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
S/O GROSS/MICRO LEVEL 3
Gilbert, AZ
See all hospitals reporting CPT 88304 →Price type
Dignity Health’s median price of $64 is 17% below the median hospital's median price ($77), higher than 38% of the 2,583 hospitals reporting CPT 88304. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 26 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 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 2 | Aetna medicare|all plans fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 3 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 4 | Cigna medicare|all plans fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 5 | First Health medicare|all plans fee schedule · outpatient | $57 | $57 | — | — | 2–20 | $57 – $57 |
| 6 | Humana medicare|all plans fee schedule · outpatient | $57 | $57 | — | — | 2–20 | $57 – $57 |
| 7 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 8 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $62 | $62 | — | — | 25 | $62 – $62 |
| 9 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 10 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 11 | Cigna commercial|exchange fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 12 | Cigna commercial|localplus surefit fee schedule · outpatient | $71 | $71 | — | — | 2–20 | $71 – $71 |
| 13 | Cigna commercial|all other plans fee schedule · outpatient | $93 | $93 | — | — | 27 | $93 – $93 |
| 14 | Cigna commercial|ppo fee schedule · outpatient | $93 | $93 | — | — | 27 | $93 – $93 |
| 15 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $105 | $105 | — | — | 2–20 | $105 – $105 |
| 16 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 17 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $125 | $125 | $93 | 74% | — | $32 – $217 |
| 18 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $140 | $140 | — | — | 51 | $140 – $140 |
| 19 | Aetna commercial|all other plans fee schedule · outpatient | $149 | $149 | — | — | — | $149 – $149 |
| 20 | Aetna commercial|hmo fee schedule · outpatient | $149 | $149 | — | — | — | $149 – $149 |
| 21 | Aetna commercial|ppo fee schedule · outpatient | $149 | $149 | — | — | — | $149 – $149 |
| 22 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $208 | $208 | — | — | — | $208 – $208 |
| 23 | First Health commercial|all plans fee schedule · inpatient | $481 | $481 | $358 | 74% | — | $123 – $839 |
| 24 | First Health commercial|all plans fee schedule · outpatient | $481 | $481 | $358 | 74% | — | $123 – $839 |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $686 | $686 | $510 | 74% | — | $176 – $1.2k |
Last updated: Feb 28, 2026
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