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Tissue exam by pathologist level IV

CPT 88305 · negotiated-rate distribution across hospitals in CO

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Hospitals
6
Min
$39.22
Median
$165.10
Max
$582.91
Range multiplier
14.9×

By payer (40 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare36$41.29$57.92$190.504.6×
Blue Cross Blue Shield25$49.41$124.46$203.204.1×
Humana24$38.64$44.22$177.804.6×
Anthem BCBS14$38.64$95.93$160.874.2×
Aetna24$38.64$101.20$223.525.8×
WellCare12$39.03$39.03$39.031.0×
Cigna11$237.49$237.49$237.491.0×
cofinity11$190.50$190.50$190.501.0×
devon health services11$408.32$408.32$408.321.0×
friday health plan11$177.80$177.80$177.801.0×
health management network11$215.90$215.90$215.901.0×
intergroup11$382.80$382.80$382.801.0×
medincrease11$459.36$459.36$459.361.0×
Molina11$39.41$39.41$39.411.0×
Multiplan11$408.32$408.32$408.321.0×
optum ccn region 111$39.03$39.03$39.031.0×
optum ccn region 211$39.03$39.03$39.031.0×
police departments [50065]11$1,000.00$1,000.00$1,000.001.0×
presbyterian of nm: mcd11$29.80$29.80$29.801.0×
presbyterian of nm: mcr ppo11$49.41$49.41$49.411.0×
presbyterian of nm: php pos, administrative services only & ppo plan11$203.20$203.20$203.201.0×
presbyterian of nm: php salud plan11$190.50$190.50$190.501.0×
prime health services11$433.84$433.84$433.841.0×
provider network of amercia11$382.80$382.80$382.801.0×
quik trip11$382.80$382.80$382.801.0×
rocky mountain health plan: commercial ip11$165.10$165.10$165.101.0×
rocky mountain health plan: commercial op11$177.80$177.80$177.801.0×
rocky mountain health plan: mcd11$37.03$37.03$37.031.0×
rocky mountain health plan: mcr adv11$49.41$49.41$49.411.0×
southwest health alliance11$97.67$97.67$97.671.0×
texas rehabilitation comm [50038]11$165.82$165.82$165.821.0×
umr11$137.63$137.63$137.631.0×
usa managed care organization11$382.80$382.80$382.801.0×
velocity provider ppo network11$382.80$382.80$382.801.0×
Workers Comp11$81.57$81.57$81.571.0×
allsavers ip11$190.50$190.50$190.501.0×
allsavers op11$41.29$41.29$41.291.0×
america's choice11$357.28$357.28$357.281.0×
caresoure kentucky11$119.60$119.60$119.601.0×
child health plan+11$165.10$165.10$165.101.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mt. San Rafael HospitalTrinidadCO2$185.00$130.00$47.00$92.00$167.00
Rio Grande HospitalDel NorteCO2$2,768.05$553.61$165.82$582.91$1,000.00
East Morgan County HospitalBrushCO10$184.00$110.40$38.64$39.22$161.92
Pam Specialty Hospital Of DenverDenverCO10$510.40$510.40$357.28$382.80$459.36
Animas Surgical HospitalDurangoCO21$254.00$97.67$29.80$165.10$237.49
Vail Valley Medical CenterVailCO0$287.00$215.25

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.