Orbital venogram imaging with radiologist review at Ascension Seton

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

VEIN X-RAY EYE SOCKET

Burnet, TX

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Pricing by billing methodology

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How this price compares nationally

Ascension Seton’s median price of $682 is 6% above the median hospital's median price ($644), higher than 58% of the 1,442 hospitals reporting CPT 75880. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 75880 at Ascension Seton

Negotiated rates from the hospital’s own file: 8 payers, 44 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	Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
2	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
3	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
4	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
5	Superior Healthplan 4246_chirp superior star (shl) outpatient 20241201 fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
6	Superior Healthplan 4399_chirp superior star plus (shl) outpatient 20241201 fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
7	Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both	$119	$119	—	—	—	$119 – $119
8	UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both	$119	$119	—	—	—	$119 – $119
9	UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both	$119	$119	—	—	—	$119 – $119
10	UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both	$119	$119	—	—	—	$119 – $119
11	Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both	$139	$139	—	—	—	$139 – $139
12	Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both	$139	$139	—	—	—	$139 – $139
13	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both	$139	$139	—	—	—	$139 – $139
14	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both	$139	$139	—	—	—	$139 – $139
15	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both	$139	$139	—	—	—	$139 – $139
16	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both	$139	$139	—	—	—	$139 – $139
17	Humana 2668_humana hmo 20230701 other · outpatient	$143	$143	—	—	—	$143 – $143
18	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$631	$631	—	—	—	$631 – $631
19	Aetna 4489_aetna aco hmo 20250801 fee schedule · both	$658	$658	—	—	—	$658 – $658
20	Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both	$658	$658	—	—	—	$658 – $658
21	Blue Cross Blue Shield 3599_blue cross chip/star kids (shl) inpatient 20240901 fee schedule · both	$682	$682	—	—	—	$682 – $682
22	Blue Cross Blue Shield 3698_chirp blue cross star (shl) inpatient 20240901 fee schedule · both	$682	$682	—	—	—	$682 – $682
23	UnitedHealthcare 3742_chirp uhc star (shl) inpatient 20240901 fee schedule · both	$682	$682	—	—	—	$682 – $682
24	UnitedHealthcare 3753_chirp uhc star plus (shl) inpatient 20240901 fee schedule · both	$682	$682	—	—	—	$682 – $682
25	UnitedHealthcare 4327_uhc star kids (shl) inpatient 20240901 fee schedule · both	$682	$682	—	—	—	$682 – $682

Page 1 of 2 · 44 rates

Last updated: Jan 1, 2026

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See Orbital venogram imaging with radiologist review pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.