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
RL-UF-TISS IN SITU HYBRD
Carmichael, CA
See all hospitals reporting CPT 88365 →Price type
Dignity Health’s median price of $120 is 40% below the median hospital's median price ($200), higher than 8% of the 2,400 hospitals reporting CPT 88365. 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, 32 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 | Kaiser medicaid|all plans fee schedule · outpatient | $49 | $79 | $50 | 63% | — | $39 – $149 |
| 2 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 3 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 4 | Kaiser commercial|all plans fee schedule · outpatient | $65 | $104 | $66 | 63% | — | $52 – $197 |
| 5 | Anthem commercial|connection epo fee schedule · outpatient | $96 | $114 | $41 | 35% | — | $76 – $170 |
| 6 | Molina medicaid|all plans fee schedule · outpatient | $120 | $127 | $29 | 23% | 3–30 | $95 – $165 |
| 7 | Anthem medicaid|all plans fee schedule · outpatient | $120 | $127 | $29 | 23% | — | $95 – $166 |
| 8 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $120 | $131 | $35 | 27% | — | $95 – $179 |
| 9 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $120 | $131 | $35 | 27% | — | $95 – $179 |
| 10 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $120 | $131 | $35 | 27% | — | $95 – $179 |
| 11 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $120 | $131 | $35 | 27% | — | $95 – $179 |
| 12 | Anthem medicare|all other plans fee schedule · outpatient | $113 | $138 | $53 | 38% | — | $90 – $212 |
| 13 | Anthem commercial|all other plans fee schedule · outpatient | $120 | $143 | $51 | 35% | — | $95 – $213 |
| 14 | First Health commercial|all plans fee schedule · inpatient | $90 | $145 | $91 | 63% | — | $72 – $273 |
| 15 | First Health commercial|all plans fee schedule · outpatient | $90 | $145 | $91 | 63% | — | $72 – $273 |
| 16 | Aetna medicare|all plans fee schedule · outpatient | $120 | $147 | $56 | 38% | — | $95 – $225 |
| 17 | Blue Cross Blue Shield medicare|ppo fee schedule · outpatient | $120 | $147 | $56 | 38% | — | $95 – $225 |
| 18 | Humana commercial|all plans fee schedule · outpatient | $120 | $147 | $56 | 38% | — | $95 – $225 |
| 19 | Humana medicare|all plans fee schedule · outpatient | $120 | $147 | $56 | 38% | — | $95 – $225 |
| 20 | Molina medicare|all plans fee schedule · outpatient | $120 | $147 | $56 | 38% | — | $95 – $225 |
| 21 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $120 | $147 | $56 | 38% | — | $95 – $225 |
| 22 | Anthem medicare|imperial fee schedule · outpatient | $124 | $151 | $58 | 38% | — | $98 – $232 |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $100 | $160 | $101 | 63% | — | $79 – $302 |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $100 | $160 | $101 | 63% | — | $79 – $302 |
| 25 | Anthem commercial|mcs fee schedule · outpatient | $120 | $171 | $90 | 53% | — | $95 – $298 |
Last updated: Feb 28, 2026
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