Pelvic and abdominal lymphatic imaging, one side at Carmel AmbSurg

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

Carmel, IN

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Pricing by billing methodology

Price type

How this price compares nationally

Carmel AmbSurg’s median price of $163 is 94% below the median hospital's median price ($3.0k), higher than 4% of the 1,609 hospitals reporting CPT 75805. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 75805 at Carmel AmbSurg

Negotiated rates from the hospital’s own file: 7 payers, 27 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	Anthem 7373_anthem medicaid replacement outpatient 20230101 fee schedule · both	$88	$88	$59	67%	—	$29 – $147
2	Anthem 8255_anthem connect medicaid replacement outpatient 20240101 fee schedule · both	$147	$118	$64	54%	—	$29 – $178
3	Anthem 8879_anthem connect medicaid replacement asc outpatient 20240401 fee schedule · both	$147	$118	$64	54%	—	$29 – $178
4	UnitedHealthcare 6575_united health care self funded non-contracted vein 20221002 fee schedule · both	$126	$135	$99	73%	—	$35 – $251
5	UnitedHealthcare 9470_united healthcare vein 20250101 fee schedule · both	$126	$135	$99	73%	—	$35 – $251
6	Anthem 9399_anthem healthsync hmo vein 20250101 fee schedule · outpatient	$163	$144	$68	47%	—	$53 – $216
7	Anthem 9401_anthem healthsync pos vein 20250101 fee schedule · outpatient	$163	$144	$68	47%	—	$53 – $216
8	Anthem 9403_anthem hmo pos vein 20250101 fee schedule · outpatient	$163	$144	$68	47%	—	$53 – $216
9	Anthem 9404_anthem pathway vein 20250101 fee schedule · outpatient	$163	$144	$68	47%	—	$53 – $216
10	Anthem 9405_anthem pathway x vein 20250101 fee schedule · outpatient	$163	$144	$68	47%	—	$53 – $216
11	Anthem 9406_anthem preferred vein 20250101 fee schedule · outpatient	$163	$144	$68	47%	—	$53 – $216
12	Anthem 9407_anthem short term limited duration vein 20250101 fee schedule · outpatient	$163	$144	$68	47%	—	$53 – $216
13	Anthem 9408_anthem traditional vein 20250101 fee schedule · outpatient	$163	$144	$68	47%	—	$53 – $216
14	Anthem 4090_anthem behavioral medicaid replacement outpatient 20200201 fee schedule · outpatient	$439	$439	—	—	—	$439 – $439
15	UnitedHealthcare 6790_united healthcare new business outpatient asin 20230101 fee schedule · outpatient	$506	$502	$409	81%	—	$57 – $938
16	Anthem 7373_anthem medicaid replacement outpatient 20230101 fee schedule · outpatient	$591	$591	—	—	—	$591 – $591
17	Aetna 8946_aetna medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
18	Aetna 8955_aetna choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
19	Ambetter 9036_mhs cenpatico ambetter medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
20	Anthem 8964_anthem medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
21	Caresource 8973_caresource hmo medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
22	Caresource 9054_caresource marketplace medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
23	Humana 8982_humana ppo medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
24	Humana 8991_humana choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
25	Humana 9000_humana gold choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k

Page 1 of 2 · 27 rates

Last updated: Jan 1, 2026

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