CPT 90484
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
IMM CNSL NOT ADMN SM>20
Low
$21
Average
$1.7k
Median
$52
High
$50k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
33 payers; the 90th percentile is 20.5× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Molina facility · case rate · outpatient · +8 other terms | 30 | $74 | $65 | $25 | 39% | — | $21 – $133 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 28 | $144 | $127 | $41 | 32% | — | $79 – $229 |
| 3 | Humana fee schedule · outpatient · +8 other terms | 26 | $41 | $50 | $19 | 37% | — | $41 – $93 |
| 4 | UnitedHealthcare facility · case rate · outpatient · +11 other terms | 24 | $75 | $66 | $27 | 42% | — | $40 – $136 |
| 5 | Aetna fee schedule · outpatient · +12 other terms | 23 | $41 | $55 | $20 | 37% | — | $41 – $91 |
| 6 | MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +4 other terms | 19 | $63 | $59 | $11 | 19% | — | $38 – $75 |
| 7 | Medicare fee schedule · outpatient | 18 | $41 | $41 | — | — | — | $41 – $41 |
| 8 | Caresource facility · case rate · outpatient · +2 other terms | 17 | $80 | $87 | $17 | 19% | — | $72 – $136 |
| 9 | Anthem fee schedule · outpatient · +6 other terms | 15 | $41 | $54 | $21 | 39% | — | $41 – $89 |
| 10 | Cigna facility · fee schedule · outpatient · +6 other terms | 14 | $40 | $31 | $12 | 40% | — | $14 – $40 |
← Hospitals reporting CPT 90484 · Snapshot 20261113T090226Z-3ce6c0b8