CPT 84379
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
Sugars multiple quant
Low
$6
Average
$10
Median
$11
High
$16
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18 hospital rates
iThe hospitals that file a Medicaid 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 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 2 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 4 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 5 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 6 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA fee schedule · both | 3 | $11 | $11 | $1 | 5% | — | $10 – $12 |
| 7 | Henry Ford Health Novi, MI other · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 8 | Henry Ford Health Twp, MI other · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 9 | Henry Ford Health Southfield, MI other · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 10 | Henry Ford Health Rochester, MI other · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 11 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 12 | Montefiore Medical Center Bronx, NY fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 13 | Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 14 | Montefiore New Rochelle Hospital New Rochelle, NY fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 15 | UMass Memorial Health - Harrington Hospital, Inc. 2nd Floor Webster, MA fee schedule · both | 2 | $11 | $11 | $1 | 6% | — | $10 – $12 |
| 16 | UMass Memorial Health - Harrington Hospital, Inc. 2nd Floor Webster, MA percent of total billed charges · bothfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 17 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA fee schedule · both | 3 | $11 | $11 | $1 | 5% | — | $10 – $12 |
| 18 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA percent of total billed charges · bothfrom % of charges | 2 | $18 | $18 | $9 | 50% | — | $9 – $27 |
← Payers reporting CPT 84379 · Snapshot 20261113T090226Z-3ce6c0b8