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Tissue exam by pathologist level IV

CPT 88305 · negotiated-rate distribution across hospitals in FL

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Hospitals
5
Min
$54.17
Median
$175.09
Max
$239.4
Range multiplier
4.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare29$22.2$49.47$303.0513.7×
Humana27$47.41$74.48$303.056.4×
Aetna26$48.78$69.02$196.984.0×
Multiplan45$137.36$186.76$255.361.9×
Medicaid14$99.3$173.67$303.053.1×
Cigna24$48.78$121.22$200.014.1×
quik trip33$175.09$175.09$239.41.4×
prime health services33$198.43$198.43$271.321.4×
Medicare23$47.87$53.63$53.631.1×
velocity provider ppo network33$175.09$175.09$239.41.4×
usa managed care organization33$175.09$175.09$239.41.4×
aarp mcr hmo12$53.63$53.63$53.631.0×
Ambetter12$88.49$88.49$88.491.0×
america's choice provider network22$163.42$163.42$163.421.0×
beechstreet commercial op rate12$115.85$163.99$212.141.8×
blue mcr replacement12$53.63$53.63$53.631.0×
clear health alliance op rate12$165.5$234.28$303.051.8×
employers health network op rate12$99.3$140.57$181.831.8×
facility billing - op12$53.63$53.63$53.631.0×
First Health12$115.85$163.99$212.141.8×
healthspring mcr replacement12$54.17$54.44$54.71.0×
hygeia op rate12$145.64$206.16$266.681.8×
occunet12$99.22$109.95$120.671.2×
Oscar Health12$85.81$85.81$85.811.0×
phcs op rate12$137.36$194.45$251.531.8×
prestige health choice op rate12$165.5$234.28$303.051.8×
smarthealth12$54.17$54.17$54.171.0×
southcare op rate12$152.26$215.53$278.811.8×
sunshine state health plan op rate12$165.5$234.28$303.051.8×
triwest12$53.63$53.63$53.631.0×
unicare op rate12$132.4$187.42$242.441.8×
WellCare12$53.63$53.63$53.631.0×
america's choice11$223.44$223.44$223.441.0×
allwell op rate11$47.87$47.87$47.871.0×
preferred care partners op rate11$47.87$47.87$47.871.0×
ultimate health plan op rate11$48.78$48.78$48.781.0×
bc network blue op rate11$331.08$331.08$331.081.0×
provider network of america11$239.4$239.4$239.41.0×
evolutions healthcare system11$255.36$255.36$255.361.0×
bc health options op rate11$312.39$312.39$312.391.0×
select specialty hospital op rate11$47.87$47.87$47.871.0×
fortified provider network11$271.32$271.32$271.321.0×
freedom health mcr op rate11$47.87$47.87$47.871.0×
freedom pointe op rate11$45.59$45.59$45.591.0×
hcra op rate11$15.85$15.85$15.851.0×
seven corners op rate11$91.18$91.18$91.181.0×
devoted health op rate11$47.87$47.87$47.871.0×
wellpath op rate11$75.22$75.22$75.221.0×
care plus health plans op rate11$47.41$47.41$47.411.0×
bc traditional op rate11$453.9$453.9$453.91.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
EMERALD COAST BEHAVIORAL HOSPITALPANAMA CITYFL15$387$154.8$49.47$54.17$133.2
PAM SPECIALTY HOSPITAL OF SARASOTASARASOTAFL9$319.2$319.2$223.44$239.4$271.32
PAM HEALTH REHAB HOSPITAL OF TAVARESTAVARESFL6$233.45$233.45$163.42$175.09$198.43
PAM HEALTH REHAB HOSPITAL OF JUPITERJUPITERFL6$233.45$233.45$163.42$175.09$198.43
THE VILLAGES TRI-COUNTY MEDICAL CENTTHE VILLAGESFL33$181.83$15.85$145.64$453.9

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.