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
PATH LEVEL 4 ADDL
Smithville, TX
See all hospitals reporting CPT 88305 →Price type
Ascension Seton’s median price of $74 is 15% below the median hospital's median price ($87), higher than 40% of the 2,557 hospitals reporting CPT 88305. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 16 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 | $46.14 | $46.14 | $46.14 – $46.14 |
| 2 | Humana 2668_humana hmo 20230701 other · outpatient | $58.84 | $58.84 | $58.84 – $58.84 |
| 3 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · both | $64.11 | $64.11 | $64.11 – $64.11 |
| 4 | Cigna 4476_cigna hmo (wil,del) 20250701 fee schedule · outpatient | $64.11 | $64.11 | $64.11 – $64.11 |
| 5 | Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient | $67.77 | $67.77 | $67.77 – $67.77 |
| 6 | Aetna 4489_aetna aco hmo 20250801 fee schedule · both | $74.07 | $74.07 | $74.07 – $74.07 |
| 7 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both | $74.07 | $74.07 | $74.07 – $74.07 |
| 8 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $93.99 | $93.99 | $93.99 – $93.99 |
| 9 | Aetna 4335_aetna sha aisd 20250101 other · outpatient | $155.48 | $155.48 | $155.48 – $155.48 |
| 10 | Aetna 235_aetna pos 20140601 fee schedule · outpatient | $177.67 | $177.67 | $177.67 – $177.67 |
| 11 | Aetna 236_aetna elect choice 20140601 fee schedule · outpatient | $177.67 | $177.67 | $177.67 – $177.67 |
| 12 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $190.95 | $190.95 | $190.95 – $190.95 |
| 13 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $190.95 | $190.95 | $190.95 – $190.95 |
| 14 | Aetna 4486_aetna hmo 20250801 other · outpatient | $194.35 | $194.35 | $194.35 – $194.35 |
| 15 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $210.74 | $210.74 | $210.74 – $210.74 |
| 16 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $233.00 | $233.00 | $233.00 – $233.00 |
Last updated: Jan 1, 2026
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