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Tissue exam by pathologist level IV

CPT 88305 · negotiated-rate distribution across hospitals in NY

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Hospitals
12
Min
$46.87
Median
$67.09
Max
$247.4
Range multiplier
5.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield7151$8.98$63.44$351.2339.1×
UnitedHealthcare1083$14.4$62.62$386.1226.8×
Aetna1054$16.96$86.18$475.3828.0×
Emblem Health542$43.62$86.94$474.5810.9×
mvp539$16.96$90.24$378.0522.3×
fidelis care433$16.96$66.39$153.99.1×
capital district physicians' health plan332$16.96$67.1$368.2121.7×
Medicaid230$25.01$43.62$144.255.8×
Healthfirst329$31.65$78.11$504.615.9×
Empire BCBS328$35.6$205.01$43712.3×
Medicare220$29.17$61.12$72.942.5×
univera118$28.67$37.82$78.342.7×
magnacare616$42.4$212.8$672.815.9×
Cigna615$33.68$97.68$352.0710.5×
Humana715$16.96$62.02$125.447.4×
choicecare214$16.96$107.88$32419.1×
martins point310$16.96$68.5$153.99.1×
VA Health310$16.96$67.1$153.99.1×
oxford310$43.84$165.61$314.397.2×
Multiplan39$76$364.5$756.910.0×
fidelis29$38.44$60.15$181.44.7×
Molina59$33.05$68.54$176.825.4×
st. regis28$16.96$64.64$125.447.4×
amerihealth18$26.25$35.13$66.392.5×
geisinger16$14.4$36.25$54.43.8×
[magnacare]16$129.6$361$634.44.9×
Anthem BCBS16$33.05$35.5$68.542.1×
[fidelis]16$39.56$88.5$164.914.2×
mvp 290016$33.63$65.46$142.594.2×
centers plan for healthy living25$38.88$60.15$80.642.1×
fidelis 515515$40.62$43.62$82.172.0×
independent health 515614$44.8$70.29$103.382.3×
emblemhealth14$60.07$70.56$141.122.3×
First Health24$72$277.88$427.55.9×
harvard pilgrim24$64$256$3805.9×
[metroplus]14$69.23$325.37$618.548.9×
[oxford]14$163.09$181.38$197.881.2×
wellpath24$48.05$95.93$230.854.8×
jefferson health plans13$13.77$34$52.023.8×
pennsylvania health and wellness13$13.5$33$513.8×
[urn]13$140.4$370.5$563.034.0×
capital district physicians health plan (cdphp) 514912$90.69$132.88$175.061.9×
6 degrees health12$144$399.99$655.984.6×
better health fidelis12$18.72$37.92$57.113.1×
capital district (cdphp)12$41.91$41.91$41.911.0×
excellus 220112$34.32$50.71$67.12.0×
metroplus12$38.44$292.55$546.6514.2×
partners health plan12$60.15$60.15$60.151.0×
urn12$140.4$368.76$597.114.3×
vns12$43.62$51.89$60.151.4×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ALICE HYDE MEDICAL CENTERMALONENY12$392$392$16.96$85.12$386.12
CHAMPLAIN VALLEY PHYSICIANS HOSPITALPLATTSBURGHNY16$475$475$18.21$67.09$451.25
ST. JOSEPHS MEDICAL CENTERYONKERSNY15$285$60.15$28$60.15$102.48
HELEN HAYES HOSPITALWEST HAVERSTRAWNY8$135$135$18.72$57.11$112.99
FREDRICK FERRIS THOMPSON HOSPITALCANANDAIGUANY14$174$94.81$8.98$52.52$175.06
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY12$2,176$1,523.2$24.2$48.91$625
WESTFIELD MEMORIAL HOSPITALWESTFIELDNY15$161$125.58$13.5$46.87$121.4
STONY BROOK UNIVERSITY HOSPITALSTONY BROOKNY20$433.51$433.51$29.73$247.4$2,185
ELIZABETHTOWN COMMUNITY HOSPITALELIZABETHTOWNNY16$405$405$45.63$234.9$373
MEMORIAL HOSPITAL FOR CANCER AND ALLNEW YORKNY18$841$841$31.65$162$756.9
NYU LANGONE HOSPITALSNEW YORKNY0$1,642.38$312.05
EASTERN LONG ISLAND HOSPITALGREENPORTNY0$1,642.38$312.05

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.