CPT 84022
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
Assay of phenothiazine
Low
$1
Average
$814
Median
$70
High
$8.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
28 payers; the 90th percentile is 70.1× 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 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 30 | $80 | $97 | $45 | 46% | — | $35 – $208 |
| 2 | Aetna fee schedule · outpatient · +11 other terms | 23 | $76 | $68 | $25 | 37% | — | $12 – $84 |
| 3 | Cigna fee schedule · outpatient · +7 other terms | 12 | $34 | $61 | $55 | 90% | — | $11 – $169 |
| 4 | Humana fee schedule · outpatient · +5 other terms | 7 | $46 | $39 | $12 | 30% | — | $12 – $46 |
| 5 | First Health fee schedule · both · +4 other terms | 5 | $18 | $18 | $1 | 8% | — | $16 – $19 |
| 6 | Excellus facility · fee schedule · outpatient | 3 | $14 | $69 | $56 | 80% | — | $14 – $125 |
| 7 | UnitedHealthcare facility · fee schedule · outpatient · +13 other terms | 3 | $64 | $41 | $37 | 91% | — | $20 – $125 |
| 8 | Aetna Better Health fee schedule · inpatient | 2 | $46 | $46 | — | — | — | $46 – $46 |
| 9 | Ambetter professional · percent of total billed charges · bothfrom % of charges · +1 other terms | 2 | $52 | $52 | — | — | — | $52 – $52 |
| 10 | Anthem fee schedule · outpatient · +7 other terms | 2 | $24 | $24 | $12 | 49% | — | $12 – $36 |
← Hospitals reporting CPT 84022 · Snapshot 20261113T090226Z-3ce6c0b8