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
EXC F/E/E/N/L MAL+MRG 1.1-2
Carmel, IN
See all hospitals reporting CPT 11642 →Price type
Carmel AmbSurg’s median price of $175 is 78% below the median hospital's median price ($796), higher than 3% of the 2,001 hospitals reporting CPT 11642. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 25 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 | UnitedHealthcare 6790_united healthcare new business outpatient asin 20230101 fee schedule · outpatient | $118 | $118 | $89 | 75% | — | $29 – $207 |
| 2 | UnitedHealthcare 6575_united health care self funded non-contracted vein 20221002 fee schedule · both | $125 | $125 | $94 | 75% | — | $31 – $218 |
| 3 | UnitedHealthcare 9470_united healthcare vein 20250101 fee schedule · both | $125 | $125 | $94 | 75% | — | $31 – $218 |
| 4 | Aetna 8946_aetna medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 5 | Aetna 8955_aetna choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 6 | Ambetter 9036_mhs cenpatico ambetter medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 7 | Anthem 8964_anthem medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 8 | Caresource 8973_caresource hmo medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 9 | Caresource 9054_caresource marketplace medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 10 | Humana 8982_humana ppo medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 11 | Humana 8991_humana choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 12 | Humana 9000_humana gold choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 13 | UnitedHealthcare 9009_united healthcare medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 14 | WellCare 9018_wellcare medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 15 | Anthem 9399_anthem healthsync hmo vein 20250101 fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 16 | Anthem 9401_anthem healthsync pos vein 20250101 fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 17 | Anthem 9403_anthem hmo pos vein 20250101 fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 18 | Anthem 9404_anthem pathway vein 20250101 fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 19 | Anthem 9405_anthem pathway x vein 20250101 fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 20 | Anthem 9406_anthem preferred vein 20250101 fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 21 | Anthem 9407_anthem short term limited duration vein 20250101 fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 22 | Anthem 9408_anthem traditional vein 20250101 fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 23 | Anthem 7373_anthem medicaid replacement outpatient 20230101 fee schedule · both | $184 | $184 | — | — | — | $184 – $184 |
| 24 | Anthem 8255_anthem connect medicaid replacement outpatient 20240101 fee schedule · both | $184 | $184 | — | — | — | $184 – $184 |
| 25 | Anthem 8879_anthem connect medicaid replacement asc outpatient 20240401 fee schedule · both | $184 | $184 | — | — | — | $184 – $184 |
Last updated: Jan 1, 2026
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