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Tissue exam by pathologist level IV

CPT 88305 · negotiated-rate distribution across hospitals in SC

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Hospitals
16
Min
$37.66
Median
$50.00
Max
$66.35
Range multiplier
1.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield575$8.98$37.66$196.4021.9×
Medicaid173$17.45$41.75$70.544.0×
no fault [114001]156$20.37$47.54$67.913.3×
UnitedHealthcare555$15.89$24.72$54.603.4×
Medicare154$34.40$35.32$102.373.0×
Aetna529$29.10$50.00$65.502.3×
independent health [100165]128$37.29$55.96$169.474.5×
Cigna520$25.20$51.21$85.553.4×
Molina519$18.00$49.44$98.155.5×
univera healthcare [100169]118$30.59$40.68$40.681.3×
absolute total care414$15.20$48.47$79.985.3×
Humana514$27.63$35.32$90.003.3×
independent health essential [100166]112$22.60$32.18$84.653.7×
select health312$27.63$50.89$108.573.9×
univera healthcare essential [100170]111$30.59$30.59$52.351.7×
WellCare110$37.08$37.08$38.851.0×
fidelis essential [100163]19$38.85$38.85$98.152.5×
iha first choice [800001]18$37.29$56.20$147.293.9×
beacon essential [350122]17$31.79$42.38$44.491.4×
hospice [550001]16$33.73$35.32$35.321.0×
VA Health16$21.19$21.19$21.191.0×
federal workers compensation [500100]16$47.54$47.54$47.541.0×
clover insurance company36$50.41$50.41$50.411.0×
TRICARE16$35.32$35.32$35.321.0×
Multiplan44$85.00$90.00$90.001.1×
devoted health24$48.47$48.47$48.471.0×
fidelis dual advantage [450120]14$37.08$37.08$37.081.0×
plotkin health33$60.00$60.00$60.001.0×
catholic health life pace [400005]13$33.73$35.32$35.321.0×
amerigroup [350102]13$43.62$43.62$43.621.0×
phcs33$90.00$90.00$90.001.0×
mvp healthcare [100168]13$54.62$54.62$85.551.6×
medcost - sc33$50.44$56.53$58.511.2×
fidelis exchange [100164]12$42.38$42.38$42.381.0×
beacon health options [100023]12$42.38$42.38$42.381.0×
champ va [700002]12$35.32$35.32$35.321.0×
covid19 hrsa [45013]12$35.32$35.32$35.321.0×
devoted health plan12$48.47$48.47$48.471.0×
fallon health [450115]12$35.32$35.32$35.321.0×
ghi [100153]12$24.72$24.72$24.721.0×
medcost12$56.90$65.30$73.701.3×
seneca nation [450119]12$35.32$35.32$35.321.0×
upmc health plan [100181]12$63.58$63.58$63.581.0×
healthsmart preferred care11$80.00$80.00$80.001.0×
north american administrators11$85.00$85.00$85.001.0×
novanet11$90.00$90.00$90.001.0×
galaxy health network11$90.00$90.00$90.001.0×
First Health11$90.00$90.00$90.001.0×
prime health11$85.00$85.00$85.001.0×
pruitt health11$19.00$19.00$19.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Colleton Medical CenterWalterboroSC26$453.00$453.00$15.20$66.35$180.21
East Cooper Regional Medical CenterMt. PleasantSC14$107.45$27.63$50.21$168.29
Hilton Head HospitalHilton Head IslandSC14$107.45$27.63$50.00$196.40
Coastal Carolina Medical CenterHardeevilleSC14$107.45$25.20$49.76$174.12
Mary Black Memorial HospitalSpartanburgSC36$164.00$164.00$8.98$37.66$169.47
Roper St. Francis Mt Pleasant HospitMt. PleasantSC0$968.00$629.20
Mcleod Loris Seacoast HospitalLorisSC0$617.00$438.07
Mcleod Health CherawCherawSC0$617.00$438.07
Mcleod Health ClarendonManningSC0$617.00$438.07
Roper St. Francis Hospital-BerkeleySummervilleSC0$968.00$629.20
Mcleod Medical Center - DillonDillonSC0$617.00$438.07
Edgefield County HealthcareEdgefieldSC0$170.80$102.48
Mcleod Regional Medical CenterFlorenceSC0$617.00$438.07
Bon Secours St. Francis Xavier HospiCharlestonSC0$968.00$629.20
Self Regional HealthcareGreenwoodSC0$170.80$102.48
Roper Hospital Inc.CharlestonSC0$968.00$629.20

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.