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
$5
Average
$3.0k
Median
$46
High
$50k
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18 hospital rates
iThe hospitals that file a Humana 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 | Benson Hospital Corporation Benson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | $1 | 3% | — | $33 – $36 |
| 2 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 3 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 4 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 5 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 6 | Deaconess Illinois Red Bud Regional Hospital Inc Red Bud, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 7 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 8 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 9 | HCA FLORIDA LARGO WEST HOSPITAL LARGO, FL percent of total billed charges · outpatientfrom % of charges | 2 | $5 | $5 | — | — | — | $5 – $5 |
| 10 | Knox County Hospital District Knox City, TX fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 11 | NGMC Barrow, LLC Winder, GA fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 12 | NGMC Lumpkin, LLC Dahlonega, GA fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 13 | Northeast Georgia Medical Center Habersham, LLC Demorest, GA fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 14 | Northeast Georgia Medical Center, Inc. Gainesville, GA fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 15 | Northeast Georgia Medical Center, Inc. Braselton, GA fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 16 | RESEARCH PSYCHIATRIC CENTER Kansas City, MO percent of total billed charges · outpatientfrom % of charges | 5 | $36 | $37 | $12 | 33% | — | $23 – $55 |
| 17 | TWIN CITY HOSPITAL CORPORATION Dennison, OH fee schedule · inpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 18 | TWIN CITY HOSPITAL CORPORATION Dennison, OH fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
← Payers reporting CPT 84022 · Snapshot 20261113T090226Z-3ce6c0b8