Pelvic and abdominal lymphatic imaging, both sides 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

LYMPH VESSEL X-RAY TRUNK

Luling, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Ascension Seton’s median price of $1.7k is 44% below the median hospital's median price ($3.1k), higher than 29% of the 1,692 hospitals reporting CPT 75807. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 75807 at Ascension Seton

Negotiated rates from the hospital’s own file: 7 payers, 39 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 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both	$138	$138	—	—	—	$138 – $138
2	UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both	$138	$138	—	—	—	$138 – $138
3	UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both	$138	$138	—	—	—	$138 – $138
4	UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both	$138	$138	—	—	—	$138 – $138
5	Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both	$141	$141	—	—	—	$141 – $141
6	Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both	$141	$141	—	—	—	$141 – $141
7	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both	$141	$141	—	—	—	$141 – $141
8	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both	$141	$141	—	—	—	$141 – $141
9	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both	$141	$141	—	—	—	$141 – $141
10	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both	$141	$141	—	—	—	$141 – $141
11	Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient	$147	$147	—	—	—	$147 – $147
12	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$147	$147	—	—	—	$147 – $147
13	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$147	$147	—	—	—	$147 – $147
14	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$147	$147	—	—	—	$147 – $147
15	Humana 2668_humana hmo 20230701 other · outpatient	$154	$154	—	—	—	$154 – $154
16	Aetna 4335_aetna sha aisd 20250101 per diem · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
17	Blue Cross Blue Shield 4221_chirp blue cross star (ebd) outpatient 20241201 fee schedule · both	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
18	UnitedHealthcare 4255_chirp uhc star (ebd) outpatient 20241201 fee schedule · both	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
19	UnitedHealthcare 4266_chirp uhc star plus (ebd) outpatient 20241201 fee schedule · both	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
20	UnitedHealthcare 4313_uhc star kids (ebd) outpatient 20241201 fee schedule · both	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
21	Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k
22	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$2.8k	$2.8k	—	—	—	$2.8k – $2.8k
23	Blue Cross Blue Shield 3596_blue cross chip/star kids (ebd) inpatient 20240901 fee schedule · both	$3.6k	$3.6k	—	—	—	$3.6k – $3.6k
24	Blue Cross Blue Shield 3695_chirp blue cross star (ebd) inpatient 20240901 fee schedule · both	$3.6k	$3.6k	—	—	—	$3.6k – $3.6k
25	UnitedHealthcare 3739_chirp uhc star (ebd) inpatient 20240901 fee schedule · both	$3.6k	$3.6k	—	—	—	$3.6k – $3.6k

Page 1 of 2 · 39 rates

Last updated: Jan 1, 2026

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