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Tissue exam by pathologist level IV

CPT 88305 · negotiated-rate distribution across hospitals in MO

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Hospitals
18
Min
$114.55
Median
$417.30
Max
$677.49
Range multiplier
5.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield958$50.11$382.96$694.5913.9×
Aetna1055$48.65$292.75$967.7019.9×
Cigna1042$47.68$387.28$967.7020.3×
UnitedHealthcare1040$48.65$190.58$967.7019.9×
Humana1023$48.65$137.89$967.7019.9×
healthlink [225]721$150.84$324.95$505.853.4×
cox health systems insurance company [220]721$171.05$368.50$435.502.5×
allied benefits [498]721$116.60$388.60$497.814.3×
Anthem BCBS218$100.20$387.28$967.709.7×
unicare [568]714$202.15$426.40$505.852.5×
consociate [478]714$40.88$42.60$295.937.2×
med-pay [480]714$202.15$426.40$502.502.5×
healthscope benefits [258]714$64.12$236.73$436.806.8×
phcs [244]714$233.25$492.00$536.002.3×
First Health912$81.72$344.20$596.407.3×
Multiplan910$131.36$398.39$502.503.8×
sarah bush lincoln [636]79$40.88$42.60$295.937.2×
php [503200005]19$74.40$115.10$668.809.0×
beechstreet [551]77$233.25$481.50$502.502.2×
hfn [563]77$248.80$513.60$536.002.2×
detego health [868]77$233.25$481.50$502.502.2×
priority health [648]77$74.05$450.68$460.296.2×
Meritain Health27$104.16$387.28$967.709.3×
health alliance [224]77$171.05$368.50$382.202.2×
cox health [757]77$53.85$54.81$154.772.9×
nalc health benefit plan [242]77$74.05$450.68$460.296.2×
coresource [497]77$116.60$404.01$431.343.7×
health systems inc [620]77$233.25$481.50$502.502.2×
medica [661]77$248.80$513.60$536.002.2×
hope trust [806]77$180.38$372.36$388.602.2×
apwu health plan [216]77$74.05$450.68$460.296.2×
preferred health professionals [561]77$234.81$484.71$505.852.2×
healthcare sol mercy [609]77$233.25$481.50$502.502.2×
mail handlers [495]77$116.60$404.01$431.343.7×
medica [662]77$53.85$54.81$157.722.9×
essence healthcare [221]77$51.29$54.78$147.402.9×
fmh benefit service inc [222]77$116.60$404.01$431.343.7×
devoted health plan [847]66$54.78$56.76$161.813.0×
healthlink [503200007]16$75.12$127.76$668.808.9×
Medicaid26$131.84$387.28$967.707.3×
hchsync centrus health direct [503999916]16$37.20$61.75$316.758.5×
Ambetter35$82.71$387.28$967.7011.7×
Empire BCBS25$95.17$145.83$694.597.3×
Workers Comp15$48.65$117.80$859.7517.7×
alt wppa [5032000964]14$75.12$106.21$548.257.3×
healthlink hmo24$131.84$387.28$967.707.3×
healthlink ppo24$131.84$387.28$967.707.3×
WellCare24$131.84$387.28$967.707.3×
medica24$131.84$387.28$967.707.3×
essence24$131.84$387.28$967.707.3×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mercy Hospital - St. LouisSt. LouisMO19$967.70$967.70$387.28$677.49$967.70
Missouri Baptist Hospital SullivanSullivanMO35$670.00$402.00$42.60$435.50$582.90
Missouri Baptist Sullivan HospitalSullivanMO35$670.00$402.00$42.60$435.50$582.90
Parkland Health Center - FarmingtonFarmingtonMO35$670.00$402.00$42.60$435.50$582.90
Parkland Hlth Ctr - Bonne TerreBonne TerreMO36$642.00$385.20$40.88$417.30$562.39
St. Louis Childrens HospitalSt. LouisMO34$546.00$327.60$51.29$396.67$464.10
Mercy Rehabilitation Hospital-SpgfSpringfieldMO70$387.28$387.28$79.10$182.10$387.28
Progress West HospitalOfallonMO36$311.00$186.60$42.60$171.05$311.00
Barnes Jewish St. Peters HospitalSt. PetersMO36$311.00$186.60$42.60$150.84$311.00
North Kansas City HospitalNorth Kansas CityMO58$905.00$181.00$36.58$114.55$859.75
Barton County Memorial HospitalLamarMO0$481.48$153.59
Cox-Monett HospitalMonettMO0$481.48$146.85
CoxhealthSpringfieldMO0$481.48$121.33
Missouri Delta Medical CenterSikestonMO0$1,139.25$284.81
Northeast Regional Medical CenterKirksvilleMO0$226.28$124.45
Cox Medical Center BransonBransonMO0$481.48$109.30
Harrison County Community HospitalBethanyMO0$250.00$125.00
Moberly Regional Medical CenterMoberlyMO0$226.28$108.61

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.