Adrenal vein X-ray imaging, one side 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 ADRENAL GLAND

Luling, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Ascension Seton’s median price of $921 is 70% below the median hospital's median price ($3.1k), higher than 26% of the 1,655 hospitals reporting CPT 75840. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 75840 at Ascension Seton

Negotiated rates from the hospital’s own file: 7 payers, 42 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	$130	$130	—	—	—	$130 – $130
2	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
3	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
4	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
5	Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both	$140	$140	—	—	—	$140 – $140
6	UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both	$140	$140	—	—	—	$140 – $140
7	UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both	$140	$140	—	—	—	$140 – $140
8	UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both	$140	$140	—	—	—	$140 – $140
9	Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both	$141	$141	—	—	—	$141 – $141
10	Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both	$141	$141	—	—	—	$141 – $141
11	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both	$141	$141	—	—	—	$141 – $141
12	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both	$141	$141	—	—	—	$141 – $141
13	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both	$141	$141	—	—	—	$141 – $141
14	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both	$141	$141	—	—	—	$141 – $141
15	Humana 2668_humana hmo 20230701 other · outpatient	$144	$144	—	—	—	$144 – $144
16	Aetna 4489_aetna aco hmo 20250801 fee schedule · both	$563	$563	—	—	—	$563 – $563
17	Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both	$563	$563	—	—	—	$563 – $563
18	Aetna 4486_aetna hmo 20250801 other · outpatient	$783	$783	—	—	—	$783 – $783
19	Aetna 1377_aetna hmo exchange 20200101 fee schedule · both	$921	$921	—	—	—	$921 – $921
20	Aetna 235_aetna pos 20140601 fee schedule · outpatient	$921	$921	—	—	—	$921 – $921
21	Aetna 236_aetna elect choice 20140601 fee schedule · outpatient	$921	$921	—	—	—	$921 – $921
22	Aetna 4335_aetna sha aisd 20250101 fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
23	Blue Cross Blue Shield 4221_chirp blue cross star (ebd) outpatient 20241201 fee schedule · both	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
24	UnitedHealthcare 4255_chirp uhc star (ebd) outpatient 20241201 fee schedule · both	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
25	UnitedHealthcare 4266_chirp uhc star plus (ebd) outpatient 20241201 fee schedule · both	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k

Page 1 of 2 · 42 rates

Last updated: Jan 1, 2026

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