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
HC LYMPHANGIO EXTREM BILAT - IR LYMPHANGIOGRAM EXTREMITY BILATERAL CHG
Boulder, CO
See all hospitals reporting CPT 75803 →Price type
Boulder Community Health’s median price of $1.9k is 19% above the median hospital's median price ($1.6k), higher than 68% of the 1,522 hospitals reporting CPT 75803. 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, 40 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 | Aetna medicare advantage professional · case rate · both | $55 | $55 | — | — | — | $55 – $55 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $55 | $55 | — | — | — | $55 – $55 |
| 3 | Devoted medicare advantage professional · fee schedule · both | $55 | $55 | — | — | — | $55 – $55 |
| 4 | Kaiser medicare advantage professional · fee schedule · both | $68 | $68 | — | — | — | $68 – $68 |
| 5 | Kaiser commercial professional · fee schedule · both | $87 | $87 | — | — | — | $87 – $87 |
| 6 | MultiPlan commercial professional · fee schedule · both | $310 | $263 | $131 | 50% | — | $85 – $394 |
| 7 | Phcs commercial professional · fee schedule · both | $310 | $263 | $131 | 50% | — | $85 – $394 |
| 8 | Cigna commercial professional · fee schedule · both | $339 | $288 | $143 | 50% | — | $93 – $432 |
| 9 | Cigna commercial facility · fee schedule · outpatient | $414 | $414 | — | — | — | $414 – $414 |
| 10 | UnitedHealthcare commercial facility · case rate · outpatient | $645 | $645 | — | — | — | $645 – $645 |
| 11 | Humana medicare advantage professional · fee schedule · both | $1.7k | $1.2k | $794 | 67% | — | $55 – $1.8k |
| 12 | UnitedHealthcare medicare advantage professional · fee schedule · both | $1.7k | $1.3k | $721 | 55% | — | $55 – $1.8k |
| 13 | Anthem commercial professional · fee schedule · both | $1.9k | $1.4k | $988 | 69% | — | $69 – $2.6k |
| 14 | Aetna commercial professional · fee schedule · both | $2.5k | $1.7k | $1.1k | 67% | — | $81 – $2.5k |
| 15 | Aetna ppo professional · fee schedule · both | $2.5k | $1.7k | $1.1k | 67% | — | $81 – $2.5k |
| 16 | Aetna medicare advantage facility · case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 17 | Anthem medicare advantage facility · case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 18 | Humana medicare advantage facility · case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 19 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 20 | Kaiser medicare advantage facility · case rate · outpatient | $1.7k | $1.7k | $8 | 0% | — | $1.7k – $1.7k |
| 21 | Aetna medicare advantage professional · fee schedule · both | $1.7k | $1.7k | $8 | 0% | — | $1.7k – $1.7k |
| 22 | Devoted medicare advantage facility · case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 23 | Anthem managed care professional · fee schedule · both | $2.6k | $1.8k | $1.2k | 67% | — | $94 – $2.6k |
| 24 | UnitedHealthcare commercial professional · fee schedule · both | $2.7k | $1.8k | $1.2k | 67% | — | $98 – $2.8k |
| 25 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
Last updated: Sep 16, 2026
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