CPT 84620

Xylose absorption test (blood or urine)

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Xylose tolerance test

Medicaid pricing summary

Low

Average

$18

Median

$13

High

$75

Medicaid rate distribution

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51 hospital rates

#		Plans
1	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges	1	$11	$11	—	—	—	$11 – $11
2	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges	1	$9	$9	—	—	—	$9 – $9
3	BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both	2	$7	$7	$0	5%	—	$6 – $7
4	BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both	2	$7	$7	$0	5%	—	$6 – $7
5	Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient	1	$3	$3	—	—	—	$3 – $3
6	CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient	1	$11	$11	—	—	—	$11 – $11
7	Clarion Hospital Clarion, PA facility · fee schedule · outpatient	1	$3	$3	—	—	—	$3 – $3
8	Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient	1	$6	$6	—	—	—	$6 – $6
9	DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both	2	$6	$6	$0	5%	—	$6 – $7
10	Dupont Hospital LLC Wayne, IN facility · fee schedule · outpatient	1	$13	$13	—	—	—	$13 – $13
11	FISHERMENS HEALTH, INC MARATHON, FL fee schedule · both	2	$6	$6	$0	5%	—	$6 – $7
12	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN fee schedule · both	2	$14	$14	$1	9%	—	$13 – $15
13	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLE CRAWFORDSVILLE, IN fee schedule · both	1	$13	$13	—	—	—	$13 – $13
14	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN fee schedule · both	14	$13	$14	$1	8%	—	$13 – $15
15	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN fee schedule · both	14	$13	$14	$1	8%	—	$13 – $15
16	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · both	16	$13	$13	$1	8%	—	$13 – $15
17	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN fee schedule · both	2	$14	$14	$1	9%	—	$13 – $15
18	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN fee schedule · both	2	$14	$14	$1	9%	—	$13 – $15
19	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE PORTE, IN fee schedule · both	2	$14	$14	$1	9%	—	$13 – $15
20	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN fee schedule · both	2	$14	$14	$1	9%	—	$13 – $15
21	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN fee schedule · both	2	$14	$14	$1	9%	—	$13 – $15
22	FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN fee schedule · both	2	$14	$14	$1	9%	—	$13 – $15
23	Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both	1	$13	$13	—	—	—	$13 – $13
24	Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient	1	$18	$18	—	—	—	$18 – $18
25	HOMESTEAD HOSPITAL Homestead, FL fee schedule · both	2	$6	$6	$0	5%	—	$6 – $7

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