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
MACROSCOPIC XM DSJ&PREP TISS
Luling, TX
See all hospitals reporting CPT 88387 →Price type
Ascension Seton’s median price of $26 is 3% above the median hospital's median price ($26), higher than 51% of the 1,280 hospitals reporting CPT 88387. 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, 15 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 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 2 | Humana 2668_humana hmo 20230701 other · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 3 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · both | $14 | $14 | — | — | — | $14 – $14 |
| 4 | Cigna 4476_cigna hmo (wil,del) 20250701 fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 5 | Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 6 | Aetna 4489_aetna aco hmo 20250801 fee schedule · both | $20 | $20 | — | — | — | $20 – $20 |
| 7 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both | $20 | $20 | — | — | — | $20 – $20 |
| 8 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 9 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 10 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 11 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 12 | Aetna 235_aetna pos 20140601 fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 13 | Aetna 236_aetna elect choice 20140601 fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 14 | Aetna 4335_aetna sha aisd 20250101 other · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 15 | Aetna 4486_aetna hmo 20250801 other · outpatient | $45 | $45 | — | — | — | $45 – $45 |
Last updated: Jan 1, 2026
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