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Tissue exam by pathologist level IV

CPT 88305 · negotiated-rate distribution across hospitals in KY

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Hospitals
13
Min
$29.16
Median
$42.63
Max
$155.41
Range multiplier
5.3×

By payer (37 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS1148$28.37$86.83$197.637.0×
Aetna1246$28.37$61.81$325.2511.5×
Humana1231$28.37$49.07$309.7610.9×
WellCare1228$28.37$37.91$121.694.3×
UnitedHealthcare1128$28.37$55.57$197.567.0×
Molina1010$29.3$61.81$61.812.1×
optum ccn region 11010$28.37$36.71$49.071.7×
optum ccn region 21010$28.37$36.71$49.071.7×
umr99$35.73$112.31$137.633.9×
caresoure kentucky99$84.6$109.85$119.61.4×
Cigna28$30.37$108.56$197.566.5×
medcost16$77.09$125.49$235.493.1×
amerigroup14$30.37$41.48$642.1×
Blue Cross Blue Shield14$51.39$74.08$82.861.6×
CareSource14$30.37$48.82$66.62.2×
alliance coal14$30.67$41.65$64.642.1×
Multiplan24$78.93$269.82$316.84.0×
va community care network14$30.37$41.48$642.1×
healthgram12$281.6$281.6$281.61.0×
beechstreet12$309.76$309.76$309.761.0×
oscar12$112.64$133.76$154.881.4×
private healthcare systems12$288.64$288.64$288.641.0×
the health plan12$22.55$26.72$30.891.4×
directnet12$208.03$208.03$208.031.0×
First Health12$222.83$222.83$222.831.0×
healthgram lexington home brands12$253.44$253.44$253.441.0×
amerihealth12$53.08$86.77$120.452.3×
commonwealth health alliance12$235.94$235.94$235.941.0×
center care12$197.56$197.56$197.561.0×
national provider network12$316.8$316.8$316.81.0×
healthy blue11$120.45$120.45$120.451.0×
alliance11$122.86$122.86$122.861.0×
trillium11$124.06$124.06$124.061.0×
partners11$120.45$120.45$120.451.0×
vaya11$121.69$121.69$121.691.0×
Ambetter11$53.86$53.86$53.861.0×
carolina complete11$120.45$120.45$120.451.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
JENNIE STUART MEDICAL CENTERHOPKINSVILLEKY14$262.15$81.27$30.37$64$249.7
MIDDLESBORO ARHMIDDLESBOROKY10$141$84.6$35.25$61.81$131.13
HARLAN ARHHARLANKY10$184$110.4$29.44$49.07$171.12
HAZARD ARHHAZARDKY10$161$96.6$36.13$43.42$144.9
WHITESBURG ARHWHITESBURGKY10$147$88.2$28.37$42.63$136.71
HIGHLANDS REGIONAL MEDICAL CENTERPRESTONSBURGKY10$184$110.4$30.77$39.88$121.84
MORGAN CO. ARHWEST LIBERTYKY10$184$110.4$38.64$39.22$161.92
OUR LADY OF THE WAYMARTINKY8$184$110.4$36.8$36.8$161.92
TUG VALLEY ARHSOUTH WILLIAMSONKY11$159$95.4$22.55$36.51$143.1
PAINTSVILLE ARH HOSPITALPAINTSVILLEKY9$184$110.4$33.64$36.09$160.87
BARBOURVILLE ARH HOSPITALBARBOURVILLEKY10$169$101.4$28.73$29.16$148.72
BAPTIST HEALTH LEXINGTONLEXINGTONKY23$352$176$51.39$155.41$325.25
SPRING VIEW HOSPITALLEBANONKY0$127.68$51.07

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.