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Tissue exam by pathologist level IV

CPT 88305 · negotiated-rate distribution across hospitals in IN

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Hospitals
20
Min
$45.66
Median
$45.95
Max
$171.67
Range multiplier
3.8×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS6218$21.54$45.95$277.3712.9×
UnitedHealthcare775$10.55$41.41$91.458.7×
Medicaid672$21.54$27.15$48.72.3×
Humana744$52.56$84.02$167.933.2×
mhs care connect636$21.54$27.15$48.72.3×
patoka valley tier 2614$45.36$45.36$45.361.0×
patoka valley tier 1614$45.36$45.36$45.361.0×
Aetna19$26.88$83.13$109.944.1×
Cigna18$12.95$33.53$54.74.2×
encore exclusive66$45.36$45.36$45.361.0×
smarthealth ppo/hdhp 2016100166$167.42$167.42$167.421.0×
smarthealth ppo66$167.42$167.42$167.421.0×
occunet14$64.75$107.86$120.671.9×
WellCare12$53.63$53.63$53.631.0×
Ambetter12$101.9$101.9$101.91.0×
avmed exchange12$96.53$96.53$96.531.0×
bc advantage mcr replacement12$53.63$53.63$53.631.0×
Blue Cross Blue Shield12$53.63$53.63$53.631.0×
careplus mcr replacement12$54.7$54.7$54.71.0×
employer direct healthcare12$93.85$93.85$93.851.0×
Medicare12$53.63$53.63$53.631.0×
Medicare Advantage12$54.7$54.7$54.71.0×
Molina12$99.22$99.22$99.221.0×
Oscar Health12$85.81$85.81$85.811.0×
pace place12$53.63$53.63$53.631.0×
research study encore borland-groover12$53.63$53.63$53.631.0×
smarthealth12$75.08$75.08$75.081.0×
VA Health12$53.63$53.63$53.631.0×
90 degree benefits12$96.53$96.53$96.531.0×
haven hospice11$53.63$53.63$53.631.0×
community hospice11$53.63$53.63$53.631.0×
america's choice provider11$160.22$160.22$160.221.0×
prime health services11$194.56$194.56$194.561.0×
quik trip11$171.67$171.67$171.671.0×
usa managed care organization11$171.67$171.67$171.671.0×
velocity provider ppo network11$171.67$171.67$171.671.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ASCENSION ST. VINCENT DUNNBEDFORDIN23$116.5$43.11$12.95$54.7$167.93
ASCENSION ST. VINCENT WILLIAMSPORTWILLIAMSPORTIN10$796$477.6$10.55$45.95$277.37
ASCENSION ST. VINCENT JENNINGSNORTH VERNONIN10$616$369.6$12.8$45.95$277.37
ASCENSION ST VINCENT SETON SPECIALTYINDIANAPOLISIN10$812$487.2$12.8$45.95$277.37
ST VINCENT SETON SPECIALTY HOSP-LAFLAFAYETTEIN10$812$487.2$12.8$45.95$277.37
ASCENSION ST. VINCENT WARRICKBOONEVILLEIN10$476$285.6$10.55$45.66$277.37
ST. MARY MEDICAL CENTER INC.HOBARTIN10$476$285.6$10.55$45.66$277.37
REHABILITATION HOSPITAL OF INDIANAINDIANAPOLISIN5$228.89$228.89$160.22$171.67$194.56
DUPONT HOSPITALFORT WAYNEIN0$484$217.8
LAPORTE HOSPITALLAPORTEIN0$362.44$195.72
DUKES MEMORIAL HOSPITALPERUIN0$342$188.1
MARGARET MARY COMMUNITY HOSPITALBATESVILLEIN0$366$307.44
LUTHERAN MUSCULOSKELETAL CENTERFORT WAYNEIN0$808$218.16
MARION GENERAL HOSPITALMARIONIN0$112$67.2
LUTHERAN HOSPITAL OF INDIANAFT WAYNEIN0$850$306
PORTER REGIONAL HOSPITALVALPARAISOIN0$774$278.64
GOOD SAMARITAN HOSPITALVINCENNESIN0$179.8$176.2
SCHNECK MEDICAL CENTERSEYMOURIN0$322$225.4
BLUFFTON REGIONAL MEDICAL CENTERBLUFFTONIN0$907$498.85
STARKE MEMORIAL HOSPITALKNOXIN0$362.44$199.34

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.