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
$56
Median
$46
High
$112
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Molina facility · case rate · outpatient · +2 other terms | 30 | $74 | $65 | $25 | 39% | — | $21 – $133 |
| 2 | UnitedHealthcare facility · case rate · outpatient · +2 other terms | 24 | $75 | $66 | $27 | 42% | — | $40 – $136 |
| 3 | Caresource facility · case rate · outpatient | 17 | $80 | $87 | $17 | 19% | — | $72 – $136 |
| 4 | Anthem facility · case rate · outpatient | 15 | $78 | $85 | $21 | 25% | — | $42 – $133 |
| 5 | Humana facility · case rate · outpatient · +1 other terms | 14 | $42 | $42 | $2 | 5% | — | $40 – $47 |
| 6 | Aetna facility · case rate · outpatient · +1 other terms | 13 | $41 | $44 | $4 | 9% | — | $40 – $51 |
| 7 | Optum facility · case rate · outpatient | 13 | $71 | $75 | $22 | 30% | — | $41 – $120 |
| 8 | WellCare case rate · outpatient · +1 other terms | 10 | $41 | $43 | $2 | 4% | — | $41 – $45 |
| 9 | Blue Cross Blue Shield case rate · outpatient · +1 other terms | 9 | $41 | $41 | $0 | 1% | — | $40 – $41 |
| 10 | Aetna Better Health facility · case rate · outpatient | 6 | $51 | $51 | — | — | — | $51 – $51 |
← Hospitals reporting CPT 90484 · Snapshot 20261113T090226Z-3ce6c0b8