Look in our town there is a big fat gastroenterologist who pays some local pathologist 25 dollars a CASE, not per biopsy mind you to look at all of his GI biopsies and collects not only the technical fee, but also the professional fee.
This essentially translates to worse than slave labor for the charges that would be applied an any normal pathology charge for a private group. One GI contract can make or break some pathology groups. It takes away from the profession and marginalizes us (as pathologists) as janitorial work for greed (in my opinion). I do not believe CAP inspects pod labs either, that may be done by endoscopy certification groups (but from what I hear is pretty stringent). Certainly I believe that these groups have a right to earn an income, but what if I owned a surgery center and paid the endoscopist 50 bucks for EGD or colonoscopy? Would they think that is fair market value for their services? Is overutilization a concern for GI groups in a pod lab? If I got paid an 88305 for every odd piece of mucosa I chunked out wouldn't I chunk out more? Is the Pope catholic?
I think the only thing that will change this is legislation, probably centered around some high profile case involving the children of high profile person. I think too many people have their hand in the cookie jar for it to be any other way. I am sure there are some pod pathologist who make more than the fool in our town, I would like to hear their retort if feasible.