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
SURG PATH LEVEL 4
PASADENA, TX
See all hospitals reporting CPT 88305 →Price type
Hca Houston Healthcare Southeast’s median price of $145 is 67% above the median hospital's median price ($87), higher than 69% 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, 40 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 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $17.44 | $41.19 | $5.72 – $100.42 |
| 2 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $17.44 | $41.19 | $5.72 – $100.42 |
| 3 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $17.44 | $41.19 | $5.72 – $100.42 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $17.44 | $41.19 | $5.72 – $100.42 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $17.44 | $41.19 | $5.72 – $100.42 |
| 6 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $49.76 | $49.76 | $49.76 – $49.76 |
| 7 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $49.76 | $49.76 | $49.76 – $49.76 |
| 8 | UnitedHealthcare smallgroup fee schedule · outpatient | $49.76 | $49.76 | $49.76 – $49.76 |
| 9 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $99.93 | $99.93 | $99.93 – $99.93 |
| 10 | Blue Cross Blue Shield bav fee schedule · outpatient | $110.32 | $110.32 | $110.32 – $110.32 |
| 11 | Aetna qhpexchange fee schedule · outpatient | $130.28 | $130.28 | $130.28 – $130.28 |
| 12 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $56.69 | $133.88 | $18.60 – $326.35 |
| 13 | Blue Cross Blue Shield hmo fee schedule · outpatient | $138.02 | $138.02 | $138.02 – $138.02 |
| 14 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $58.73 | $138.69 | $19.26 – $338.07 |
| 15 | Cigna csn fee schedule · outpatient | $144.71 | $144.71 | $144.71 – $144.71 |
| 16 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $147.92 | $147.92 | $147.92 – $147.92 |
| 17 | Cigna openaccessplus fee schedule · outpatient | $156.74 | $156.74 | $156.74 – $156.74 |
| 18 | Blue Cross Blue Shield ppo fee schedule · outpatient | $157.81 | $157.81 | $157.81 – $157.81 |
| 19 | Aetna nbhmo fee schedule · outpatient | $173.26 | $173.26 | $173.26 – $173.26 |
| 20 | Aetna nbpos fee schedule · outpatient | $173.26 | $173.26 | $173.26 – $173.26 |
| 21 | Aetna nbppo fee schedule · outpatient | $173.26 | $173.26 | $173.26 – $173.26 |
| 22 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $74.14 | $175.08 | $24.32 – $426.77 |
| 23 | Aetna commhmo fee schedule · outpatient | $184.07 | $184.07 | $184.07 – $184.07 |
| 24 | Aetna commpos fee schedule · outpatient | $184.07 | $184.07 | $184.07 – $184.07 |
| 25 | Aetna commppo fee schedule · outpatient | $184.07 | $184.07 | $184.07 – $184.07 |
Last updated: Mar 1, 2026
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