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Tissue exam by pathologist level IV

CPT 88305 · negotiated-rate distribution across hospitals in WV

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Hospitals
20
Min
$34.61
Median
$46.07
Max
$130.36
Range multiplier
3.8×

By payer (39 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare38$46.07$97.42$473.0010.3×
Aetna37$36.08$82.44$557.0015.4×
Blue Cross Blue Shield36$65.32$108.82$288.974.4×
the health plan24$22.55$32.97$46.072.0×
harvard pilgrim [10701]13$130.36$149.94$156.621.2×
Cigna13$63.23$70.33$395.926.3×
Humana22$33.13$39.60$46.071.4×
Anthem BCBS22$33.13$39.60$46.071.4×
Medicaid12$27.79$47.02$66.252.4×
optum ccn region 122$33.13$39.60$46.071.4×
optum ccn region 222$33.13$39.60$46.071.4×
the health plan hmo22$135.24$136.50$137.761.0×
umr22$127.19$128.38$129.561.0×
WellCare22$33.13$39.60$46.071.4×
grants [20507]11$557.00$557.00$557.001.0×
evernorth behavioral health [27]11$445.60$445.60$445.601.0×
hne [11108]11$362.50$362.50$362.501.0×
hp optum bh [32]11$557.00$557.00$557.001.0×
hsno/free care [10801]11$680.81$680.81$680.811.0×
connecticare [11105]11$557.00$557.00$557.001.0×
institution [10406]11$63.23$63.23$63.231.0×
masshealth mcd mbhp [38]11$557.00$557.00$557.001.0×
wellsense mcaid carelon hlth [21]11$557.00$557.00$557.001.0×
mgb mcr [10124]11$63.23$63.23$63.231.0×
CHAMPVA11$63.45$63.45$63.451.0×
workers compensation [20501]11$271.70$271.70$271.701.0×
senior whole health [10110]11$67.65$67.65$67.651.0×
commonwealth care alliance [10103]11$66.39$66.39$66.391.0×
wellpoint [11112]11$410.17$410.17$410.171.0×
tufts [11201]11$395.92$395.92$395.921.0×
tufts connectorcare [10507]11$107.55$107.55$107.551.0×
tufts mcr [10112]11$66.39$66.39$66.391.0×
tufts us family [11203]11$63.23$63.23$63.231.0×
fallon carelon hlth [28]11$557.00$557.00$557.001.0×
fallon connectorcare [10503]11$151.75$151.75$151.751.0×
fallon mcaid carelon hlth [29]11$557.00$557.00$557.001.0×
fallon mcr [10105]11$66.39$66.39$66.391.0×
fallon mcr supp [20202]11$66.39$66.39$66.391.0×
First Health11$417.75$417.75$417.751.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Beckley ArhBeckleyWV11$161.00$96.60$22.55$46.07$288.97
Summers County ArhHintonWV11$164.00$98.40$32.80$34.61$144.32
Webster County Memorial HospitalWebster SpringsWV31$557.00$557.00$27.79$130.36$680.81
Reynolds Memorial HospitalGlen DaleWV0$415.00$207.50
Jackson General HospitalRipleyWV0$1,224.00$612.00
Princeton Community HospitalPrincetonWV0$18,240$9,120.00
Wheeling HospitalWheelingWV0$2,688.00$1,344.00
Camden-Clark Memorial HospitalParkersburgWV0$1,856.00$928.00
Wetzel County HospitalNew MartinsvilleWV0$576.00$288.00
Summersville Regional Med CenterSummersvilleWV0$2,684.00$1,342.00
Braxton County Memorial HospitalGassawayWV0$213.00$106.50
Potomac Valley HospitalKeyserWV0$159.00$79.50
Grant Memorial HospitalPetersburgWV0$900.00$720.00
Jefferson Memorial HospitalRansonWV0$268.00$134.00
Jackson General HospitalRipleyWV0$1,224.00$612.00
St. Josephs Hospital Of BuckhannonBuckhannonWV0$784.00$392.00
West Virginia University HospitalsMorgantownWV0$5,180.00$2,590.00
Summersville Regional Med CenterSummersvilleWV0$2,684.00$1,342.00
United Hospital CenterBridgeportWV0$303.00$151.50
City Hospital Inc.MartinsburgWV0$1,608.00$804.00

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.