Lymphatic imaging of one arm or leg at Allina Health Systems

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HCHG RAD LYMPHANGIOGRAM EXTREMITY ONLY

Rapids, MN

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How this price compares nationally

Allina Health Systems’s median price of $615 is 13% below the median hospital's median price ($708), higher than 31% of the 1,522 hospitals reporting CPT 75801. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 75801 at Allina Health Systems

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	Medica medica dual solutions (m) facility · other · outpatient	$180	$180	—	—	—	$180 – $180
2	Aetna aetna elevate (amu) facility · other · outpatient	$216	$216	—	—	—	$216 – $216
3	Aetna aetna performance (amu) facility · other · outpatient	$238	$238	—	—	—	$238 – $238
4	Medica medica elect (u m) facility · other · outpatient	$238	$238	—	—	—	$238 – $238
5	Bcbs Mn bc pmap (amu) facility · other · outpatient	$247	$247	—	—	—	$247 – $247
6	Medica medica essentials (u m) facility · other · outpatient	$249	$249	—	—	—	$249 – $249
7	Medica medica mhps (u m) facility · other · outpatient	$249	$249	—	—	—	$249 – $249
8	Medica medica choice (u m) facility · other · outpatient	$262	$262	—	—	—	$262 – $262
9	UnitedHealthcare united healthcare (um) facility · other · outpatient	$326	$326	—	—	—	$326 – $326
10	Aetna aetna direct network (amu) facility · other · outpatient	$331	$331	—	—	—	$331 – $331
11	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$386	$386	—	—	—	$386 – $386
12	Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges	$426	$426	—	—	—	$426 – $426
13	Medicaid medicaid ma (m) facility · fee schedule · outpatient	$598	$598	—	—	—	$598 – $598
14	Bcbs Mn bc state health plan (mu) facility · other · outpatient	$614	$614	—	—	—	$614 – $614
15	Aetna allina aetna medicare (m) facility · fee schedule · outpatient	$614	$614	—	—	—	$614 – $614
16	Medicare medicare (m) facility · fee schedule · outpatient	$646	$646	—	—	—	$646 – $646
17	Bcbs Mn bc premier (m u) facility · other · outpatient	$652	$652	—	—	—	$652 – $652
18	Medica medica medicare (m) facility · fee schedule · outpatient	$672	$672	—	—	—	$672 – $672
19	Blue Cross Blue Shield bc medicare (m) facility · fee schedule · outpatient	$679	$679	—	—	—	$679 – $679
20	UnitedHealthcare uhc ubh pmap (m) facility · other · outpatient	$747	$747	—	—	—	$747 – $747
21	Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient	$767	$767	—	—	—	$767 – $767
22	Bcbs Mn bc high value/performance network (mu) facility · other · outpatient	$823	$823	—	—	—	$823 – $823
23	Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
24	Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
25	Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k

Page 1 of 2 · 28 rates

Last updated: Jun 17, 2026

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