CPT 84620
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
Xylose tolerance test
Low
$8
Average
$143
Median
$66
High
$1.0k
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20 hospital rates
iThe hospitals that file a Magellan 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 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · inpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 2 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 3 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 2 | $14 | $14 | $1 | 9% | — | $13 – $15 |
| 4 | LEWISGALE HOSPITAL PULASKI PULASKI, VA fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 5 | MEDICAL CITY MCKINNEY MCKINNEY, TX percent of total billed charges · outpatientfrom % of charges | 2 | $732 | $732 | — | — | — | $732 – $732 |
| 6 | MEDICAL CITY NORTH HILLS North Richland Hills, TX percent of total billed charges · outpatientfrom % of charges | 2 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 7 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 8 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 9 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 10 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 11 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 12 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 13 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 14 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 15 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 16 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 17 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 18 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 19 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 20 | Yale New Haven Hospital Haven, CT fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
← Payers reporting CPT 84620 · Snapshot 20261113T090226Z-3ce6c0b8