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Tissue exam by pathologist level IV

CPT 88305 · negotiated-rate distribution across hospitals in TN

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Hospitals
14
Min
$34.13
Median
$51.17
Max
$122.52
Range multiplier
3.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare13155$17.28$45.88$3,626.38209.9×
Blue Cross Blue Shield13141$15.18$52.19$1,737.07114.4×
Cigna1391$19.06$75.63$3,626.38190.3×
Aetna1249$34.13$43.36$194.485.7×
Medicare934$34.13$51.17$1,737.0750.9×
Humana1230$34.13$50.43$1,737.0750.9×
Medicare Advantage819$48.93$51.17$1,737.0735.5×
Ambetter1118$47.78$66.52$116.782.4×
Medicaid118$28.00$40.14$1,321.5347.2×
usa managed care organization315$33.60$67.20$296.808.8×
community services network315$31.20$62.40$275.608.8×
correctional medical services315$28.80$57.60$254.408.8×
galaxy health network315$43.20$86.40$381.608.8×
ehn315$21.60$43.20$190.808.8×
direct care america315$38.40$76.80$339.208.8×
novanet315$36.00$72.00$318.008.8×
national provider network315$38.40$76.80$339.208.8×
medsave usa315$38.40$76.80$339.208.8×
beech street315$40.80$81.60$360.408.8×
initial group315$42.24$84.48$373.128.8×
ccn managed care315$40.80$81.60$360.408.8×
healthspring mcr replacement714$50.43$51.17$51.171.0×
amerigroup mcr replacement714$50.43$51.17$52.711.0×
centurion of tn714$50.43$51.17$51.171.0×
nhc advantage714$50.43$51.17$51.171.0×
optum va714$50.43$51.17$51.171.0×
point comfort underwriters714$45.39$46.05$46.051.0×
smart health714$70.60$71.64$71.641.0×
ascension complete612$50.43$50.80$51.171.0×
wellpoint39$44.97$51.23$51.231.1×
TRICARE58$48.47$48.96$1,702.1435.1×
Oscar Health77$70.60$71.64$71.641.0×
farm bureau47$34.81$47.24$47.241.4×
Self-Pay (Cash)77$50.43$51.17$51.171.0×
triwest va pccc36$51.17$51.17$51.171.0×
devoted health36$51.23$51.23$51.231.0×
Molina16$40.14$50.18$100.352.5×
community plan44$18.23$18.23$18.231.0×
WellCare44$34.13$51.23$51.231.5×
generic hospice vbid [10940000101]13$48.93$858.52$1,737.0735.5×
carecentrix [450200]13$48.93$858.52$1,737.0735.5×
american health advantage mcr adv [450117]13$48.93$858.52$1,737.0735.5×
optum33$48.79$48.79$48.791.0×
va hospital [600005]13$48.93$858.52$1,737.0735.5×
devoted health [450111]13$50.39$884.28$1,789.1935.5×
transplant optum tenncare [350013]12$17.28$374.64$732.0042.4×
americhoice mcr replacement12$48.10$49.38$50.661.1×
amerigroup22$29.86$38.73$47.591.6×
amerivantage11$29.86$29.86$29.861.0×
tenncare11$12.64$12.64$12.641.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Roane County Medical CenterHarrimanTN24$424.00$131.44$18.51$51.23$381.60
Morristown-Hamblen HospitalMorristownTN24$424.00$131.44$18.51$51.23$381.60
Fort Loudoun Medical CenterLenoir CityTN24$424.00$135.68$18.51$51.23$381.60
Saint Thomas Midtown HospitalNashvilleTN21$15.18$51.17$94.34
Saint Thomas Rutherford HospitalMurfreesboroTN19$374.00$112.20$15.18$51.17$194.48
Saint Thomas West HospitalNashvilleTN19$374.00$112.20$15.18$51.17$194.48
Saint Thomas Stones River HospitalWoodburyTN19$374.00$112.20$15.18$51.17$194.48
Saint Thomas Highland HospitalSpartaTN19$374.00$112.20$15.18$50.43$194.48
St Thomas Dekalb HospitalSmithvilleTN19$374.00$112.20$15.18$50.43$194.48
Ascension St Thomas River ParkMcminnvilleTN20$374.00$112.20$18.23$50.43$194.48
St Thomas Hickman HospitalCentervilleTN4$34.29$45.88$94.34
Metro Nashville General HospitalNashvilleTN19$310.00$186.00$12.64$34.13$170.50
Methodist H/C Memphis Hospt.MemphisTN16$12,870$2,831.33$17.28$122.52$3,626.38
St Thomas AscensionNashvilleTN0$136.75$34.19

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.