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
XM/SELCT ARCHIVE TISSUE MOLEC
Arlington, TX
See all hospitals reporting CPT 88363 →Price type
AMH Cath Labs LLC’s median price of $32 is about the same as the median hospital's median price ($32), higher than 49% of the 1,689 hospitals reporting CPT 88363. 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 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 6 | UnitedHealthcare all payer fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 7 | UnitedHealthcare ppo fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 8 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 9 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 10 | Humana medicare advantage case rate · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 11 | Humana medicare advantage ppo case rate · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 12 | Molina medicare advantage case rate · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 13 | WellCare medicare advantage hmo case rate · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 14 | Blue Cross Blue Shield exchange fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 15 | WellCare medicare advantage mmp case rate · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 16 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 17 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 18 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 20 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $36 | $36 | — | — | — | $36 – $36 |
| 21 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $36 | $36 | — | — | — | $36 – $36 |
| 22 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 23 | Aetna whole health fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 24 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
| 25 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
Last updated: Apr 21, 2026
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