▸ Procedure · lab · CPT 88305
Tissue exam by pathologist level IV
What US hospitals charge for tissue exam by pathologist level iv — negotiated rates by payer + state-by-state pricing.
Hospitals
1,322
Rate rows
81,892
Neg. median
$102.37
Neg. min
$1
Neg. max
$43,770
Cash median
$129.65
Across 1,322 US hospitals publishing MRFs, the negotiated rate for Tissue exam by pathologist level IV ranges from $1 to $43,770, with a median of $102.37. Half of all rates fall between $53.08 and $228.18. Cash-pay patients typically pay $129.65; hospital list (gross) prices median $257.3.
By payer
Top 30 payers by hospital coverage for this code.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 822 | 5089 | $63.73 |
| Aetna | 745 | 4540 | $138.91 |
| Blue Cross Blue Shield | 690 | 6459 | $76.6 |
| Cigna | 661 | 2958 | $133.2 |
| Humana | 616 | 1828 | $61.81 |
| Multiplan | 420 | 1916 | $206.12 |
| First Health | 340 | 1614 | $181.46 |
| WellCare | 272 | 603 | $53.63 |
| Medicare | 253 | 1102 | $52.35 |
| Molina | 250 | 702 | $66.69 |
| Ambetter | 208 | 360 | $90.23 |
| Medicaid | 196 | 1482 | $43.62 |
| Anthem BCBS | 185 | 1492 | $73.14 |
| TRICARE | 99 | 484 | $80 |
| amerihealth caritas | 91 | 204 | $55.02 |
| amerihealth | 76 | 254 | $79.05 |
| medcost | 71 | 329 | $410.71 |
| geisinger | 68 | 192 | $50.94 |
| Oscar Health | 66 | 85 | $83.54 |
| private health care systems | 65 | 136 | $554.08 |
| medica | 64 | 1129 | $121.35 |
| upmc health plan | 62 | 219 | $52.04 |
| CareSource | 58 | 113 | $206.25 |
| Medicare Advantage | 57 | 175 | $53.24 |
| healthsmart | 56 | 192 | $275.6 |
| quik trip | 54 | 90 | $450.19 |
| amerigroup | 53 | 72 | $51.48 |
| private healthcare systems | 53 | 905 | $187.29 |
| wellpoint | 52 | 99 | $58.39 |
| Health Net | 51 | 192 | $93.77 |
By state
States with ≥2 reporting hospitals.
| State | Hospitals | Median rate |
|---|---|---|
| AK | 2 | — |
| AL | 27 | $68.68 |
| AR | 5 | $76.6 |
| AZ | 8 | $163 |
| CA | 40 | $66.75 |
| CO | 6 | $152.83 |
| DC | 2 | $97.16 |
| DE | 2 | $194.57 |
| FL | 5 | $126.54 |
| GA | 9 | $56.95 |
| HI | 8 | $56.15 |
| IA | 27 | $66.62 |
| IL | 50 | $99.46 |
| IN | 20 | $45.95 |
| KS | 15 | $78.29 |
| KY | 13 | $61.81 |
| LA | 8 | $72 |
| MA | 13 | $152.64 |
| MD | 24 | $162 |
| ME | 5 | $87 |
| MI | 28 | $57.66 |
| MN | 32 | $111.5 |
| MO | 18 | $308.26 |
| MS | 11 | $78.52 |
| NC | 28 | $297.5 |
| ND | 9 | $150.25 |
| NE | 4 | $78.24 |
| NJ | 14 | $62.92 |
| NM | 6 | $603.9 |
| NV | 8 | $149.16 |
| NY | 12 | $67.1 |
| OH | 28 | $195.04 |
| OK | 13 | $325 |
| PA | 56 | $130.56 |
| SC | 16 | $40.68 |
| SD | 5 | $221.48 |
| TN | 14 | $51.17 |
| TX | 67 | $105.58 |
| VA | 9 | $289.62 |
| VT | 6 | $79.98 |
| WA | 4 | $146.7 |
| WI | 36 | $281.96 |
| WV | 20 | $88.21 |
Top 20 by lowest negotiated rate
Lowest median negotiated rate among hospitals publishing for this code.
| Hospital | City | ST | Negotiated median |
|---|---|---|---|
| Sherman Oaks Hospital | SHERMAN OAKS | CA | $15 |
| UTHealth East Texas Quitman | — | — | $25.11 |
| Barbourville Arh Hospital | BARBOURVILLE | KY | $29.16 |
| Barbourville ARH Hospital | — | — | $29.16 |
| Metro Nashville General Hospital | NASHVILLE | TN | $34.13 |
| Wamego Health Center (Wamego Hospital Association) | — | — | $34.18 |
| Wamego Health Center | WAMEGO | KS | $34.18 |
| Summers County Arh Hospital | HINTON | WV | $34.61 |
| Summers County ARH Hospital | — | — | $34.61 |
| Paintsville ARH Hospital | — | — | $36.09 |
| Paintsville Arh Hospital | PAINTSVILLE | KY | $36.09 |
| Tug Valley Arh Regional Medical Center | SOUTH WILLIAMSON | KY | $36.51 |
| SANTA CRUZ VALLEY REGIONAL HOSPITAL | GREEN VALLEY | AZ | $36.51 |
| Arh Our Lady Of The Way | MARTIN | KY | $36.8 |
| Sisters of Charity Hospital | — | — | $37.66 |
| Mercy Hospital of Buffalo | — | — | $37.66 |
| Kenmore Mercy Hospital | — | — | $37.66 |
| Mount St. Mary's Hospital | — | — | $37.66 |
| MARY BLACK MEMORIAL HOSPITAL | SPARTANBURG | SC | $37.66 |
| Sisters of Charity Hospital - St. Joseph Campus | — | — | $37.66 |