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
$0
Average
$192.2k
Median
$3
High
$3267.0k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
17 hospitals; the 90th percentile is 4904.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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22 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 8 | $16 | $16 | $4 | 27% | — | $11 – $20 |
| 2 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 11 | Doylestown Hospital Doylestown, PA facility · other · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 12 | Kennedy University Hospital, Inc Turnersville, NJ facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 13 | Kennedy University Hospital, Inc Cherry Hill, NJ facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 14 | Lancaster General Health Lancaster, PA facility · case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 15 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 16 | Lancaster General Health Lancaster, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 17 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 18 | The University of Tennessee Medical Center Knoxville, TN facility · fee schedule · outpatient | 5 | $31 | $31 | — | — | — | $31 – $31 |
| 19 | UPMC Cole Coudersport, PA facility · fee schedule · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 20 | UPMC Cole Coudersport, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 21 | Webster Memorial Hospital Inc Cowen, WV facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3400.4k | $3400.4k | — | — | — | $3400.4k – $3400.4k |
| 22 | Webster Memorial Hospital Inc Cowen, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $3200.4k | $3200.4k | $200.0k | 6% | — | $3000.3k – $3400.4k |
← Payers reporting CPT 80104 · Snapshot 20261113T090226Z-3ce6c0b8