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
INTERROG EVL PM/LDLS PM IP
Luling, TX
See all hospitals reporting CPT 93288 →Price type
Ascension Seton’s median price of $113 is 92% above the median hospital's median price ($59), higher than 73% of the 1,812 hospitals reporting CPT 93288. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 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 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 2 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 3 | Aetna 4335_aetna sha aisd 20250101 percent of total billed charges · outpatientfrom % of charges | $90 | $90 | — | — | — | $90 – $90 |
| 4 | Aetna 4489_aetna aco hmo 20250801 percent of total billed charges · outpatientfrom % of charges | $90 | $90 | — | — | — | $90 – $90 |
| 5 | Aetna 4490_aetna multi-tier whole health sha 20250801 percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 6 | Aetna 4488_aetna ppo 20250801 percent of total billed charges · outpatientfrom % of charges | $109 | $109 | — | — | — | $109 – $109 |
| 7 | Aetna 4486_aetna hmo 20250801 percent of total billed charges · outpatientfrom % of charges | $113 | $113 | — | — | — | $113 – $113 |
| 8 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 9 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 10 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 11 | Aetna 4483_aetna aco ppo/hmo (chi,dcn) 20250801 percent of total billed charges · outpatientfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
| 12 | Aetna 4484_aetna multi-tier whole health sha (chi,dcn) 20250801 percent of total billed charges · outpatientfrom % of charges | $150 | $150 | — | — | — | $150 – $150 |
| 13 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $150 | $150 | — | — | — | $150 – $150 |
| 14 | Aetna 4481_aetna hmo (chi,dcn) 20250801 percent of total billed charges · outpatientfrom % of charges | $166 | $166 | — | — | — | $166 – $166 |
| 15 | Aetna 4482_aetna ppo (chi,dcn) 20250801 percent of total billed charges · outpatientfrom % of charges | $166 | $166 | — | — | — | $166 – $166 |
Last updated: Jan 1, 2026
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