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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
$417.3
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$967.719.9×
Cigna1042$47.68$387.28$967.720.3×
UnitedHealthcare1040$48.65$190.58$967.719.9×
Humana1023$48.65$137.89$967.719.9×
healthlink [225]721$150.84$324.95$505.853.4×
cox health systems insurance company [220]721$171.05$368.5$435.52.5×
allied benefits [498]721$116.6$388.6$497.814.3×
Anthem BCBS218$100.2$387.28$967.79.7×
unicare [568]714$202.15$426.4$505.852.5×
consociate [478]714$40.88$42.6$295.937.2×
med-pay [480]714$202.15$426.4$502.52.5×
healthscope benefits [258]714$64.12$236.73$436.86.8×
phcs [244]714$233.25$492$5362.3×
First Health912$81.72$344.2$596.47.3×
Multiplan910$131.36$398.39$502.53.8×
sarah bush lincoln [636]79$40.88$42.6$295.937.2×
php [503200005]19$74.4$115.1$668.89.0×
beechstreet [551]77$233.25$481.5$502.52.2×
hfn [563]77$248.8$513.6$5362.2×
detego health [868]77$233.25$481.5$502.52.2×
priority health [648]77$74.05$450.68$460.296.2×
Meritain Health27$104.16$387.28$967.79.3×
health alliance [224]77$171.05$368.5$382.22.2×
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$116.6$404.01$431.343.7×
health systems inc [620]77$233.25$481.5$502.52.2×
medica [661]77$248.8$513.6$5362.2×
hope trust [806]77$180.38$372.36$388.62.2×
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$481.5$502.52.2×
mail handlers [495]77$116.6$404.01$431.343.7×
medica [662]77$53.85$54.81$157.722.9×
essence healthcare [221]77$51.29$54.78$147.42.9×
fmh benefit service inc [222]77$116.6$404.01$431.343.7×
devoted health plan [847]66$54.78$56.76$161.813.0×
healthlink [503200007]16$75.12$127.76$668.88.9×
Medicaid26$131.84$387.28$967.77.3×
hchsync centrus health direct [503999916]16$37.2$61.75$316.758.5×
Ambetter35$82.71$387.28$967.711.7×
Empire BCBS25$95.17$145.83$694.597.3×
Workers Comp15$48.65$117.8$859.7517.7×
alt wppa [5032000964]14$75.12$106.21$548.257.3×
healthlink hmo24$131.84$387.28$967.77.3×
healthlink ppo24$131.84$387.28$967.77.3×
WellCare24$131.84$387.28$967.77.3×
medica24$131.84$387.28$967.77.3×
essence24$131.84$387.28$967.77.3×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MERCY HOSPITAL - ST. LOUISST. LOUISMO19$967.7$967.7$387.28$677.49$967.7
MISSOURI BAPTIST HOSPITAL SULLIVANSULLIVANMO35$670$402$42.6$435.5$582.9
MISSOURI BAPTIST SULLIVAN HOSPITALSULLIVANMO35$670$402$42.6$435.5$582.9
PARKLAND HEALTH CENTER - FARMINGTONFARMINGTONMO35$670$402$42.6$435.5$582.9
PARKLAND HLTH CTR - BONNE TERREBONNE TERREMO36$642$385.2$40.88$417.3$562.39
ST. LOUIS CHILDRENS HOSPITALST. LOUISMO34$546$327.6$51.29$396.67$464.1
MERCY REHABILITATION HOSPITAL-SPGFSPRINGFIELDMO70$387.28$387.28$79.1$182.1$387.28
PROGRESS WEST HOSPITALOFALLONMO36$311$186.6$42.6$171.05$311
BARNES JEWISH ST. PETERS HOSPITALST. PETERSMO36$311$186.6$42.6$150.84$311
NORTH KANSAS CITY HOSPITALNORTH KANSAS CITYMO58$905$181$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$109.3
HARRISON COUNTY COMMUNITY HOSPITALBETHANYMO0$250$125
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.