Pathology tissue test after Breast revision

especially if it will burden them with more costs.  If the State would pay for this, then it wouldn't matter but because they are burdening you with more costs, it should be your decision, the same as the cancer patient who refuses to have chemotherapy.  Standard procedures should be reviewed with you before entering the operating room.And I know of no standard pathology that costs that much... but it could be what they charge insurance companies but insurance companies have their agreed upon reimbursement.   Your surgeon's estimates sound much more realistic.  So you can ask your surgeon for proof that it was required of him to submit the tissue and if it was more hospital requirement, then they should pay for it.  Otherwise, you can ask the pathologists for a cash fee or more commonly, pay the insurance contracted reimbursement fee that your insurance company has negotiated with them if your deductibles have not yet been met.  In the end, it should not cost anything close to that for a standard gross and microscopic exam.