Dulles · Washington-Arlington-Alexandria, DC-VA-MD-WV 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, | $1,325.57 | $1,325.57 | Sep 1, 2026 source file |
| Reston Hospital Center Reston · Washington-Arlington-Alexandria, DC-VA-MD-WV 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, | $1,349.88 | $1,349.88 | Sep 1, 2026 source file |
| Lewisgale Medical Center Roanoke · Roanoke, VA 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, | $1,378.00 | $1,378.00 | 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 |
|---|---|---|---|
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 12 | $161.17 | $219.00 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 12 | $111.50 | $224.00 |
| Richmond, VA | 11 | $90.60 | $783.00 |
| Roanoke, VA | 6 | $197.40 | $197.40 |
| Blacksburg-Christiansburg-Radford, VA | 3 | $197.40 | $629.00 |
| Bluefield, WV-VA | 2 | $197.40 | $751.35 |
| Big Stone Gap, VA | 1 | $75.45 | $75.45 |
| Clintwood, VA | 1 | $74.06 | $74.06 |
| Charlottesville, VA | 1 | $168.50 | $168.50 |
| Danville, VA | 1 | $170.00 | $170.00 |
| Emporia, VA | 1 | $205.50 | $205.50 |
| Galax, VA | 1 | $256.06 | $256.06 |
| Hot Springs, VA | 1 | $273.35 | $273.35 |
| Harrisonburg, VA | 1 | $168.50 | $168.50 |
| Kilmarnock, VA | 1 | $150.60 | $150.60 |
| Kingsport-Bristol, TN-VA | 1 | $75.45 | $75.45 |
| Lebanon, VA | 1 | $75.45 | $75.45 |
| Lexington, VA | 1 | $197.40 | $197.40 |
| Low Moor, VA | 1 | $154.00 | $154.00 |
| Marion, VA | 1 | $75.45 | $75.45 |
| Martinsville, VA | 1 | $170.00 | $170.00 |
| Pennington Gap, VA | 1 | $74.06 | $74.06 |
| South Boston, VA | 1 | $186.50 | $186.50 |
| Suffolk, VA | 1 | $219.00 | $219.00 |
| Staunton-Stuarts Draft, VA | 1 | $42.50 | $42.50 |
| Wytheville, VA | 1 | $212.49 | $212.49 |
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$80.60
- 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 Carolina$178.80
- North Dakota$123.22
- Ohio$203.45
- Oklahoma$132.00
- Oregon$197.60
- Pennsylvania$169.20
- Puerto Rico$140.00, 1 hospital
- Rhode Island$111.30
- South Carolina$190.80
- South Dakota$161.20
- Tennessee$75.45
- Texas$296.13
- Utah$485.46
- Vermont$261.69
- Washington$168.90
- West Virginia$108.67
- Wisconsin$215.80
- Wyoming$98.19
Median cash price across the state's hospitals.