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Tissue exam by pathologist level IV

CPT 88305 · negotiated-rate distribution across hospitals in GA

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Hospitals
9
Min
$44.70
Median
$62.65
Max
$76.71
Range multiplier
1.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare828$1.00$49.47$129.08129.1×
Blue Cross Blue Shield728$22.71$75.91$526.7723.2×
Aetna824$22.44$68.00$557.1024.8×
Cigna819$1.00$108.43$540.39540.4×
Humana814$32.55$53.10$140.704.3×
WellCare713$26.17$53.63$74.452.8×
CareSource510$30.39$50.08$91.003.0×
First Health310$34.44$136.49$588.0517.1×
Medicaid27$1.00$30.39$134.21134.2×
Health Net15$56.95$281.30$600.4310.5×
TRICARE34$44.77$48.39$125.302.8×
Ambetter34$63.95$76.22$88.491.4×
dodge cty op rate24$30.07$36.40$42.721.4×
secure health op rate24$62.65$75.83$89.001.4×
beech street op rate24$112.77$136.49$160.201.4×
phcs op rate24$115.28$139.52$163.761.4×
peach state13$30.39$53.56$62.402.1×
Oscar Health23$67.60$85.81$85.811.3×
Medicare Advantage12$53.63$53.63$53.631.0×
alliant health plan22$65.10$89.71$114.311.8×
alliant op rate22$50.03$50.03$50.031.0×
amerigroup community care22$25.47$46.34$67.202.6×
amerigroup op rate22$31.60$31.61$31.611.0×
banner health12$56.95$66.21$75.461.3×
blue mcr replacement12$53.63$53.63$53.631.0×
devoted health22$53.56$56.97$60.371.1×
facility billing - op12$53.63$53.63$53.631.0×
healthspring mcr replacement12$54.17$54.44$54.701.0×
occunet12$99.22$109.95$120.671.2×
riverwood behavioral health12$52.00$58.50$65.001.3×
smarthealth12$75.08$75.08$75.081.0×
sonder health plan12$54.60$54.60$54.601.0×
three rivers11$52.00$52.00$52.001.0×
corvel11$52.00$52.00$52.001.0×
imperial insurance11$59.80$59.80$59.801.0×
clear spring health plan11$52.00$52.00$52.001.0×
Medicare11$52.00$52.00$52.001.0×
acchs11$75.46$75.46$75.461.0×
mercy care11$79.24$79.24$79.241.0×
Multiplan11$52.00$52.00$52.001.0×
naphcare11$80.60$80.60$80.601.0×
novanet11$52.00$52.00$52.001.0×
arizona complete health11$75.46$75.46$75.461.0×
centurion11$78.00$78.00$78.001.0×
care 1st11$75.46$75.46$75.461.0×
peach state health plan op rate11$31.91$31.91$31.911.0×
peach state hp op rate11$31.91$31.91$31.911.0×
bridgeway health solutions11$56.95$56.95$56.951.0×
prime health services11$52.00$52.00$52.001.0×
provider select11$52.00$52.00$52.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Union General HospitalBlairsvilleGA9$163.30$81.65$25.47$76.71$138.81
West Central Ga Regional HospitalColumbusGA22$619.00$459.30$56.95$75.46$600.43
Chatuge Regional HospitalHiwasseeGA9$93.00$46.50$28.83$65.80$79.05
Houston Medical CenterWarner RobinsGA17$102.78$26.17$62.65$163.76
St. Marys Sacred Heart HospitalLavoniaGA13$387.00$154.80$49.47$54.97$133.20
Southern Regional Medical CenterRiverdaleGA28$592.50$52.00$22.44$52.00$140.70
Perry HospitalPerryGA17$102.78$29.19$47.06$163.76
Dodge County HospitalEastmanGA6$251.57$1.00$44.70$226.41
Southwell MedicalAdelGA0$2,291.00$1,145.50

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.