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
LYMPH VESSEL X-RAY ARMS/LEGS
Arlington, TX
See all hospitals reporting CPT 75803 →Price type
AMH Cath Labs LLC’s median price of $1.6k is 1% below the median hospital's median price ($1.6k), higher than 48% of the 1,522 hospitals reporting CPT 75803. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 13 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 | Blue Cross Blue Shield managed medicaid fee schedule · outpatient | $300 | $300 | — | — | — | $300 – $300 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $300 | $300 | — | — | — | $300 – $300 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $315 | $315 | — | — | — | $315 – $315 |
| 4 | Molina managed medicaid fee schedule · outpatient | $324 | $324 | — | — | — | $324 – $324 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $330 | $330 | — | — | — | $330 – $330 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 7 | Humana medicare advantage case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 8 | Humana medicare advantage ppo case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 9 | Molina medicare advantage case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 10 | WellCare medicare advantage hmo case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 11 | WellCare medicare advantage mmp case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 12 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 13 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
Last updated: Apr 21, 2026
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