Surgical pathology examination, highest complexity level at Progress West Hospital

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Level 5 (Gross/Micro)

O'Fallon, MO

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Pricing by billing methodology

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How this price compares nationally

Progress West Hospital’s median price of $450 is 17% above the median hospital's median price ($384), higher than 66% of the 2,560 hospitals reporting CPT 88307. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 88307 at Progress West Hospital

Negotiated rates from the hospital’s own file: 12 payers, 29 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	Cigna bjc hb cigna local plus community fee schedule · both	$278	$278	—	—	—	$278 – $278
2	Aetna bjc hb medicare advantra pwc other · both	$359	$359	—	—	—	$359 – $359
3	Aetna bjc hb medicare gold advantage pwc other · both	$359	$359	—	—	—	$359 – $359
4	Blue Cross Blue Shield bjc hb medicare anthem advantage pwc other · both	$359	$359	—	—	—	$359 – $359
5	Humana bjc hb medicare humana pwc other · both	$359	$359	—	—	—	$359 – $359
6	UnitedHealthcare bjc hb medicare uhc pwc other · both	$359	$359	—	—	—	$359 – $359
7	Devoted bjc hb medicare devoted pwc other · both	$377	$377	—	—	—	$377 – $377
8	Medica bjc hb medicare wellfirst pwc other · both	$377	$377	—	—	—	$377 – $377
9	Cigna bjc hb cigna special community fee schedule · both	$427	$427	—	—	1–10	$427 – $427
10	Cigna bjc hb cigna hmo/ppo community fee schedule · both	$431	$431	—	—	1–10	$431 – $431
11	UnitedHealthcare bjc hb united health care community fee schedule · both	$432	$432	—	—	20	$432 – $432
12	Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges	$450	$450	—	—	—	$450 – $450
13	Aetna bjc hb first health percent of total billed charges · bothfrom % of charges	$450	$450	—	—	—	$450 – $450
14	First Health bjc hb first health percent of total billed charges · bothfrom % of charges	$450	$450	—	—	—	$450 – $450
15	UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges	$450	$450	—	—	—	$450 – $450
16	Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges	$455	$455	—	—	—	$455 – $455
17	Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges	$455	$455	—	—	—	$455 – $455
18	MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges	$455	$455	—	—	—	$455 – $455
19	Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges	$455	$455	—	—	—	$455 – $455
20	Aetna bjc hb aetna commercial community fee schedule · both	$463	$463	—	—	—	$463 – $463
21	Blue Cross Blue Shield bjc hb anthem choice community fee schedule · both	$481	$481	—	—	—	$481 – $481
22	Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$485	$485	—	—	—	$485 – $485
23	Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$485	$485	—	—	—	$485 – $485
24	Blue Cross Blue Shield bjc hb anthem access community fee schedule · both	$485	$485	—	—	—	$485 – $485
25	Blue Cross Blue Shield bjc hb anthem alliance epo percent of total billed charges · bothfrom % of charges	$515	$515	—	—	—	$515 – $515

Page 1 of 2 · 29 rates

Last updated: Dec 15, 2025

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