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
$43
Average
$2.3k
Median
$62
High
$25k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
11 payers; the 90th percentile is 2.4× 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 | $92 | $72 | $29 | 41% | — | $30 – $92 |
| 2 | Cigna other · both | 3 | $45 | $45 | $1 | 1% | — | $44 – $46 |
| 3 | Blue Cross Blue Shield other · outpatient · +1 other terms | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 4 | Devoted facility · other · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 5 | First Health facility · other · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 6 | Highmark facility · other · outpatient | 1 | $43 | $43 | $11 | 26% | — | $29 – $60 |
| 7 | Molina facility · other · outpatient | 1 | $25k | $25k | — | — | — | $25k – $25k |
| 8 | Oscar facility · other · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 9 | Superior Healthplan other · both | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 10 | UnitedHealthcare other · both · +1 other terms | 1 | $108 | $108 | — | — | — | $108 – $108 |
← Hospitals reporting CPT 84022 · Snapshot 20261113T090226Z-3ce6c0b8