CPT 84420
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
Theophylline, blood or saliva
Low
$180
Average
$7.8k
Median
$529
High
$33.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
8 payers; the 90th percentile is 118.1× 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 | Aetna facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 2 | $200 | $183 | $55 | 30% | — | $81 – $238 |
| 2 | Cigna facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $260 | $260 | $81 | 31% | — | $180 – $358 |
| 3 | First Health facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $470 | $470 | $156 | 33% | — | $314 – $626 |
| 4 | Highmark facility · percent of total billed charges · outpatientfrom % of charges | 2 | $379 | $379 | $116 | 31% | — | $225 – $697 |
| 5 | Humana facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $607 | $607 | $225 | 37% | — | $382 – $831 |
| 6 | MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $622 | $622 | $209 | 34% | — | $413 – $831 |
| 7 | Anthem facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26.0k | $26.0k | $165 | 1% | — | $25.9k – $26.3k |
| 8 | Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33.5k | $33.5k | — | — | — | $33.5k – $33.5k |
← Hospitals reporting CPT 84420 · Snapshot 20261113T090226Z-3ce6c0b8