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Tissue exam by pathologist level IV

CPT 88305 · negotiated-rate distribution across hospitals in AZ

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Hospitals
8
Min
$36.51
Median
$116.68
Max
$528.00
Range multiplier
14.5×

By payer (45 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare735$22.80$264.00$2,112.0092.6×
Aetna730$30.89$262.50$1,056.0034.2×
Cigna525$49.00$246.50$1,062.0721.7×
Blue Cross Blue Shield518$49.00$107.86$526.7710.8×
Humana716$30.89$69.64$1,320.0042.7×
First Health510$56.95$537.83$1,727.4630.3×
Medicare49$49.00$51.05$55.261.1×
Health Net28$56.95$377.60$759.5013.3×
Multiplan46$128.45$803.31$2,687.1620.9×
commercial | nhsi | all plans35$101.06$672.70$1,983.3819.6×
arizona physicians ipa inc15$528.00$528.00$1,320.002.5×
WellCare24$30.89$46.76$59.801.9×
Medicaid44$34.06$34.06$36.981.1×
Anthem BCBS14$30.89$84.25$139.014.5×
commercial | optum | optumhealth13$89.65$372.35$596.756.7×
commercial | lifetrac | all plans13$105.95$440.05$705.256.7×
banner health12$56.95$66.21$75.461.3×
the health plan12$22.55$26.72$30.891.4×
Meritain Health12$1,320.00$1,320.00$1,320.001.0×
Molina11$61.81$61.81$61.811.0×
optum ccn region 111$30.89$30.89$30.891.0×
optum ccn region 211$30.89$30.89$30.891.0×
physicians mutual insurance co11$528.00$528.00$528.001.0×
acchs11$75.46$75.46$75.461.0×
summit administration services11$792.00$792.00$792.001.0×
umr11$114.00$114.00$114.001.0×
rural arizona network11$56.95$56.95$56.951.0×
amount11$264.00$264.00$264.001.0×
arizona complete health11$75.46$75.46$75.461.0×
arizona medical network11$56.95$56.95$56.951.0×
bridgeway health solutions11$56.95$56.95$56.951.0×
Bright Health11$225.77$225.77$225.771.0×
care 1st11$75.46$75.46$75.461.0×
caresoure kentucky11$95.40$95.40$95.401.0×
commercial | azfmc | all other plans11$902.43$902.43$902.431.0×
commercial | azfmc | pos11$866.18$866.18$866.181.0×
de-identified max11$242.88$242.88$242.881.0×
de-identified min11$184.80$184.80$184.801.0×
devoted health11$60.37$60.37$60.371.0×
eff date11$43,770$43,770$43,7701.0×
health choice11$79.24$79.24$79.241.0×
health choice pathway11$56.95$56.95$56.951.0×
health management network11$56.95$56.95$56.951.0×
imperial insurance11$59.80$59.80$59.801.0×
mercy care11$79.24$79.24$79.241.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Arizona General HospitalLaveenAZ12$920.00$644.00$36.98$93.52$902.43
Yavapai Regional Medical CenterPrescottAZ21$619.00$459.30$56.95$75.46$600.43
Mt. Graham Regional Medical CenterSaffordAZ11$4,224.00$184.80$184.80$528.00$43,770
Santa Cruz Valley Regional HospitalGreen ValleyAZ11$159.00$95.40$22.55$36.51$143.10
St. Josephs Hospital & Medical CtrPhoenixAZ13$1,085.00$759.50$22.80$163.00$854.98
Mercy Gilbert Medical CenterGilbertAZ10$3,199.00$2,239.30$22.80$116.68$2,469.63
Chandler Regional Medical CenterChandlerAZ10$3,199.00$2,239.30$22.80$116.68$2,687.16
Abrazo West CampusGoodyearAZ0$578.00$127.16

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.