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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
$247.40
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$14.40$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$153.909.1×
capital district physicians' health plan332$16.96$67.10$368.2121.7×
Medicaid230$25.01$43.62$144.255.8×
Healthfirst329$31.65$78.11$504.6015.9×
Empire BCBS328$35.60$205.01$437.0012.3×
Medicare220$29.17$61.12$72.942.5×
univera118$28.67$37.82$78.342.7×
magnacare616$42.40$212.80$672.8015.9×
Cigna615$33.68$97.68$352.0710.5×
Humana715$16.96$62.02$125.447.4×
choicecare214$16.96$107.88$324.0019.1×
martins point310$16.96$68.50$153.909.1×
VA Health310$16.96$67.10$153.909.1×
oxford310$43.84$165.61$314.397.2×
Multiplan39$76.00$364.50$756.9010.0×
fidelis29$38.44$60.15$181.404.7×
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$14.40$36.25$54.403.8×
[magnacare]16$129.60$361.00$634.404.9×
Anthem BCBS16$33.05$35.50$68.542.1×
[fidelis]16$39.56$88.50$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$44.80$70.29$103.382.3×
emblemhealth14$60.07$70.56$141.122.3×
First Health24$72.00$277.88$427.505.9×
harvard pilgrim24$64.00$256.00$380.005.9×
[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$34.00$52.023.8×
pennsylvania health and wellness13$13.50$33.00$51.003.8×
[urn]13$140.40$370.50$563.034.0×
capital district physicians health plan (cdphp) 514912$90.69$132.88$175.061.9×
6 degrees health12$144.00$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$67.102.0×
metroplus12$38.44$292.55$546.6514.2×
partners health plan12$60.15$60.15$60.151.0×
urn12$140.40$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$392.00$392.00$16.96$85.12$386.12
Champlain Valley Physicians HospitalPlattsburghNY16$475.00$475.00$18.21$67.09$451.25
St. Josephs Medical CenterYonkersNY15$285.00$60.15$28.00$60.15$102.48
Helen Hayes HospitalWest HaverstrawNY8$135.00$135.00$18.72$57.11$112.99
Fredrick Ferris Thompson HospitalCanandaiguaNY14$174.00$94.81$8.98$52.52$175.06
Nassau University Medical CenterEast MeadowNY12$2,176.00$1,523.20$24.20$48.91$625.00
Westfield Memorial HospitalWestfieldNY15$161.00$125.58$13.50$46.87$121.40
Stony Brook University HospitalStony BrookNY20$433.51$433.51$29.73$247.40$2,185.00
Elizabethtown Community HospitalElizabethtownNY16$405.00$405.00$45.63$234.90$373.00
Memorial Hospital For Cancer And AllNew YorkNY18$841.00$841.00$31.65$162.00$756.90
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.