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
Lymphangiogrm, Extrmty Uni S&I
Eureka, IL
See all hospitals reporting CPT 75801 →Price type
Carle Eureka Hospital’s median price of $483 is 32% below the median hospital's median price ($708), higher than 19% 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: 9 payers, 21 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 commercial fee schedule · outpatient | $88 | $88 | $5 | 6% | — | $83 – $93 |
| 2 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $181 | $181 | — | — | — | $181 – $181 |
| 3 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $181 | $181 | — | — | — | $181 – $181 |
| 4 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $181 | $181 | — | — | — | $181 – $181 |
| 5 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $408 | $408 | — | — | — | $408 – $408 |
| 6 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $408 | $408 | — | — | — | $408 – $408 |
| 7 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $408 | $408 | — | — | — | $408 – $408 |
| 8 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $408 | $408 | — | — | — | $408 – $408 |
| 9 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $435 | $435 | — | — | — | $435 – $435 |
| 10 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $483 | $483 | — | — | — | $483 – $483 |
| 11 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $483 | $483 | — | — | — | $483 – $483 |
| 12 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $498 | $498 | — | — | — | $498 – $498 |
| 13 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $498 | $498 | — | — | — | $498 – $498 |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $559 | $559 | — | — | — | $559 – $559 |
| 15 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $562 | $562 | — | — | — | $562 – $562 |
| 16 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $599 | $599 | — | — | — | $599 – $599 |
| 17 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $599 | $599 | — | — | — | $599 – $599 |
| 18 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $607 | $607 | — | — | — | $607 – $607 |
| 19 | WellCare medicare advantage hmo case rate · outpatient | $672 | $672 | — | — | — | $672 – $672 |
| 20 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $680 | $680 | — | — | — | $680 – $680 |
| 21 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $761 | $761 | — | — | — | $761 – $761 |
Last updated: Apr 15, 2026
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