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
IR-ABD AORTA SERIAL
Longview, TX
See all hospitals reporting CPT 75625 →Price type
Longview Medical Center LP’s median price of $3.2k is 1% below the median hospital's median price ($3.2k), higher than 48% of the 2,189 hospitals reporting CPT 75625. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 37 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 | Medicaid node tx medicaid facility · fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 2 | UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 3 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 4 | Molina node molina chip medicaid tx facility · per diem · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 5 | Superior Healthplan node superior star kids medicaid tx facility · fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 6 | Cigna cigna all facility · fee schedule · outpatient | $241 | $241 | — | — | — | $241 – $241 |
| 7 | UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient | $266 | $266 | — | — | — | $266 – $266 |
| 8 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $279 | $279 | — | — | — | $279 – $279 |
| 9 | UnitedHealthcare node uhc star kids medicaid tx facility · other · outpatient | $295 | $295 | — | — | — | $295 – $295 |
| 10 | Superior Healthplan node superior star medicaid tx facility · fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 11 | Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 12 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $2.8k | $2.8k | $69 | 2% | — | $2.8k – $2.9k |
| 13 | Humana node humana mcr adv facility · fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 14 | Humana node wellmed humana mcr adv facility · fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 15 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 16 | UnitedHealthcare node wellmed uhc mcr adv facility · fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 17 | Tricare node tricare facility · fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 18 | Aetna node aetna mcr adv facility · other · outpatient | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 19 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 20 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 21 | UnitedHealthcare uhc health select facility · percent of total billed charges · outpatientfrom % of charges | $3.3k | $3.3k | $80 | 2% | — | $3.2k – $3.4k |
| 22 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $3.7k | $3.7k | $91 | 2% | — | $3.7k – $3.8k |
| 23 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | $91 | 2% | — | $3.7k – $3.8k |
| 24 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | $108 | 2% | — | $4.3k – $4.5k |
| 25 | Aetna aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $4.7k | $4.7k | $114 | 2% | — | $4.5k – $4.8k |
Last updated: Apr 1, 2026
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