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Tissue exam by pathologist level IV

CPT 88305 · negotiated-rate distribution across hospitals in MA

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Hospitals
13
Min
$58.89
Median
$130.36
Max
$262.40
Range multiplier
4.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare741$12.24$67.65$473.0038.6×
Blue Cross Blue Shield738$41.02$94.59$771.8318.8×
institution [10406]432$62.45$500.00$656.0010.5×
Aetna730$57.82$226.30$2,786.4248.2×
Medicaid415$27.79$66.25$216.487.8×
Cigna715$24.15$70.33$395.9216.4×
harvard pilgrim [10701]412$106.04$148.13$175.881.7×
tufts [11201]410$80.43$146.73$395.924.9×
fallon connectorcare [10503]410$118.50$155.47$310.942.6×
correctional care [11003]38$51.55$62.45$63.231.2×
Multiplan47$216.00$433.80$492.002.3×
First Health57$216.00$417.75$496.202.3×
hne [11108]46$160.68$260.68$362.502.3×
wellpoint [11112]46$212.08$389.19$483.082.3×
workers compensation [20501]46$94.67$231.20$271.702.9×
connecticare [11105]46$288.00$528.50$656.002.3×
fallon mcaid carelon hlth [29]46$288.00$528.50$656.002.3×
grants [20507]46$288.00$528.50$656.002.3×
medcost16$129.18$195.94$308.962.4×
masshealth mcd mbhp [38]35$500.00$557.00$656.001.3×
evernorth behavioral health [27]35$400.00$445.60$524.801.3×
wellfleet [11106]24$450.00$520.20$590.401.3×
Humana34$55.15$254.10$457.908.3×
wellsense cc carelon hlth [20]24$500.00$578.00$656.001.3×
optum transplant [20601]24$500.00$578.00$656.001.3×
CHAMPVA44$57.11$65.71$67.961.2×
automobile [10401]24$500.00$578.00$656.001.3×
mgb mcr [10124]44$63.23$65.58$66.391.0×
geisinger14$40.80$153.19$1,003.4224.6×
amerihealth24$79.34$116.00$120.451.5×
hsno/free care [10801]44$294.30$672.16$680.812.3×
tufts us family [11203]44$62.45$62.84$63.231.0×
tufts connectorcare [10507]44$106.23$106.89$107.551.0×
devon health14$749.70$1,875.23$3,000.764.0×
senior whole health [10110]44$66.82$67.24$67.651.0×
upmc health plan13$47.60$56.22$68.001.4×
commonwealth care mcr [10115]33$65.58$65.58$66.391.0×
fallon mcr [10105]33$65.58$65.58$66.391.0×
keystone first13$54.61$236.61$947.0817.3×
Medicare33$62.45$62.45$63.231.0×
pennsylvania health and wellness13$42.50$53.54$99.052.3×
tufts dual [10111]33$62.45$62.45$63.231.0×
wellpoint13$57.00$59.94$471.398.3×
health partners plans12$42.50$49.36$56.221.3×
fidelis care12$59.94$64.75$69.561.2×
fallon mcr supp [20202]22$66.39$66.39$66.391.0×
oscar12$144.60$168.70$192.801.3×
private healthcare systems12$395.24$395.24$395.241.0×
qualcare inc12$635.13$656.22$677.311.1×
fallon carelon hlth [28]22$288.00$422.50$557.001.9×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Healthalliance-ClintonLeominsterMA32$288.00$288.00$27.79$93.98$294.30
Beth Israel Deaconess - PlymouthPlymouthMA13$827.00$172.26$23.57$65.60$771.83
Chestnut Hill Benevolent AssociationChestnut HillMA19$3,062.00$12.24$58.89$3,000.76
Umass Memorial Medical CenterWorcesterMA37$656.00$656.00$27.79$262.40$672.16
Marlborough HospitalMarlboroughMA37$656.00$656.00$27.79$262.40$672.16
High Point HospitalMiddleboroughMA19$482.00$241.00$62.47$191.36$457.90
Harrington Memorial HospitalSouthbridgeMA31$557.00$557.00$27.79$130.36$680.81
North Adams Regional HospitalNorth AdamsMA0$474.14$450.43
Fairview HospitalGreat BarringtonMA0$474.14$450.43
Berkshire Medical CenterPittsfieldMA0$474.14$450.43
Whittier Hospital-BradfordBradfordMA0$269.40$269.40
Whittier Hospital-WestboroughWestboroughMA0$269.00$269.00
North Shore Medical CenterSalemMA0$1,673.15$1,673.15

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.