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
ANGIO VISC SEL/SUPRASEL
Monroeville, PA
See all hospitals reporting CPT 75726 →Price type
UPMC East’s median price of $3.6k is 32% below the median hospital's median price ($5.3k), higher than 35% of the 2,123 hospitals reporting CPT 75726. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 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 | UnitedHealthcare unison kids facility · fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 2 | Highmark medicaid facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 3 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 4 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $610 | $610 | — | — | — | $610 – $610 |
| 5 | Highmark managed care - social mission facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 6 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 7 | Highmark managed care facility · fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 8 | Highmark commercial - indemnity facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 9 | UnitedHealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 10 | UnitedHealthcare compass exchange facility · percent of total billed charges · inpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 11 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 12 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 13 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 14 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 15 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 16 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 17 | Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 18 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 19 | UnitedHealthcare all business facility · percent of total billed charges · outpatientfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 20 | Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 21 | Highmark upmc emergent facility · fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 22 | Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 23 | Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 24 | Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 25 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
Last updated: Mar 6, 2026
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