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 ARM/LEG
Park, TX
See all hospitals reporting CPT 75801 →Price type
Ascension Cedar Park’s median price of $285 is 60% below the median hospital's median price ($708), higher than 13% of the 1,522 hospitals reporting CPT 75801. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 27 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 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 2 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both | $192 | $192 | — | — | — | $192 – $192 |
| 3 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $192 | $192 | — | — | — | $192 – $192 |
| 4 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both | $192 | $192 | — | — | — | $192 – $192 |
| 5 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both | $192 | $192 | — | — | — | $192 – $192 |
| 6 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both | $192 | $192 | — | — | — | $192 – $192 |
| 7 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both | $192 | $192 | — | — | — | $192 – $192 |
| 8 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both | $262 | $262 | — | — | — | $262 – $262 |
| 9 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both | $262 | $262 | — | — | — | $262 – $262 |
| 10 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both | $262 | $262 | — | — | — | $262 – $262 |
| 11 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both | $262 | $262 | — | — | — | $262 – $262 |
| 12 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 13 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 14 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 15 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 16 | Humana 2668_humana hmo 20230701 other · outpatient | $407 | $407 | — | — | — | $407 – $407 |
| 17 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $631 | $631 | — | — | — | $631 – $631 |
| 18 | Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | Aetna 4489_aetna aco hmo 20250801 fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 20 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 21 | Aetna 4335_aetna sha aisd 20250101 fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 22 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 23 | Cigna 4476_cigna hmo (wil,del) 20250701 fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 24 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 25 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
Last updated: Jan 1, 2026
See Lymphatic imaging of one arm or leg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.