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Tissue exam by pathologist level IV

CPT 88305 · negotiated-rate distribution across hospitals in TX

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Hospitals
67
Min
$45.95
Median
$108.85
Max
$789.60
Range multiplier
17.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield51282$32.08$143.50$8,427.00262.7×
UnitedHealthcare46132$12.80$56.99$820.0664.1×
Aetna40114$21.73$149.30$846.0038.9×
Medicaid2488$1.00$53.68$591.00591.0×
Humana3770$31.45$66.95$753.0823.9×
Anthem BCBS369$21.54$45.95$277.3712.9×
Cigna3060$41.39$88.56$818.9319.8×
Medicare1037$44.69$51.28$59.781.3×
Multiplan2234$72.25$543.90$958.8013.3×
baylor scott & white health plan832$46.05$60.57$82.931.8×
First Health1318$132.00$633.75$846.006.4×
prime health services1316$50.78$59.39$535.1910.5×
healthcare highways [2210]515$118.25$190.50$439.923.7×
Ambetter1414$50.86$102.59$107.862.1×
healthsmart613$50.00$752.05$752.0515.0×
mhs care connect212$21.54$27.15$48.702.3×
superior health plan910$48.47$52.04$568.0011.7×
web tpa [2115]510$118.25$385.36$846.007.2×
triwest99$48.47$49.56$50.261.0×
health partners open network29$44.72$74.30$151.873.4×
commercial | phcs | all plans59$72.25$524.48$759.0510.5×
commercial | galaxy | all plans99$699.30$851.70$851.701.2×
american health plan99$50.89$52.04$52.771.0×
web tpa48$380.25$380.25$380.251.0×
assurant health48$557.70$557.70$557.701.0×
corvel88$50.78$51.92$52.651.0×
commercial | entrust | all plans88$98.98$117.54$130.951.3×
procare advantage88$50.89$52.04$52.771.0×
wellmed77$50.17$50.17$172.043.4×
commercial | community health choice | exchange77$52.01$74.68$74.731.4×
wellpoint66$67.73$67.73$379.005.6×
velocity provider ppo network46$61.03$368.06$472.237.7×
healthspring66$50.89$52.04$52.211.0×
scott & white56$77.76$77.76$553.807.1×
commercial | firstcare | all plans26$51.00$238.20$535.8010.5×
healthscope benefits [2290]56$74.43$235.75$439.925.9×
Molina55$52.04$52.04$249.604.8×
wellpoint (fka amerigroup)55$51.05$51.05$51.211.0×
commercial | superior health plan | all plans55$74.68$74.73$74.731.0×
commercial | nxhealth | all plans55$160.84$161.82$161.921.0×
quik trip45$368.06$368.06$472.231.3×
commercial | kelseycare | exchange55$67.22$67.26$67.261.0×
commercial | usa health network | all plans55$851.70$851.70$851.701.0×
commercial | nppn | all plans55$801.60$801.60$801.601.0×
commercial | renaissance | all plans55$35.85$35.87$35.871.0×
provider network of america45$368.06$368.06$472.231.3×
commercial | harris health | ers55$74.68$74.73$74.731.0×
phcs [1780]45$316.91$753.08$789.602.5×
black lung [6055]44$118.25$235.75$439.923.7×
galaxy health network34$80.00$298.50$531.906.6×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Crane County Hospital DistrictCraneTX2$185.00$130.00$47.00$92.00$167.00
Grimes St. Joseph Health CenterNavasotaTX4$893.00$312.55$52.12$87.11$759.05
Baptist Saint Anthonys HospitalAmarilloTX84$1,128.00$112.80$105.58$789.60$958.80
St. Joseph Regional Health CenterBryanTX10$893.00$312.55$49.49$78.63$759.05
College Station Medical CenterCollege StationTX10$893.00$312.55$49.49$78.63$759.05
St. Lukes Sugar Land HospitalSugar LandTX18$1,002.00$350.70$35.87$73.13$851.70
St Lukes Hospital At The VintageHoustonTX20$1,002.00$350.70$35.87$73.13$851.70
St. Lukes The Woodlands HospitalThe WoodlandsTX19$1,002.00$350.70$35.85$73.10$851.70
Brazosport Regional Health SystemLake JacksonTX11$854.00$298.90$49.53$72.20$478.24
Pam Squared At Corpus ChristiCorpus ChrstiTX24$490.75$490.75$23.04$71.21$417.14
Baylor County Hospital DistrictSeymourTX11$381.00$266.70$48.62$70.00$100.00
St. Lukes Lakeside HospitalThe WoodlandsTX19$1,002.00$350.70$35.87$69.39$851.70
St. Lukes Patients Medical CenterPasadenaTX12$927.00$324.45$49.79$68.40$787.95
Chi St Lukes Health Baylor Med CtrHoustonTX20$1,002.00$350.70$35.85$67.14$851.70
Trinity Regional Hospital SachseSachseTX10$205.00$164.00$28.96$66.62$182.28
Wilson N Jones Regional Medical CtrShermanTX12$205.00$164.00$28.96$63.55$182.28
Clay County Memorial HospitalHenriettaTX5$249.00$174.00$50.00$62.00$80.00
Scott And White Memorial HospitalTempleTX13$47.75$61.37$292.86
Hillcrest Baptist Medical CenterWacoTX11$47.10$60.54$292.86
Driscoll Childrens HospitalCorpus ChristiTX2$2,406.95$481.39$165.82$582.91$1,000.00
Round Rock HospitalRound RockTX14$46.05$58.16$292.86
Chi St Lukes Health Mem LivingstonLivingstonTX11$777.00$271.95$42.46$55.01$699.30
Childrens Medical Center Of PlanoPlanoTX31$780.00$585.00$60.45$546.00$756.60
Methodist Hospital For SurgeryAddisonTX32$370.00$222.00$32.16$54.27$102.40
Baylor S&W All Saints Medical CenterFort WorthTX14$47.23$52.21$241.91
Baylor S&W Medical Center - IrvingIrvingTX14$47.08$52.04$241.91
Baylor University Medical CtrDallasTX15$47.08$52.04$241.91
Baylor Scott & White Mc- Lake PointeRowlettTX14$47.08$52.04$360.14
Centennial Medical CenterFriscoTX14$47.08$52.04$360.14
Mccamey County Hospital DistrictMccameyTX14$574.00$574.00$344.00$505.50$574.00
Scott & White Cedar ParkCedar ParkTX1$50.89$50.89$50.89
Acuity Hospital Of South TexasSan AntonioTX11$629.64$629.64$21.73$472.23$566.68
Texas Rehabilitation Hospital Of KelKellerTX17$1,124.00$112.40$281.00$464.21$753.08
Ascension Seton BastropBastropTX10$812.00$487.20$12.80$45.95$277.37
Ascension Seton Shoal CreekAustinTX10$812.00$487.20$12.80$45.95$277.37
Rice Medical CenterEagle LakeTX19$591.00$413.70$1.00$449.16$591.00
Warm Springs Rehab Hosp KyleKyleTX8$490.75$490.75$343.53$380.33$441.68
Corpus Christi Specialty HospitalCorpus ChristiTX8$490.75$490.75$343.53$368.06$441.68
Baylor Orthopedic And Spine HospitalArlingtonTX2$594.00$356.40$87.72$306.63$8,427.00
Big Spring State HospitalBig SpringsTX21$845.00$422.50$50.17$273.24$752.05
San Angelo Community Medical CenterSan AngeloTX21$845.00$422.50$50.17$273.24$752.05
River Crest HospitalSan AngeloTX21$845.00$422.50$50.17$273.24$752.05
Shannon Medical CenterSan AngeloTX21$845.00$422.50$50.17$273.24$752.05
Falls Community Hospital And ClinicMarlinTX6$670.53$536.42$50.14$236.60$536.42
Ut Health East Texas Specialty HospiTylerTX17$762.00$76.20$65.84$231.75$487.68
Baylor Scott And White Mc At SunnyvaSunnyvaleTX1$598.00$358.80$49.37$176.07$262.78
Heritage Park Surgical HospitalShermanTX2$460.00$276.00$49.37$176.07$262.78
Golden Plains Community HospitalBorgerTX6$748.00$523.60$98.94$172.04$508.64
Seton Medical Center Harker HeightsHarker HeightsTX15$413.50$41.35$28.30$161.27$443.27
St Lukes Health Memorial San AugustSan AugustineTX9$777.00$271.95$52.12$153.33$699.30
Glen Rose Medical CenterGlen RoseTX8$199.00$199.00$92.00$139.00$189.00
Burleson St. Joseph Health CenterCaldwellTX7$893.00$312.55$51.00$133.43$803.70
North Texas Medical CenterGainsvilleTX9$220.00$55.00$88.00$132.00$202.00
Dimmit Regional Hospital DistrictCarrizo SpringsTX3$144.00$86.00$55.00$131.50$138.00
Eastland Memorial HospitalEastlandTX3$172.00$86.00$107.00$123.00$155.00
Madison St. Joseph Health CenterMadisonvilleTX7$893.00$312.55$51.00$121.58$803.70
Lifecare Spec Hosp Of North TexasDallasTX13$473.00$47.30$107.89$118.25$442.33
Crescent Medical Center LancasterLancasterTX5$224.00$146.00$45.00$112.00$291.00
Chi St Lukes Health Memorial LufkinLufkinTX10$777.00$271.95$42.46$108.85$699.30
Nocona General HospitalNoconaTX0$156.00$27.85
St Joseph Medical CenterHoustonTX0$1,210.39$1,210.39
Longview Regional Medical CenterLongviewTX0$1,088.17$293.81
Trustpoint Rehabilitation Hospital OLubbockTX0$409.00
Navarro Regional HospitalCorsicanaTX0$1,999.00$699.65
Laredo Medical CenterLaredoTX0$1,291.55$452.04
The Medical Ctr Of Southeast TexasPort ArthurTX0$1,040.32$1,040.32
Laredo Specialty HospitalLaredoTX0$409.00

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.