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Tissue exam by pathologist level IV

CPT 88305 · negotiated-rate distribution across hospitals in NM

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Hospitals
6
Min
$603.9
Median
$810.9
Max
$866.7
Range multiplier
1.4×

By payer (33 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
First Health57$603.9$810.9$866.71.4×
benefit management [1175]66$335.5$450.5$481.51.4×
northamerica administrators [1725]66$603.9$810.9$866.71.4×
Multiplan66$603.9$810.9$866.71.4×
mutual of omaha [1685]66$603.9$810.9$866.71.4×
national telephone cooperative [1700]66$603.9$810.9$866.71.4×
boon-chapman [2375]66$603.9$810.9$866.71.4×
zelis [2385]66$335.5$450.5$481.51.4×
umr - ardent employee [2036]66$157.62$229.85$461.762.9×
coresource [1315]66$603.9$810.9$866.71.4×
Emblem Health66$603.9$810.9$866.71.4×
employee benefit management services [2445]66$603.9$810.9$866.71.4×
trustmark [2030]66$603.9$810.9$866.71.4×
the health plan [2915]66$135.54$182$185.861.4×
healthcost solutions [2415]66$603.9$810.9$866.71.4×
american medical security [2190]66$603.9$810.9$866.71.4×
pan american life insurance co [1770]66$603.9$810.9$866.71.4×
phcs [1780]66$603.9$810.9$866.71.4×
healthscope benefits [2290]55$157.62$229.85$461.762.9×
Aetna55$603.9$810.9$826.21.4×
allied benefit systems inc [1030]55$603.9$810.9$826.21.4×
allied national global care [1035]55$603.9$810.9$826.21.4×
administrative concepts [1005]55$603.9$810.9$826.21.4×
magellan behavioral commercial [2895]55$183.6$335.5$450.52.5×
presbyterian health plan [1830]55$183.6$335.5$450.52.5×
healthsmart [1505]24$603.9$745.37$895.591.5×
Kaiser Permanente33$603.9$826.2$866.71.4×
Health Net22$603.9$735.3$866.71.4×
fmh benefit services [1390]22$603.9$735.3$866.71.4×
caprock health plans [1200]11$596.7$596.7$596.71.0×
Medicare11$459$459$4591.0×
Cigna11$630.21$630.21$630.211.0×
samba health [2305]11$630.21$630.21$630.211.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
LOVELACE REHABILITATION HOSPITALALBUQUERQUENM23$963$288.9$185.86$866.7$895.59
LOVELACE REGIONAL HOSPITAL-ROSWELLROSWELLNM28$918$275.4$183.6$826.2$826.2
LOVELACE MEDICAL CENTER- DOWNTOWNALBUQUERQUENM25$901$270.3$182$810.9$810.9
HEART HOSPITAL OF NEW MEXICOALBUQUERQUENM25$901$270.3$182$810.9$810.9
LOVELACE WOMENS HOSPITALALBUQUERQUENM29$671$201.3$135.54$603.9$624.03
LOVELACE WESTSIDE HOSPITALALBUQUERQUENM25$671$201.3$135.54$603.9$603.9

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.