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
SP LYMPHANGIO PELVIC BI S&I
Arlington, TX
See all hospitals reporting CPT 75807 →Price type
AMH Cath Labs LLC’s median price of $4.6k is 49% above the median hospital's median price ($3.1k), higher than 84% of the 1,698 hospitals reporting CPT 75807. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 31 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 | $147 | $147 | — | — | — | $147 – $147 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 4 | Molina managed medicaid fee schedule · outpatient | $158 | $158 | — | — | — | $158 – $158 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $161 | $161 | — | — | — | $161 – $161 |
| 6 | UnitedHealthcare all payer case rate · outpatient | $551 | $551 | — | — | — | $551 – $551 |
| 7 | UnitedHealthcare ppo case rate · outpatient | $722 | $722 | — | — | — | $722 – $722 |
| 8 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 9 | Humana medicare advantage case rate · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 10 | Humana medicare advantage ppo case rate · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 11 | Molina medicare advantage case rate · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 12 | WellCare medicare advantage hmo case rate · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 13 | WellCare medicare advantage mmp case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 14 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 15 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 16 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 17 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 18 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 19 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 20 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 21 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 22 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 23 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 24 | Blue Cross Blue Shield hmo fee schedule · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 25 | Blue Cross Blue Shield exchange fee schedule · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
Last updated: Apr 21, 2026
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