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
GROSS MICRO LEVEL VI
Los Angeles, CA
See all hospitals reporting CPT 88309 →Price type
Dignity Community Care’s median price of $867 is 12% above the median hospital's median price ($774), higher than 66% of the 2,448 hospitals reporting CPT 88309. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 28 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 | Anthem commercial|exchange fee schedule · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 2 | Anthem commercial|all other plans fee schedule · outpatient | $330 | $330 | — | — | — | $330 – $330 |
| 3 | Molina medicaid|< 21 fee schedule · outpatient | $372 | $372 | — | — | — | $372 – $372 |
| 4 | Molina medicaid|> 21 fee schedule · outpatient | $372 | $372 | — | — | — | $372 – $372 |
| 5 | Kaiser medicaid|< 21 fee schedule · outpatient | $399 | $399 | — | — | — | $399 – $399 |
| 6 | Kaiser medicaid|> 21 fee schedule · outpatient | $399 | $399 | — | — | — | $399 – $399 |
| 7 | Anthem commercial|mcs fee schedule · outpatient | $407 | $407 | — | — | — | $407 – $407 |
| 8 | Anthem medicaid|all plans fee schedule · outpatient | $427 | $427 | — | — | 1–10 | $427 – $427 |
| 9 | Cigna commercial|all other plans fee schedule · outpatient | $589 | $589 | — | — | — | $589 – $589 |
| 10 | Cigna commercial|ppo fee schedule · outpatient | $589 | $589 | — | — | — | $589 – $589 |
| 11 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $787 | $787 | — | — | — | $787 – $787 |
| 12 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $787 | $787 | — | — | — | $787 – $787 |
| 13 | First Health commercial|all plans fee schedule · inpatient | $854 | $854 | — | — | — | $854 – $854 |
| 14 | First Health commercial|all plans fee schedule · outpatient | $854 | $854 | — | — | — | $854 – $854 |
| 15 | Kaiser commercial|all plans fee schedule · inpatient | $867 | $867 | — | — | — | $867 – $867 |
| 16 | Kaiser commercial|all plans fee schedule · outpatient | $867 | $867 | — | — | — | $867 – $867 |
| 17 | Aetna commercial|all other plans fee schedule · outpatient | $870 | $870 | — | — | — | $870 – $870 |
| 18 | Aetna commercial|hmo fee schedule · outpatient | $870 | $870 | — | — | — | $870 – $870 |
| 19 | Aetna commercial|ppo fee schedule · outpatient | $870 | $870 | — | — | — | $870 – $870 |
| 20 | Blue Cross Blue Shield medicare|promise fee schedule · outpatient | $929 | $929 | — | — | — | $929 – $929 |
| 21 | MultiPlan commercial|all plans fee schedule · inpatient | $978 | $978 | — | — | — | $978 – $978 |
| 22 | MultiPlan commercial|all plans fee schedule · outpatient | $978 | $978 | — | — | — | $978 – $978 |
| 23 | Aetna medicare|all plans fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 24 | Anthem medicare|all plans fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 25 | Blue Cross Blue Shield medicare|all other plans case rate · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Feb 28, 2026
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