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Tissue exam by pathologist level IV

CPT 88305 · negotiated-rate distribution across hospitals in AL

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Hospitals
26
Min
$48.85
Median
$66.38
Max
$277.89
Range multiplier
5.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna1081$12.95$53.63$855.6366.1×
Aetna1363$21.00$139.43$32,8741565.4×
Humana1160$44.73$92.39$22,759508.8×
Blue Cross Blue Shield1149$30.71$59.06$245.108.0×
UnitedHealthcare1136$32.52$54.17$22,759699.8×
viva529$44.91$137.55$25,288563.1×
Ambetter811$88.49$95.02$101.901.2×
Medicare610$47.51$53.63$57.371.2×
WellCare68$52.26$52.95$53.631.0×
smarthealth37$75.08$75.08$105.031.4×
occunet26$64.75$107.86$120.671.9×
devoted55$46.26$48.94$48.941.1×
Molina35$33.40$57.37$99.223.0×
health spring15$16.00$36.00$71.004.4×
Bright Health34$28.00$69.63$248.648.9×
Oscar Health24$85.81$85.81$85.811.0×
university of utah14$31.80$36.60$39.901.3×
Medicare Advantage24$53.63$54.17$54.701.0×
90 degree benefits12$96.53$96.53$96.531.0×
aarp12$52.91$52.91$52.911.0×
actin care12$86.34$86.34$86.341.0×
avmed exchange12$96.53$96.53$96.531.0×
bc advantage mcr replacement12$53.63$53.63$53.631.0×
behavioral hlth sys [100258]12$355.86$562.97$770.072.2×
blue mcr replacement12$53.63$53.63$53.631.0×
careplus mcr replacement12$54.70$54.70$54.701.0×
claritev [100309]12$347.95$550.45$752.952.2×
employer direct healthcare12$93.85$93.85$93.851.0×
facility billing - op12$53.63$53.63$53.631.0×
healthspring mcr replacement12$54.17$54.44$54.701.0×
motivhealth12$48.00$48.00$48.001.0×
Multiplan22$67.00$162.21$257.423.8×
optum transplant [100275]12$237.24$375.31$513.382.2×
pace place12$53.63$53.63$53.631.0×
research study encore borland-groover12$53.63$53.63$53.631.0×
Self-Pay (Cash)12$55.70$55.70$55.701.0×
VA Health12$53.63$53.63$53.631.0×
viva [100269]12$268.87$425.35$581.832.2×
Medicaid11$245.10$245.10$245.101.0×
haven hospice11$53.63$53.63$53.631.0×
harmony health plan11$245.10$245.10$245.101.0×
meridian11$245.10$245.10$245.101.0×
First Health11$234.02$234.02$234.021.0×
community hospice11$53.63$53.63$53.631.0×
usa managed care11$85.00$85.00$85.001.0×
novanet11$277.89$277.89$277.891.0×
evernorth bh11$70.00$70.00$70.001.0×
viva med adv11$48.85$48.85$48.851.0×
elap11$21.18$21.18$21.181.0×
blue advantage11$115.20$115.20$115.201.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Washington County HospitalChatomAL5$144.00$54.17$30.71$82.08$129.60
Coosa Valley Medical CenterSylacaugaAL4$203.00$49.00$16.00$70.00$203.00
St. Vincents St. ClairPell CityAL18$32.52$69.63$245.10
Helen Keller HospitalSheffieldAL10$50,575$50,575$28.13$66.38$32,874
Huntsville HospitalHuntsvilleAL10$50,575$50,575$28.13$66.38$32,874
Athens LimestoneAthensAL10$50,575$50,575$28.13$66.38$32,874
Decatur Morgan - Decatur CampusDecaturAL10$50,575$50,575$28.13$66.38$32,874
Providence HospitalMobileAL13$387.00$154.80$49.47$54.97$133.20
St. Vincents EastBirminghamAL23$116.50$43.11$12.95$54.70$167.93
Mountain View HospitalGadsdenAL23$459.03$459.03$21.18$49.00$382.53
Cullman RegionalCullmanAL5$139.94$48.85$48.85$59.06
The Childrens Hospital Of AlabamaBirminghamAL18$855.63$367.92$46.19$277.89$855.63
Marshall Medical Centers SouthBoazAL7$1,147.00$1,147.00$33.68$108.65$894.66
Crestwood Medical CenterHuntsvilleAL0$633.16$132.96
Gadsden Regional Medical CenterGadsdenAL0$4,005.21$720.94
Flowers HospitalDothanAL0$633.00$189.90
Grandview Medical CenterBirminghamAL0$766.00$183.84
Southeast Health Medical CenterDothanAL0$1,859.64$743.86
Springhill Memorial HospitalMobileAL0$179.20$152.32
Red Bay HospitalRed BayAL0$410.00$229.60
Tanner Medical Center Alabama Inc.WedoweeAL0$540.00$216.00
Noland Hospital Montgomery IiMontgomeryAL0$265.44
Noland Hospital Birmingham IiBirminghamAL0$281.11
Noland Hospital Dothan IiDothanAL0$3,197.68
Noland Hospital Anniston IiAnnistonAL0$265.44
Noland Hospital Tuscaloosa IiTuscaloosaAL0$400.72

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.