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Tissue exam by pathologist level IV

CPT 88305 · negotiated-rate distribution across hospitals in WI

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Hospitals
36
Min
$51.61
Median
$183.80
Max
$406.08
Range multiplier
7.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS30191$14.75$137.85$1,770.09120.0×
UnitedHealthcare30134$30.25$63.73$1,417.9346.9×
Cigna1854$16.52$476.15$1,676.93101.5×
Aetna1549$202.18$507.99$9,010.7744.6×
healthpartners1248$369.00$461.25$461.251.3×
Humana646$34.57$53.12$824.1423.8×
common ground1236$369.00$369.00$369.001.0×
wisconsin physician service1236$381.30$399.75$399.751.0×
Medicare1432$51.37$52.01$215.344.2×
Molina2129$50.82$359.55$787.1015.5×
health eos plus1224$369.00$369.00$369.001.0×
health eos1224$492.00$492.00$492.001.0×
Multiplan524$209.07$397.62$1,770.098.5×
trilogy1424$249.48$430.50$833.403.3×
health payment systems1724$194.37$399.75$1,576.318.1×
First Health823$168.10$359.55$1,770.0910.5×
network health plan823$50.82$163.58$1,326.6326.1×
centivo1622$151.20$307.50$1,453.349.6×
VA Health1122$51.37$51.88$54.301.1×
wisconsin well woman721$33.88$35.27$69.152.0×
wps721$112.85$134.24$247.092.2×
wps health plan420$174.61$289.37$1,676.939.6×
health partners519$50.82$326.48$1,639.6632.3×
aspirus219$13.57$67.19$534.2939.4×
quartz health insurance318$195.29$297.82$1,583.768.1×
froedtert health318$160.83$272.05$1,583.769.8×
Blue Cross Blue Shield416$14.75$79.75$514.0834.9×
security health plan516$17.70$276.05$1,546.5087.4×
group health cooperative of eau claire414$183.80$379.23$1,490.608.1×
dean health plan414$183.80$280.30$1,490.608.1×
smart health714$72.63$72.63$76.021.0×
cchp913$53.33$53.33$165.293.1×
trilogy health solutions312$172.31$279.27$1,583.769.2×
common ground healthcare cooperative312$172.31$279.27$1,583.769.2×
quartz group1212$369.00$369.00$369.001.0×
aurora caregiver1212$369.00$369.00$369.001.0×
hs technology1212$307.50$307.50$307.501.0×
quartz one1212$338.25$338.25$338.251.0×
everpointe elite1212$307.50$307.50$307.501.0×
alliance39$109.58$130.35$239.932.2×
prevea 36019$32.92$67.19$756.9223.0×
medical college of wisconsin48$124.74$214.42$1,304.2810.5×
security health plan (shp)18$219.88$362.83$534.862.4×
Medicaid27$81.43$99.18$136.521.7×
bellin thedacare36$206.78$315.34$1,676.938.1×
aspirus health plan36$172.31$262.78$1,397.448.1×
advocate aurora healthcare36$176.91$269.79$1,434.708.1×
centivo nw126$41.74$53.12$94.862.3×
centivo nw326$41.74$53.12$94.862.3×
employer health care alliance cooperative36$180.35$275.05$1,462.658.1×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Hudson HospitalHudsonWI8$290.00$130.82$79.75$98.79$290.00
MoshFranklinWI8$950.00$503.50$33.88$58.53$247.09
Wheaton Franciscan Healthcare - AllRacineWI8$950.00$503.50$33.88$54.30$247.09
All Saints - St. Luke S HospitalRacineWI8$950.00$503.50$33.88$54.30$247.09
Ascension Se Wisconsin Hospital IncMilwaukeeWI8$950.00$503.50$33.88$53.33$247.09
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI8$950.00$503.50$33.88$53.33$247.09
Wheaton Franciscan - FranklinFranklinWI8$950.00$503.50$33.88$53.33$247.09
Wfhc - Elmbrook MemorialBrookfieldWI8$950.00$503.50$33.88$53.33$247.09
Ascension Columbia St Marys OzaukeeMequonWI10$992.00$525.76$37.48$53.12$239.93
Ascension Columbia St Marys MilwaukeMilwaukeeWI10$992.00$525.76$37.48$53.12$239.93
Mercy Medical CenterOshkoshWI10$676.00$385.32$39.50$53.12$165.29
Ascension Sacred Heart RehabilitatioMilwaukeeWI7$992.00$525.76$37.48$53.12$239.93
Ascension Ne Wisconsin-St. ElizabethAppletonWI10$676.00$385.32$39.50$53.12$165.29
Meriter Hospital Inc.MadisonWI14$890.49$712.40$13.57$51.61$845.97
Beaver Dam Community HospitalsBeaver DamWI17$926.00$879.70$177.63$406.08$888.96
West Allis Memorial HospitalWest AllisWI18$615.00$307.50$57.17$375.15$9,010.77
Sheboygan Memorial HospitalSheboyganWI18$615.00$307.50$57.17$369.00$522.75
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI18$615.00$307.50$57.17$369.00$522.75
Aurora Medical Center GraftonGraftonWI18$615.00$307.50$57.17$369.00$522.75
Aurora Health Care Metro Inc.MilwaukeeWI18$615.00$307.50$57.17$369.00$522.75
Aurora Medical Center - HartfordHartfordWI18$615.00$307.50$57.17$369.00$522.75
Aurora Lakeland Medical CenterElkhornWI18$615.00$307.50$57.17$369.00$522.75
Aurora Medical Center KenoshaKenoshaWI18$615.00$307.50$57.17$369.00$522.75
Aurora Medical Center Of OshkoshOshkoshWI18$615.00$307.50$57.17$369.00$522.75
Aurora Medical Center - Bay AreaMarinetteWI18$615.00$307.50$57.17$369.00$520.29
Memorial Hospital Of BurlingtonBurlingtonWI18$615.00$307.50$57.17$369.00$522.75
Aurora Medical Center - SummitSummitWI18$615.00$307.50$57.17$369.00$522.75
Childrens WisconsinMilwaukeeWI34$1,863.25$1,024.79$50.14$330.19$1,770.09
Holy Family Memorial IncManitowocWI25$600.00$330.00$43.24$302.40$528.00
Amery Regional Medical CenterAmeryWI6$575.00$299.80$79.75$211.32$557.52
Childrens Hospital Of Wi-Fox ValleyNeenahWI35$229.75$126.36$65.52$183.80$218.26
Ssh - Fox ValleyOshkoshWI35$229.75$126.36$65.52$183.80$218.26
Westfields HospitalNew RichmondWI8$205.00$107.83$79.75$110.17$205.00
River Falls Area HospitalRiver FallsWI0$776.20$434.67
Uw Health Rehabilitation HospitalMadisonWI0$526.00$315.60
University Of Wi Hospitals & ClinicsMadisonWI0$526.00$315.60

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.