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Tissue exam by pathologist level IV

CPT 88305 · negotiated-rate distribution across hospitals in IA

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Hospitals
27
Min
$60.70
Median
$62.79
Max
$385.92
Range multiplier
6.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield18205$28.34$61.30$381.9013.5×
UnitedHealthcare19196$28.96$52.04$517.8317.9×
Aetna16182$31.45$88.45$507.9916.2×
Cigna1573$41.39$67.39$520.2912.6×
health partners open network1459$34.00$74.30$151.874.5×
Humana1758$31.45$51.12$172.865.5×
amerivantage1144$31.45$43.00$68.582.2×
Molina1141$32.08$50.25$369.0011.5×
medica323$52.07$365.82$385.927.4×
amerigroup1720$44.29$51.74$181.514.1×
medica exchange inspire1415$32.28$45.09$104.723.2×
medica exchange insure1414$36.22$50.08$109.283.0×
iowa total care1414$44.29$49.24$54.211.2×
bc illinois community212$57.02$108.93$379.306.7×
millard public schools310$154.84$385.92$385.922.5×
greater omaha packing310$154.84$385.92$385.922.5×
one world310$154.84$385.92$385.922.5×
midlands choice310$230.36$385.92$385.921.7×
meridian health plan28$33.02$43.64$68.582.1×
health alliance28$31.45$42.06$65.312.1×
Ambetter28$31.45$49.59$78.822.5×
phcs36$314.53$393.96$393.961.3×
Multiplan36$376.55$393.96$393.961.0×
Centene36$50.72$104.99$176.323.5×
quiktrip36$265.80$385.92$385.921.5×
timpte35$178.07$385.92$385.922.2×
dean health plan15$82.80$98.56$188.602.3×
meridian14$33.02$47.44$68.582.1×
iowa health14$33.02$43.00$68.582.1×
medical associates health plan14$33.02$52.07$71.462.2×
healthpartners14$369.00$461.25$461.251.3×
Anthem BCBS14$369.00$461.25$522.751.4×
wisconsin physician service13$381.30$399.75$399.751.0×
amps33$115.60$312.36$383.753.3×
common ground13$369.00$369.00$369.001.0×
great plains33$54.67$147.74$181.513.3×
iamolina33$51.72$179.78$179.783.5×
pace33$52.07$140.70$172.863.3×
health eos plus12$369.00$369.00$369.001.0×
health eos12$492.00$492.00$492.001.0×
Medicare12$63.83$104.78$145.722.3×
payer negotiated charge: iowa total care11$162.32$162.32$162.321.0×
everpointe elite11$307.50$307.50$307.501.0×
quartz group11$369.00$369.00$369.001.0×
hs technology11$307.50$307.50$307.501.0×
quartz one11$338.25$338.25$338.251.0×
elap11$124.04$124.04$124.041.0×
creighton university employees11$287.95$287.95$287.951.0×
todays options11$53.11$53.11$53.111.0×
total care11$176.32$176.32$176.321.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Trinity Regional Medical CenterFort DodgeIA10$205.00$164.00$28.96$66.62$182.28
The Finley HospitalDubuqueIA17$205.00$164.00$28.96$65.05$379.30
Jones Regional Medical CtrAnamosaIA12$205.00$164.00$28.96$63.55$182.28
Grundy County Mem. HospitalGrundy CenterIA12$205.00$164.00$28.96$62.79$182.28
Allen Memorial HospitalWaterlooIA12$205.00$164.00$28.96$62.79$182.28
Unitypoint Health-MarshalltownMarshalltownIA12$205.00$164.00$28.96$61.30$164.83
Trinity BettendorfBettendorfIA13$205.00$164.00$28.96$61.30$182.28
St. Lukes Methodist HospitalCedar RapidsIA12$205.00$164.00$28.96$61.30$182.28
Grinnell Regional Medical CenterGrinnellIA12$205.00$164.00$28.96$61.00$182.28
Iowa Methodist Medical CenterDes MoinesIA12$205.00$164.00$28.96$61.00$182.28
St. Lukes Regl Medical CenterSioux CityIA12$205.00$164.00$28.96$61.00$182.28
Community Mem. Hospt. SummerSumnerIA12$205.00$164.00$28.96$61.00$182.28
Trinity MuscatineMuscatineIA14$205.00$164.00$28.34$60.70$379.30
Iowa Lutheran HospitalDes MoinesIA12$205.00$164.00$28.96$60.70$182.28
Chi Health - Missouri ValleyMissouri ValleyIA19$402.00$196.98$140.70$385.92$393.96
Chi Health Mercy CorningCorningIA18$402.00$192.96$172.86$385.92$393.96
Washington County HospitalWashingtonIA18$615.00$307.50$57.17$369.00$522.75
Chi Health Mercy Council BluffsCouncil BluffsIA21$443.00$186.06$50.72$154.84$376.55
Mitchell County Regional Health CentOsageIA5$319.80$287.82$63.83$154.02$272.36
Stewart Memorial HospitalLake CityIA0$253.00$202.00
Mercy Hospital Iowa CityIowa CityIA0$318.00$152.64
Loring HospitalSac CityIA0$257.00$205.60
Greene County Medical CenterJeffersonIA0$457.00$255.92
Regional Health Services Of Howard CCrescoIA0$384.00
Story County HospitalNevadaIA0$301.00$240.80
Peoples Memorial HospitalIndependenceIA0$205.31$174.51
Spencer Municipal HospitalSpencerIA0$160.99$120.74

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.