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Tissue exam by pathologist level IV

CPT 88305 · negotiated-rate distribution across hospitals in CA

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Hospitals
40
Min
$15.00
Median
$66.69
Max
$241.50
Range multiplier
16.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS31286$8.26$67.42$664.1780.4×
UnitedHealthcare26148$13.81$65.14$1,021.7174.0×
Aetna32126$8.26$70.17$644.4278.0×
Medicaid24121$25.00$64.68$620.0024.8×
Kaiser Permanente2699$8.06$59.41$800.8099.4×
Multiplan3096$1.00$60.41$915.20915.2×
Blue Cross Blue Shield3590$8.26$66.69$681.2082.5×
Health Net1788$1.00$69.12$681.20681.2×
First Health2374$17.16$60.34$812.2547.3×
Cigna2773$14.04$79.55$634.2045.2×
Medicare3154$8.26$65.39$217.4726.3×
commercial | healthsmart | all plans1447$21.32$57.40$837.9039.3×
Molina1133$8.88$66.69$435.0049.0×
Humana2330$8.26$63.32$258.7531.3×
brand new day723$8.88$69.00$100.0411.3×
commercial | sutter health | all plans722$26.61$53.94$496.0018.6×
TRICARE716$8.88$66.69$66.697.5×
aids healthcare foundation314$8.88$15.00$68.027.7×
employer direct healthcare613$8.88$71.00$93.3710.5×
commercial | wcmg | all plans312$5.66$8.67$105.4018.6×
naphcare411$8.88$71.00$103.3711.6×
l.a care health plan211$8.88$15.00$66.697.5×
americas choice provider network310$8.88$70.17$87.859.9×
corvel310$8.88$70.17$87.859.9×
provider select310$8.88$70.17$87.859.9×
provider network of america310$8.88$70.17$87.859.9×
prime health services39$8.88$69.33$194.5721.9×
commercial | connected care intel | all plans59$18.70$73.19$348.5118.6×
healthsmart preferred network28$8.88$69.28$87.859.9×
traditional medi-cal78$8.88$11.76$11.761.3×
renal payer solutions68$8.88$66.69$66.697.5×
Empire BCBS28$17.05$66.69$83.364.9×
centinela valley ipa18$66.69$69.28$104.701.6×
commercial | magellan | all plans38$15.60$176.10$374.4024.0×
zelis healthcare27$8.88$71.00$83.469.4×
imperial health plan37$8.88$69.23$70.698.0×
three rivers27$8.88$71.00$85.229.6×
Workers Comp27$8.88$71.00$87.859.9×
occunet16$69.23$69.33$133.381.9×
citrus valley physicians group26$66.69$66.69$66.691.0×
emanate health26$66.69$66.69$133.382.0×
alignment46$8.88$66.69$66.697.5×
ca foundation for medical center15$8.88$69.00$87.859.9×
premier physicians network15$66.69$69.23$104.701.6×
worker compensation35$69.23$87.85$87.851.3×
commercial | hill physicians | all plans55$70.17$70.17$70.171.0×
commercial | dhmg | all plans14$5.20$13.00$97.4018.7×
access medical group14$66.69$69.28$100.041.5×
heritage provider network14$191.00$231.50$435.002.3×
commercial | usbehavior health | all plans14$33.26$50.94$620.0018.6×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Johns Pleasant Valley HospitalCamarilloCA14$390.00$273.00$58.80$88.70$312.00
St Elizabeth Community HosptialRed BluffCA12$681.20$476.84$15.05$83.22$681.20
Dominican HospitalSanta CruzCA12$293.00$205.10$35.75$77.94$293.00
Sequoia HospitalRedwood CityCA15$171.00$119.70$22.12$74.81$239.23
Glendale Memorial Hospital & Hlth CtGlendaleCA7$350.00$245.00$20.80$74.32$280.00
Scripps Mercy HospitalSan DiegoCA9$254.59$63.65$64.10$71.35$115.58
Encino HospitalEncinoCA27$212.00$66.00$11.76$71.00$100.04
Centinela Hospital Medical CenterInglewoodCA33$1,075.00$66.00$11.76$69.23$133.38
Huntington Beach HospitalHuntington BeachCA16$830.82$66.00$11.76$66.69$100.04
Montclair Hospital Medical CenterMontclairCA24$757.23$66.00$11.76$66.69$133.38
Garden Grove Hospital Medical CenterGarden GroveCA19$830.82$66.00$11.76$66.69$103.37
Chino Valley Medical CenterChinoCA25$757.23$66.00$11.76$66.69$133.38
Mercy San Juan Medical CenterCarmichaelCA15$620.00$434.00$5.66$66.17$512.74
Mercy General HospitalSacramentoCA15$620.00$434.00$23.82$66.17$620.00
Methodist Hospital Of SacramentoSacramentoCA15$620.00$434.00$24.95$65.43$620.00
Sierra Nevada Memorial HospitalGrass ValleyCA12$855.00$598.50$22.16$64.91$842.18
Marian Medical CenterSanta MariaCA12$346.00$242.20$21.04$64.09$346.00
Northridge Medical Center - RoscoeNorthridgeCA14$469.00$328.30$13.98$63.32$469.00
Mercy Hospital Of FolsomFolsomCA15$620.00$434.00$5.66$62.71$620.00
Bakersfield Memorial HospitalBakersfieldCA14$302.00$211.40$36.36$60.00$265.06
St. Mary Medical CenterApple ValleyCA12$1,144.00$800.80$13.81$59.41$1,021.71
St. Bernardine Medical CenterSan BernardinoCA15$487.00$340.90$5.20$59.41$399.34
Community Hospital Of San BernardinoSan BernardinoCA16$255.00$178.50$15.60$59.08$204.00
Mercy Medical Center Mt. ShastaMt. ShastaCA12$681.20$476.84$20.63$51.17$681.20
San Antonio Regional HospitalUplandCA11$161.00$96.60$22.55$46.07$288.97
Mark Twain Medical CenterSan AndreasCA12$175.00$122.50$8.26$40.25$171.50
Woodland HealthcareWoodlandCA15$620.00$434.00$5.66$37.90$620.00
Sharp Memorial HospitalSan DiegoCA8$345.00$258.75$21.80$241.50$310.50
Sharp Chula Vista Medical CenterChula VistaCA12$345.00$258.75$1.30$228.87$1,191.26
Grossmont HospitalLa MesaCA6$345.00$258.75$1.00$219.66$276.00
Pacifica Hospital Of The ValleySun ValleyCA5$435.00$435.00$96.00$205.00$435.00
Central Valley Specialty HospitalModestoCA6$228.90$228.90$57.23$171.68$194.57
Saint Francis Memorial HospitalSan FranciscoCA19$624.00$436.80$58.80$157.10$624.00
St. Josephs Medical CenterStocktonCA9$268.00$187.60$26.80$153.49$239.86
St. Josephs Behavioral Hlth CenterStocktonCA9$268.00$187.60$26.80$153.49$239.86
Sherman Oaks Hospital-HlthSherman OaksCA30$313.70$66.00$8.88$15.00$103.37
St. Marys Medical CenterSan FranciscoCA17$543.00$380.10$58.80$137.69$543.00
Mercy Medical Center MercedMercedCA12$268.00$187.60$58.80$118.78$268.00
St. Johns Regional Medical CenterOxnardCA14$390.00$273.00$59.71$100.57$303.46
Tri-City Medical CenterOceansideCA0$400.00$240.00

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.