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Tissue exam by pathologist level IV

CPT 88305 · negotiated-rate distribution across hospitals in MI

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Hospitals
28
Min
$39.43
Median
$60.15
Max
$144.86
Range multiplier
3.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid1367$27.71$30.10$658.7023.8×
UnitedHealthcare2065$14.40$52.11$597.0841.5×
Aetna2059$27.71$82.79$597.0821.5×
Medicare1148$47.30$52.11$83.371.8×
Blue Cross Blue Shield1437$42.60$113.79$658.7015.5×
Humana1832$42.60$55.24$61.271.4×
priority health op rate1020$25.91$109.84$422.8916.3×
Cigna1017$25.56$133.20$159.306.2×
smarthealth817$75.08$75.08$105.031.4×
Medicare Advantage916$49.09$53.63$53.631.1×
Ambetter816$88.49$88.49$90.231.0×
priority health815$27.71$121.17$525.4219.0×
facility billing - op714$53.63$53.63$53.631.0×
blue mcr replacement714$53.63$53.63$53.631.0×
Oscar Health714$85.81$85.81$85.811.0×
occunet714$99.22$109.95$120.671.2×
WellCare714$53.63$53.63$53.631.0×
healthspring mcr replacement714$54.17$54.44$54.701.0×
First Health714$39.39$120.48$549.4413.9×
TRICARE1011$42.99$50.94$55.701.3×
mclaren health op rate410$16.13$58.29$351.0821.8×
hap preferred op rate410$27.54$119.81$263.619.6×
hap - hmo op rate59$58.03$101.80$226.463.9×
cofinity - auto op rate48$104.82$162.91$409.053.9×
hap hmo op rate27$25.36$76.57$158.086.2×
mi amish medical board77$52.11$52.11$52.111.0×
hap ahl op rate27$25.65$77.42$171.656.7×
bcccnp66$32.99$32.99$32.991.0×
hcap op rate36$37.88$85.86$122.253.2×
cofinity op rate26$39.02$112.64$597.0815.3×
cofinity auto55$99.01$99.01$99.011.0×
Multiplan25$40.56$122.41$158.403.9×
harbor health plan14$27.71$30.48$51.691.9×
cofinity-ppom op rate14$91.88$229.75$358.533.9×
cofinity - ppom op rate34$101.87$122.35$135.441.3×
cofinity - wc op rate14$91.73$229.37$357.943.9×
theramatrix physical therapy op rate14$50.50$126.20$163.003.2×
auto-cofinity op rate14$42.93$107.27$138.553.2×
hap ppo op rate14$31.95$79.85$103.133.2×
health advantage - ppo op rate14$49.64$124.14$193.723.9×
health plus hmo op rate24$30.46$89.19$189.836.2×
bcn op rate23$50.50$78.89$129.132.6×
cofinity ppom op rate13$33.53$148.74$208.956.2×
u of m health plan23$76.10$113.43$338.964.5×
total health care priority health13$27.71$50.88$51.691.9×
hap op rate23$123.85$124.08$688.875.6×
mclaren health advantage op rate22$71.89$93.41$114.921.6×
mi amish medical board op rate22$57.18$57.18$57.181.0×
Bright Health12$69.63$69.63$69.631.0×
cofinity wc op rate12$101.87$118.66$135.441.3×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mclaren FlintFlintMI22$735.10$367.55$29.23$91.54$353.88
Mclaren Greater LansingLansingMI20$831.60$415.80$29.23$83.37$549.44
Mclaren Bay Special CareBay CityMI11$74.40$25.25$81.77$122.35
Karmanos Cancer HospitalDetroitMI15$138.10$14.40$78.53$208.95
Mclaren Central MichiganMt PleasantMI16$968.40$484.20$29.23$66.84$716.49
Tawas St. Joseph HospitalTawasMI10$1,619.00$534.27$39.71$61.27$231.80
Mclaren Port HuronPort HuronMI28$916.80$458.40$16.52$60.15$525.42
Ascension Borgess-Lee HospitalDowagiacMI13$387.00$154.80$49.47$54.97$133.20
Ascension Borgess HospitalKalamazooMI13$387.00$154.80$49.47$54.97$133.20
Ascension Allegan HospitalAlleganMI13$387.00$154.80$49.47$54.97$133.20
Borgess-Pipp Health CenterPlainwellMI13$387.00$154.80$49.47$54.97$133.20
Genesys Regional Medical Ctr.Grand BlancMI13$387.00$154.80$49.47$54.97$133.20
Ascension Providence Rochester HospiRochesterMI13$387.00$154.80$49.47$54.97$133.20
Ascension Standish HospitalStandishMI13$387.00$154.80$49.47$54.97$133.20
Bay Regional Medical CenterBay CityMI20$637.00$318.50$25.25$52.75$520.17
Mclaren Northern MichiganPetoskeyMI16$259.30$129.65$29.23$52.11$162.18
Garden City Hospital OsteopathicGarden CityMI21$263.43$51.00$27.71$51.69$80.12
Mclaren Thumb RegionBad AxeMI3$121.00$60.50$39.43$39.43$42.99
Mclaren Lapeer RegionLapeerMI16$522.40$342.50$29.23$144.86$658.70
Mclaren OaklandPontiacMI14$113.30$30.35$131.20$217.90
Ascension St John HospitalDetroitMI3$185.00$68.45$29.83$113.79$119.32
Mclaren MacombMt. ClemensMI20$107.05$29.46$112.71$178.20
Carson City HospitalCarson CityMI0$250.60$65.50
North Ottawa Community HospitalGrand HavenMI0$944.00$660.80
Mh - Mercy CampusMuskegonMI0$1,047.70$502.90
Mckenzie Health SystemSanduskyMI0$88.00$70.40
Sparrow Clinton HospitalSt. JohnsMI0$250.60$65.50
Sparrow EatonCharlotteMI0$131.00$65.50

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.