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
M/PHMTRC ALYS ISHQUANT/SEMIQ
Luling, TX
See all hospitals reporting CPT 88373 →Price type
Ascension Seton’s median price of $111 is 37% above the median hospital's median price ($81), higher than 65% of the 1,423 hospitals reporting CPT 88373. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 13 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 | Humana 2668_humana hmo 20230701 other · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 2 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 3 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 4 | Cigna 4476_cigna hmo (wil,del) 20250701 fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 5 | Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 6 | Aetna 4489_aetna aco hmo 20250801 fee schedule · both | $116 | $116 | — | — | — | $116 – $116 |
| 7 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both | $116 | $116 | — | — | — | $116 – $116 |
| 8 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 9 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 10 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 11 | Aetna 4335_aetna sha aisd 20250101 other · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 12 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $226 | $226 | — | — | — | $226 – $226 |
| 13 | Aetna 4486_aetna hmo 20250801 other · outpatient | $272 | $272 | — | — | — | $272 – $272 |
Last updated: Jan 1, 2026
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