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
$13
Average
$209
Median
$59
High
$642
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43 hospital rates
iThe hospitals that file a Medcost 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 | Aiken Regional Medical Centers North Augusta, SC percent of total billed charges · bothfrom % of charges | 1 | $237 | $237 | — | — | — | $237 – $237 |
| 2 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $35 | $35 | $7 | 20% | — | $28 – $42 |
| 3 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $35 | $35 | $7 | 20% | — | $28 – $42 |
| 4 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $35 | $35 | $7 | 20% | — | $28 – $42 |
| 5 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 6 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 7 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 2 | $516 | $516 | $28 | 5% | — | $488 – $544 |
| 8 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 9 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 10 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 11 | Duplin General Hospital, Inc. Kenansville, NC percent of total billed charges · bothfrom % of charges | 12 | $30 | $30 | $1 | 4% | — | $28 – $30 |
| 12 | East Carolina Health Ahoskie, NC percent of total billed charges · bothfrom % of charges | 12 | $29 | $28 | $1 | 2% | — | $27 – $29 |
| 13 | East Carolina Health-Bertie Windsor, NC percent of total billed charges · bothfrom % of charges | 12 | $30 | $29 | $1 | 4% | — | $27 – $30 |
| 14 | East Carolina Health-Chowan, Inc. Edenton, NC percent of total billed charges · bothfrom % of charges | 12 | $29 | $29 | $1 | 2% | — | $28 – $29 |
| 15 | East Carolina Health-Heritage, Inc. Tarboro, NC percent of total billed charges · bothfrom % of charges | 12 | $28 | $28 | $1 | 3% | — | $26 – $28 |
| 16 | Forsyth Memorial Hospital, Inc. Clemmons, NC fee schedule · outpatient | 2 | $633 | $633 | $32 | 5% | — | $601 – $665 |
| 17 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient | 2 | $633 | $633 | $32 | 5% | — | $601 – $665 |
| 18 | Forsyth Memorial Hospital, Inc. Kernersville, NC fee schedule · outpatient | 2 | $633 | $633 | $32 | 5% | — | $601 – $665 |
| 19 | Greeneville Community Hospital GREENEVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 20 | Halifax Regional Medical Center, Inc. Roanoke Rapids, NC percent of total billed charges · bothfrom % of charges | 12 | $26 | $26 | $1 | 3% | — | $23 – $26 |
| 21 | Hancock County Hospital SNEEDVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 22 | Hawkins County Memorial Hospital ROGERSVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 23 | Holston Valley Medical Center KINGSPORT, TN percent of total billed charges · bothfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 24 | Lonesome Pine Hospital NORTON, VA percent of total billed charges · bothfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 25 | Medical Park Hospital LLC Winston-Salem, NC fee schedule · outpatient | 2 | $633 | $633 | $32 | 5% | — | $601 – $665 |
← Payers reporting CPT 84620 · Snapshot 20261113T090226Z-3ce6c0b8