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
HCHG TISSUE LEVEL 4 HCMC
Ulm, MN
See all hospitals reporting CPT 88305 →Price type
Allina Health Systems’s median price of $107 is 23% above the median hospital's median price ($87), higher than 60% 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: 9 payers, 25 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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Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Aetna allina aetna medicare (n) facility · fee schedule · outpatient | $51.02 | $51.02 | $51.02 – $51.02 |
| 2 | Medicare medicare (n) facility · fee schedule · outpatient | $53.71 | $53.71 | $53.71 – $53.71 |
| 3 | Bcbs Mn bc pmap (n) facility · other · outpatient | $57.20 | $57.20 | $57.20 – $57.20 |
| 4 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $25.59 | $66.63 | $22.64 – $210.01 |
| 5 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $40.45 | $105.31 | $35.77 – $331.93 |
| 6 | Medicaid medicaid ma (n) facility · other · outpatient | $55.68 | $144.96 | $49.25 – $456.91 |
| 7 | Medica medica medicare (r) facility · fee schedule · outpatient | $56.51 | $147.13 | $49.99 – $463.73 |
| 8 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $57.24 | $149.02 | $50.63 – $469.71 |
| 9 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $59.14 | $153.97 | $52.31 – $485.30 |
| 10 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $174.52 | $174.52 | $174.52 – $174.52 |
| 11 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $77.94 | $202.90 | $68.93 – $639.54 |
| 12 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $78.71 | $204.92 | $69.61 – $645.90 |
| 13 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $84.19 | $219.19 | $74.46 – $690.89 |
| 14 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $85.03 | $221.38 | $75.21 – $697.78 |
| 15 | Bcbs Mn bc premier(n) facility · other · outpatient | $224.21 | $224.21 | $224.21 – $224.21 |
| 16 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $89.04 | $231.81 | $78.75 – $730.66 |
| 17 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $263.76 | $263.76 | $263.76 – $263.76 |
| 18 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $101.76 | $264.93 | $90.00 – $835.04 |
| 19 | Cigna hpi cigna (n) facility · other · outpatient | $104.02 | $270.82 | $92.00 – $853.61 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $106.85 | $278.18 | $94.50 – $876.79 |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $106.85 | $278.18 | $94.50 – $876.79 |
| 22 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $106.85 | $278.18 | $94.50 – $876.79 |
| 23 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $107.59 | $280.10 | $95.15 – $882.85 |
| 24 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $108.67 | $282.91 | $96.11 – $891.72 |
| 25 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $283.14 | $283.14 | $283.14 – $283.14 |
Last updated: Jun 16, 2026
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