CPT 0484U
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
Nfct ds mgen 23s rrna pt mut
Low
$34
Average
$42
Median
$35
High
$98
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9 hospital rates
iThe hospitals that file a Excellus rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 2 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 2 | $34 | $34 | $4 | 11% | — | $30 – $38 |
| 3 | Gouverneur Hospital Gouverneur, NY facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 4 | Massena Hospital Inc Massena, NY facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 5 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 2 | $34 | $34 | $4 | 12% | — | $30 – $38 |
| 6 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $34 | $34 | $3 | 8% | — | $32 – $37 |
| 7 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $98 | $98 | $63 | 64% | — | $35 – $161 |
| 8 | The Unity Hospital of Rochester Rochester, NY facility · fee schedule · outpatient | 2 | $34 | $34 | $4 | 11% | — | $31 – $38 |
| 9 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
← Payers reporting CPT 0484U · Snapshot 20261113T090226Z-3ce6c0b8