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
PATH LEV 4 GROSS/MICR
Arlington, TX
See all hospitals reporting CPT 88305 →Price type
AMH Cath Labs LLC’s median price of $132 is 52% above the median hospital's median price ($87), higher than 66% 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, 31 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 all payer fee schedule · outpatient | $49.47 | $49.47 | $49.47 – $49.47 |
| 2 | UnitedHealthcare ppo fee schedule · outpatient | $49.47 | $49.47 | $49.47 – $49.47 |
| 3 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $52.44 | $52.44 | $52.44 – $52.44 |
| 4 | Humana medicare advantage case rate · outpatient | $54.53 | $54.53 | $54.53 – $54.53 |
| 5 | Humana medicare advantage ppo case rate · outpatient | $54.53 | $54.53 | $54.53 – $54.53 |
| 6 | Molina medicare advantage case rate · outpatient | $55.06 | $55.06 | $55.06 – $55.06 |
| 7 | WellCare medicare advantage hmo case rate · outpatient | $55.06 | $55.06 | $55.06 – $55.06 |
| 8 | WellCare medicare advantage mmp case rate · outpatient | $57.68 | $57.68 | $57.68 – $57.68 |
| 9 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $58.20 | $58.20 | $58.20 – $58.20 |
| 10 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $59.25 | $59.25 | $59.25 – $59.25 |
| 11 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $63.76 | $64.68 | $45.75 – $85.44 |
| 12 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $63.76 | $64.68 | $45.75 – $85.44 |
| 13 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $66.98 | $67.95 | $48.06 – $89.76 |
| 14 | Blue Cross Blue Shield exchange fee schedule · outpatient | $68.76 | $68.76 | $68.76 – $68.76 |
| 15 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $68.85 | $69.84 | $49.40 – $92.26 |
| 16 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $70.14 | $71.14 | $50.32 – $93.98 |
| 17 | Blue Cross Blue Shield hmo fee schedule · outpatient | $97.95 | $97.95 | $97.95 – $97.95 |
| 18 | Blue Cross Blue Shield ppo fee schedule · outpatient | $108.83 | $108.83 | $108.83 – $108.83 |
| 19 | Aetna whole health fee schedule · outpatient | $154.70 | $154.70 | $154.70 – $154.70 |
| 20 | Cigna oap/hmo fee schedule · outpatient | $176.63 | $176.63 | $176.63 – $176.63 |
| 21 | Cigna ppo fee schedule · outpatient | $176.63 | $176.63 | $176.63 – $176.63 |
| 22 | Aetna commercial fee schedule · outpatient | $206.27 | $206.27 | $206.27 – $206.27 |
| 23 | Blue Cross Blue Shield traditional fee schedule · outpatient | $289.94 | $289.94 | $289.94 – $289.94 |
| 24 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $497.88 | $505.05 | $357.23 – $667.20 |
| 25 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $502.18 | $509.41 | $360.31 – $672.96 |
Last updated: Apr 21, 2026
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