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
HC TISSUE LEVEL IV
Mount Vernon, IL
See all hospitals reporting CPT 88305 →Price type
Deaconess Illinois Crossroads Inc’s median price of $64 is 26% below the median hospital's median price ($87), higher than 31% 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: 10 payers, 43 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 | Aetna Better Health managed medicaid professional · fee schedule · both | $35.44 | $35.00 | $22.47 – $46.67 |
| 2 | Bcbs Il managed medicaid professional · fee schedule · both | $35.44 | $35.00 | $22.47 – $46.67 |
| 3 | Molina managed medicaid professional · fee schedule · both | $35.44 | $35.00 | $22.47 – $46.67 |
| 4 | WellCare managed medicaid professional · fee schedule · both | $35.44 | $35.00 | $22.47 – $46.67 |
| 5 | Aetna medicare advantage professional · fee schedule · both | $49.33 | $48.89 | $31.72 – $65.18 |
| 6 | Aetna Better Health medicare mmp professional · fee schedule · both | $49.33 | $48.89 | $31.72 – $65.18 |
| 7 | Bcbs Il medicare advantage professional · fee schedule · both | $49.33 | $48.89 | $31.72 – $65.18 |
| 8 | Humana dual medicare/medicaid professional · fee schedule · both | $49.33 | $48.89 | $31.72 – $65.18 |
| 9 | Humana medicare advantage professional · fee schedule · both | $49.33 | $48.89 | $31.72 – $65.18 |
| 10 | Molina dual medicare/medicaid professional · fee schedule · both | $49.33 | $48.89 | $31.72 – $65.18 |
| 11 | UnitedHealthcare medicare advantage professional · fee schedule · both | $49.33 | $48.89 | $31.72 – $65.18 |
| 12 | WellCare dual medicare/medicaid professional · fee schedule · both | $49.33 | $48.89 | $31.72 – $65.18 |
| 13 | WellCare medicare advantage professional · fee schedule · both | $49.33 | $48.89 | $31.72 – $65.18 |
| 14 | UnitedHealthcare commercial professional · fee schedule · both | $51.80 | $49.92 | $29.52 – $67.93 |
| 15 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $50.35 | $50.35 | $50.35 – $50.35 |
| 16 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $50.35 | $50.35 | $50.35 – $50.35 |
| 17 | Aetna medicare advantage facility · case rate · outpatient | $55.70 | $55.70 | $55.70 – $55.70 |
| 18 | Bcbs Il medicare advantage facility · case rate · outpatient | $55.70 | $55.70 | $55.70 – $55.70 |
| 19 | Humana dual medicare/medicaid facility · case rate · outpatient | $55.70 | $55.70 | $55.70 – $55.70 |
| 20 | Humana medicare advantage facility · case rate · outpatient | $55.70 | $55.70 | $55.70 – $55.70 |
| 21 | UnitedHealthcare commercial facility · case rate · outpatient | $55.70 | $55.70 | $55.70 – $55.70 |
| 22 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $55.70 | $55.70 | $55.70 – $55.70 |
| 23 | WellCare dual medicare/medicaid facility · case rate · outpatient | $55.70 | $55.70 | $55.70 – $55.70 |
| 24 | WellCare medicare advantage facility · case rate · outpatient | $55.70 | $55.70 | $55.70 – $55.70 |
| 25 | Molina dual medicare/medicaid facility · case rate · outpatient | $56.25 | $56.25 | $56.25 – $56.25 |
Last updated: Feb 3, 2026
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