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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$48.702.3×
Humana744$52.56$84.02$167.933.2×
mhs care connect636$21.54$27.15$48.702.3×
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$54.704.2×
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$101.90$101.90$101.901.0×
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$54.70$54.70$54.701.0×
employer direct healthcare12$93.85$93.85$93.851.0×
Medicare12$53.63$53.63$53.631.0×
Medicare Advantage12$54.70$54.70$54.701.0×
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$116.50$43.11$12.95$54.70$167.93
Ascension St. Vincent WilliamsportWilliamsportIN10$796.00$477.60$10.55$45.95$277.37
Ascension St. Vincent JenningsNorth VernonIN10$616.00$369.60$12.80$45.95$277.37
Ascension St Vincent Seton SpecialtyIndianapolisIN10$812.00$487.20$12.80$45.95$277.37
St Vincent Seton Specialty Hosp-LafLafayetteIN10$812.00$487.20$12.80$45.95$277.37
Ascension St. Vincent WarrickBoonevilleIN10$476.00$285.60$10.55$45.66$277.37
St. Mary Medical Center Inc.HobartIN10$476.00$285.60$10.55$45.66$277.37
Rehabilitation Hospital Of IndianaIndianapolisIN5$228.89$228.89$160.22$171.67$194.56
Dupont HospitalFort WayneIN0$484.00$217.80
Laporte HospitalLaporteIN0$362.44$195.72
Dukes Memorial HospitalPeruIN0$342.00$188.10
Margaret Mary Community HospitalBatesvilleIN0$366.00$307.44
Lutheran Musculoskeletal CenterFort WayneIN0$808.00$218.16
Marion General HospitalMarionIN0$112.00$67.20
Lutheran Hospital Of IndianaFt WayneIN0$850.00$306.00
Porter Regional HospitalValparaisoIN0$774.00$278.64
Good Samaritan HospitalVincennesIN0$179.80$176.20
Schneck Medical CenterSeymourIN0$322.00$225.40
Bluffton Regional Medical CenterBlufftonIN0$907.00$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.