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Tissue exam by pathologist level IV

CPT 88305 · negotiated-rate distribution across hospitals in SD

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Hospitals
5
Min
$203.40
Median
$221.48
Max
$6,074.00
Range multiplier
29.9×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE4135$50.75$105.20$222.724.4×
UnitedHealthcare571$63.28$221.48$6,074.0096.0×
govt employees health assn [3081090]448$149.16$221.48$316.542.1×
medica (commercial) 94265 [3081118]448$187.58$244.79$316.541.7×
Blue Cross Blue Shield548$64.86$201.14$6,074.0093.6×
Cigna448$216.96$266.91$319.771.5×
healthpartners [3081368]439$56.00$221.48$316.545.7×
Meritain Health432$216.96$266.91$319.771.5×
national telephone cooperative assn 52103 [3081149]432$149.16$221.48$316.542.1×
risk admin svs [3081167]424$146.75$180.80$258.401.8×
Aetna424$203.40$252.70$306.851.5×
Humana518$73.50$258.35$6,074.0082.6×
tlc advantage llc [3081189]518$212.44$258.03$303.621.4×
midlands choice 47080 [3081136]416$216.96$266.91$319.771.5×
allied benefit systems inc [3081320]416$216.96$266.91$319.771.5×
avera health plans 46045 [3081018]416$166.11$228.32$313.311.9×
coresource 38225 [3081146]416$146.90$206.68$290.702.0×
employee benefit management 12x44 [3081079]416$192.10$238.98$290.701.5×
fedmed inc [3081283]416$214.70$263.04$313.311.5×
health partners sx009 [3081102]416$140.12$221.48$316.542.3×
key benefit administrators [3081332]416$216.96$266.91$319.771.5×
pacificsource health plans [3081333]416$192.10$238.98$290.701.5×
preferred one 41147 [3081160]416$216.96$266.91$319.771.5×
rocky mountain admin llc 83028 [3081168]416$180.80$230.90$290.701.6×
sanford health plan 91184 [3081174]416$203.40$254.96$313.311.5×
surest [3081369]416$149.16$221.48$316.542.1×
group and pension administrators inc [3081098]28$203.40$254.96$313.311.5×
Multiplan28$203.40$254.96$313.311.5×
va ccn optum [3081339]47$63.28$83.62$119.511.9×
Medicare47$63.28$90.44$6,074.0096.0×
va black hills health care system 12115 [3081206]47$63.28$83.62$119.511.9×
Health Net36$63.28$87.03$119.511.9×
VA Health36$63.28$87.03$119.511.9×
va black hills health care system 12115 [3081207]36$63.28$87.03$119.511.9×
triwest healthcare alliance [3081322]36$63.28$87.03$119.511.9×
minnesota health care programs 12k16 [3081295]14$68.48$83.18$97.871.4×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Monument Health Spearfish HospitalSpearfishSD5$323.00$323.00$114.00$6,074.00$6,074.00
Monument Health Custer HospitalCusterSD35$323.00$323.00$63.28$222.72$323.00
Monument Health Lead-Deadwood HospitDeadwoodSD33$323.00$323.00$83.62$221.48$323.00
Monument Health Sturgis RegionalSturgisSD33$323.00$323.00$63.28$221.48$323.00
Monument Health Rapid City HospitalRapid CitySD31$323.00$323.00$50.75$203.40$310.08

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.