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.
Original text from hospital filings
S/O GROSS/MICRO LEVEL 4
Mesa, AZ
See all hospitals reporting CPT 88305 →Price type
Agh Mesa Llc’s median price of $75 is 13% below the median hospital's median price ($87), higher than 42% of the 2,557 hospitals reporting CPT 88305. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 17 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 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $30.97 | $30.97 | $30.97 – $30.97 |
| 2 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $30.97 | $30.97 | $30.97 – $30.97 |
| 3 | UnitedHealthcare commercial|options fee schedule · outpatient | $30.97 | $30.97 | $30.97 – $30.97 |
| 4 | Humana medicare|all plans fee schedule · outpatient | $56.95 | $56.95 | $56.95 – $56.95 |
| 5 | WellCare medicare|all plans fee schedule · outpatient | $56.95 | $56.95 | $56.95 – $56.95 |
| 6 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $57.52 | $57.52 | $57.52 – $57.52 |
| 7 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $58.38 | $58.38 | $58.38 – $58.38 |
| 8 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $75.46 | $75.46 | $75.46 – $75.46 |
| 9 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $88.53 | $88.53 | $88.53 – $88.53 |
| 10 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $88.53 | $88.53 | $88.53 – $88.53 |
| 11 | Cigna commercial|all other plans fee schedule · outpatient | $103.10 | $103.10 | $103.10 – $103.10 |
| 12 | Cigna commercial|ppo fee schedule · outpatient | $103.10 | $103.10 | $103.10 – $103.10 |
| 13 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $118.02 | $118.02 | $118.02 – $118.02 |
| 14 | Aetna commercial|all other plans fee schedule · outpatient | $160.03 | $160.03 | $160.03 – $160.03 |
| 15 | Aetna commercial|ppo fee schedule · outpatient | $160.03 | $160.03 | $160.03 – $160.03 |
| 16 | MultiPlan commercial|all plans fee schedule · inpatient | $2,232 | $2,232 | $1,033 – $3,431 |
| 17 | MultiPlan commercial|all plans fee schedule · outpatient | $2,232 | $2,232 | $1,033 – $3,431 |
Last updated: Feb 28, 2026
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