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Tissue exam by pathologist level IV

CPT 88305 · negotiated-rate distribution across hospitals in PA

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Hospitals
56
Min
$43.69
Median
$112.80
Max
$337.59
Range multiplier
7.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna27182$9.00$170.40$823.6891.5×
Blue Cross Blue Shield26172$13.35$77.81$855.8364.1×
UnitedHealthcare2699$9.45$78.96$1,779.02188.3×
Cigna2793$43.18$164.50$504.8011.7×
upmc health plan2593$9.90$51.96$197.4019.9×
Multiplan1152$123.00$325.26$1,101.609.0×
intergroup1546$108.55$333.60$3,704.0034.1×
pa health & wellness2141$15.34$57.94$2,315.52150.9×
geisinger2141$12.51$50.94$836.8466.9×
amerihealth caritas2240$14.05$53.08$2,208.32157.2×
First Health1336$116.90$280.64$963.908.2×
private health care systems1328$150.30$304.80$1,101.607.3×
Humana1225$50.94$239.70$1,170.4523.0×
upmc work partners2121$44.79$168.74$171.093.8×
keystone first517$11.07$65.32$94.868.6×
america's choice512$333.60$333.60$375.301.1×
preferred healthcare system612$133.60$164.50$895.056.7×
wirerope works512$210.17$231.85$231.851.1×
health partners plans (jefferson health plan)1111$9.00$34.00$51.275.7×
Medicaid29$12.18$16.11$49.854.1×
selectcare48$150.30$732.40$1,101.607.3×
three rivers provider network48$180.51$277.91$375.302.1×
health coalition partners46$150.30$234.87$1,101.607.3×
qualcare16$427.80$577.22$1,898.444.4×
pennsylvania health and wellness36$58.89$68.08$75.911.3×
ibc25$33.59$115.57$177.755.3×
cbhnp44$34.00$34.00$34.001.0×
gateway health plan34$10.80$60.05$68.466.3×
health payors organization24$623.70$897.08$1,170.451.9×
health plan of upper ohio valley14$50.94$150.67$265.655.2×
national provider network24$144.32$356.29$568.263.9×
pa health_wellness chc24$11.70$27.95$44.203.8×
univera13$62.55$137.61$183.482.9×
innovage33$55.87$55.87$64.781.2×
health partners plans33$54.61$55.87$55.871.0×
prime health services33$85.22$87.18$87.181.0×
fidelis23$58.79$1,032.75$1,032.7517.6×
elder health33$64.25$65.72$65.721.0×
occunet33$50.94$82.16$82.161.6×
clover health33$56.75$58.06$58.061.0×
Oscar Health33$80.31$82.16$82.161.0×
Anthem BCBS13$129.92$148.21$173.741.3×
upmc commercial22$51.82$51.82$51.821.0×
independent health12$73.45$85.63$97.811.3×
prime net12$312.42$312.42$312.421.0×
galaxy health plan12$225.60$225.60$225.601.0×
jup pa health_wellness12$32.50$38.35$44.201.4×
naphcare22$82.16$82.16$82.161.0×
wtc health program22$68.46$69.92$71.381.0×
Medicare11$28.36$28.36$28.361.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Temple University HospitalPhiladelphiaPA20$3,062.00$34.00$87.20$1,041.08
Jeanes HospitalPhiladelphiaPA18$3,062.00$54.77$82.16$1,041.08
Upmc Childrens Hospital Of PghPittsburghPA13$329.00$197.40$9.00$72.46$263.20
The Childrens Home Of PittsburghPittsburghPA13$329.00$197.40$9.00$72.46$263.20
Altoona Regional Health SystemAltoonaPA13$329.00$197.40$9.00$72.46$263.20
Upmc Magee-Womens HospitalPittsburghPA13$329.00$197.40$9.00$72.46$263.20
Upmc JamesonNew CastlePA13$164.00$98.40$10.35$55.01$158.79
Curahealth Heritage ValleyBeaverPA9$133.00$35.91$9.00$49.19$99.75
Aria HealthPhiladelphiaPA9$195.00$83.44$11.07$44.20$127.79
Thomas Jefferson Univ. HospitalPhiladelphiaPA9$384.00$61.57$11.70$43.69$360.64
Upmc St MargaretPittsburghPA12$1,262.00$757.20$27.86$337.59$1,072.70
WellsboroWellsboroPA14$417.00$302.40$11.52$277.30$396.15
Upmc Mercy HospitalPittsburghPA17$693.00$415.80$27.62$235.62$623.70
Upmc MckeesportMckeesportPA14$569.00$341.40$28.27$214.51$483.65
Muncy Valley HospitalMuncyPA15$417.00$250.20$11.52$214.34$2,315.52
Upmc PassavantPittsburghPA14$575.00$345.00$27.79$201.61$534.75
Upmc ShadysidePittsburghPA20$1,377.00$826.20$10.80$198.94$1,170.45
Lock Haven HospitalLock HavenPA15$417.00$250.20$11.52$195.41$375.30
Divine Providence HospitalWilliamsportPA15$417.00$250.20$11.52$195.41$375.30
Williamsport Hospital & Medical CtrWilliamsportPA15$417.00$250.20$11.52$195.41$375.30
Upmc East HospitalMonroevillePA13$426.00$255.60$27.54$149.53$340.80
Upmc Horizon HospitalGreenvillePA17$381.00$228.60$27.89$148.40$323.85
American Oncologic HospialPhiladelphiaPA16$3,062.00$53.54$135.60$1,898.44
Upmc Northwest HospitalSenecaPA14$282.00$169.20$27.80$112.80$3,704.00
Upmc HamotEriePA16$417.00$250.20$33.11$102.15$333.60
Upmc Bedford Memorial HospitalEverettPA17$167.00$100.20$18.38$101.84$156.82
Charles Cole Memorial HospitalCoudersportPA14$282.00$169.20$35.70$100.13$225.60
Penn State Hershey Rehabilitation LlHummelstownPA0$347.00$90.25
St Christophers Hospital For ChildrPhiladelphiaPA0$1,999.00$999.50
Miners HospitalHastingsPA0$437.00$174.80
Holy Spirit HospitalCamp HillPA0$347.00$82.90
Chestnut Hill HospitalPhiladelphiaPA0$697.00$174.25
Uniontown HospitalUniontownPA0$1,809.00$904.50
Reading Hospital And Medical CenterReadingPA0$697.00$487.90
Clarion HospitalClarionPA0$276.00$154.56
St. Joseph Medical CenterReadingPA0$347.00$90.25
Hospital Of The Univ Of PennaPhiladelphiaPA0$1,775.00$1,775.00
Windber Hospital Inc.WindberPA0$277.00$235.45
Pottstown Memorial Medical CenterPottstownPA0$567.00$141.75
Wayne Memorial HospitalHonesdalePA0$583.00$408.10
Phoenixville HospitalPhoenixvillePA0$697.00$174.25
Miners HospitalHastingsPA0$437.00$174.80
Westmoreland Regional HospitalGreensburgPA0$201.00$120.60
Armstrong County MemorialKittanningPA0$450.00$135.00
Butler Memorial HospitalButlerPA0$276.00$193.20
The Chester County HospitalWest ChesterPA0$666.00$666.00
Doylestown HospitalDoylestownPA0$581.00$581.00
Frick HospitalMount PleasantPA0$201.00$120.60
Latrobe Area HospitalLatrobePA0$201.00$120.60
Presbyterian Medical CenterPhiladelphiaPA0$2,402.00$2,402.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$1,775.00$1,775.00
Milton S. Hershey Medical CenterHersheyPA0$347.00$114.96
Physicians Care Surgical HospitalRoyersfordPA0$499.00$307.26
Hampden Medical CenterEnolaPA0$347.00$109.20
Meyersdale Community HospitalMeyersdalePA0$222.00$88.80
Lifecare Hospitals Of Chester CountyWest ChesterPA0$666.00$666.00

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.