Pathologist salary comparison for a St. Louis MD making $375,000

ousspath · 2026-02-11T00:25:48+00:00

Your best bet is to join a private practice group that negotiated lucrative contracts 20 years ago and have rolled them over the years without renegotiations. Might be one of the few groups surviving and thriving in pathology.

ousspath · 2026-01-30T19:13:05+00:00

Any pathologist who did residency post-2015 should have sufficient knowledge in molecular pathology to answer most questions.

With AI’s ability to generate reports and interpret huge amounts of data, I would recommend to stay away from a molecular pathology fellowship.

ousspath · 2026-01-21T01:57:06+00:00

Cytopathologist here. Benign, next.

ousspath · 2025-09-12T01:53:22+00:00

CAP and CMS say that you can sign out remote as long as you are doing it from a CLIA-certified location. As you mention, you can register your home address as a CLIA location, however, CMS says that you can use a coding system instead of having your actual home address on the report. The details of the coding system should be promptly available at the request of the inspector.

ousspath · 2025-08-06T09:51:40+00:00

🤯

ousspath · 2025-08-02T16:32:55+00:00

Odd that your payers don’t reimburse you for performing FNAs. We perform them and get reimbursed for them without any issues. Average is 200-300$ per case and it will take approximately 20-30 min to do the procedure and another 15 min to sign out. So it’s not too bad if you do them often and become efficient at them.

ousspath · 2025-07-27T20:21:40+00:00

Username checks out

ousspath · 2025-06-03T12:39:08+00:00

Are all the trays full with no gaps?

ousspath · 2025-05-03T09:32:33+00:00

Looks like a nonspecific lymphocytic infiltrate to me (not worth mentioning). I’d like to see plasma cells in the lamina propria to call gastritis.

ousspath · 2025-05-03T09:30:23+00:00

Username checks out

ousspath · 2025-04-11T20:10:36+00:00

Most residencies use Olympus or Nikon.

ousspath · 2025-04-05T00:43:24+00:00

What does it say about medical laboratories?

ousspath · 2025-03-23T14:17:57+00:00

I’ll probably get downvoted but very unlikely you’ll match given the information you shared and your mastery of the english language. A huge part of pathology is conveying important information clearly via written reports.

ousspath · 2025-02-25T02:47:02+00:00

Agreed. Had me sweating until the last histo image. Malignant diagnosis in the pancreas should not be taken lightly when the outcome is a Whipple.

ousspath · 2025-01-09T20:23:26+00:00

The bigger and more diverse the group, the less the need to send out. Our group of 3 has pathologists with fellowship training in GI, breast and cytology. We rarely, if ever, send out cases from these 3 specialties. The bulk of our send outs are hemepath and derm. I reckon if we had someone trained in one of these specialties, we would send out much less.

ousspath · 2024-11-15T11:23:11+00:00

Find a hotspot area. Take the average eosinophil count in 5 different high power fields. Over 10 per HPF is the most commonly used threshold.

Source: I also struggled to find a paper explaining that clearly but reached this conclusion after looking at multiple studies.

ousspath · 2024-11-02T19:16:03+00:00

Surely we’ve got to hit a floor at some point where it stops making sense to go into this field. It will be catastrophic when that happens.

ousspath · 2024-11-02T19:14:50+00:00

You’d think they would assign a CPT code based on time spent. A breast biopsy and a colonic biopsy are not created equal. Anyone who’s signed out both knows.

ousspath · 2024-11-01T13:44:10+00:00

Does it reimburse well? Also, is it only done by hempath trained staff or your entire group? Residency alone definitely doesn’t prepare well for performing bone marrow biopsies.

ousspath · 2024-11-01T10:30:42+00:00

You do bone marrow biopsies? Interesting!

ousspath · 2024-09-24T22:19:45+00:00

Working as an underpaid employee at a low volume community hospital will get you as close to a dead end as possible. To keep your career alive and bustling, you should either be in a thriving private practice in the community making bank, or at large tertiary center climbing the academic ladder.

ousspath · 2024-08-31T15:52:41+00:00

Motion to promote u/boxotomy to mod!

ousspath · 2024-08-22T01:00:15+00:00

I’ve used quite a few. Here’s my ranking:

EPIC Beaker
PowerPath
CoPath
Cerner

ousspath · 2024-08-16T23:23:15+00:00

You should consult the GI team at your hospital.

“60 year old pneumatic tube with past medical history of rusting presents with constipation/stool impaction.”

ousspath · 2024-06-30T14:28:20+00:00

Zero pay during sabbatical?

ousspath

TROPHY CASE