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
TUBE GASTRO ENFIT TRADTNL G-JET 18FRX45CM
Arlington, TX
See all hospitals reporting HCPCS B4088 →Price type
AMH Cath Labs LLC’s median price of $664 is 960% above the median hospital's median price ($63), higher than 92% of the 875 hospitals reporting HCPCS B4088. 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 medicare advantage case rate · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 2 | Humana medicare advantage case rate · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 4 | Molina medicare advantage case rate · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 9 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 10 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 11 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $126 | $126 | — | — | — | $126 – $126 |
| 12 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $130 | $130 | — | — | — | $130 – $130 |
| 13 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $132 | $132 | — | — | — | $132 – $132 |
| 14 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $391 | $391 | — | — | — | $391 – $391 |
| 15 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $554 | $554 | — | — | — | $554 – $554 |
| 16 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $623 | $623 | — | — | — | $623 – $623 |
| 17 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $693 | $693 | — | — | — | $693 – $693 |
| 18 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $698 | $698 | — | — | — | $698 – $698 |
| 19 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $739 | $739 | — | — | — | $739 – $739 |
| 20 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $739 | $739 | — | — | — | $739 – $739 |
| 21 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $746 | $746 | — | — | — | $746 – $746 |
| 22 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $937 | $937 | — | — | — | $937 – $937 |
| 23 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $940 | $940 | — | — | — | $940 – $940 |
| 24 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $946 | $946 | — | — | — | $946 – $946 |
| 25 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $946 | $946 | — | — | — | $946 – $946 |
Last updated: Apr 21, 2026
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