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, G & M, LEVEL IV
Raceland, LA
See all hospitals reporting CPT 88305 →Price type
Ochsner Bayou Llc’s median price of $75 is 14% below the median hospital's median price ($87), higher than 41% 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: 12 payers, 14 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 | Molina all payor fee schedule · outpatient | $40.14 | $40.14 | $40.14 – $40.14 |
| 2 | Bcbs La all payor fee schedule · outpatient | $41.73 | $49.39 | $40.49 – $73.00 |
| 3 | UnitedHealthcare all payor fee schedule · outpatient | $55.09 | $55.09 | $49.47 – $60.71 |
| 4 | Humana all payor fee schedule · outpatient | $60.71 | $60.71 | $60.71 – $60.71 |
| 5 | Aetna Better Health all payor fee schedule · outpatient | $62.53 | $62.53 | $62.53 – $62.53 |
| 6 | Amerihealth Caritas all payor fee schedule · outpatient | $62.53 | $62.53 | $62.53 – $62.53 |
| 7 | Tricare all payor percent of total billed charges · outpatientfrom % of charges | $74.56 | $82.38 | $67.09 – $119.10 |
| 8 | Bcbs La all payor other · outpatient | $74.71 | $86.90 | $74.71 – $119.35 |
| 9 | Humana all payor other · outpatient | $74.71 | $86.90 | $74.71 – $119.35 |
| 10 | Optum all payor other · outpatient | $74.71 | $86.90 | $74.71 – $119.35 |
| 11 | Aetna all payor fee schedule · outpatient | $114.21 | $114.21 | $114.21 – $114.21 |
| 12 | First Health all payor percent of total billed charges · outpatientfrom % of charges | $204.85 | $238.28 | $204.85 – $327.25 |
| 13 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $216.90 | $252.30 | $216.90 – $346.50 |
| 14 | Cigna all payor other · outpatient | $230.64 | $268.28 | $230.64 – $368.45 |
Last updated: Apr 1, 2026
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