CPT 80104
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
CHG DRUG SCREEN, QUAL,1+ DRUG CLASS,NON-CHROMOTOGRAPHIC,EACH
Low
$7
Average
$2.8k
Median
$34
High
$25k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
9 payers; the 90th percentile is 284.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna facility · other · outpatient · +1 other terms | 3 | $36 | $29 | $9 | 31% | — | $16 – $36 |
| 2 | Blue Cross Blue Shield facility · other · outpatient | 1 | $37 | $37 | $21 | 56% | — | $16 – $58 |
| 3 | Devoted facility · other · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 4 | First Health facility · other · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 5 | Highmark other · both · +1 other terms | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 6 | Humana other · both | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 7 | Molina facility · other · outpatient | 1 | $25k | $25k | — | — | — | $25k – $25k |
| 8 | Oscar facility · other · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 9 | UnitedHealthcare facility · other · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
← Hospitals reporting CPT 80104 · Snapshot 20261113T090226Z-3ce6c0b8