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
S/O PROTEIN ELECTRO SRM
Gilbert, AZ
See all hospitals reporting CPT 84155 →Price type
Dignity Health’s median price of $5 is 28% below the median hospital's median price ($7), higher than 34% of the 2,628 hospitals reporting CPT 84155. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 26 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare|all plans fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Cigna medicare|all plans fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 4 | First Health medicare|all plans fee schedule · outpatient | $4 | $4 | — | — | 3–30 | $4 – $4 |
| 5 | Humana medicare|all plans fee schedule · outpatient | $4 | $4 | — | — | 3–30 | $4 – $4 |
| 6 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 7 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 8 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $4 | $4 | — | — | 3–30 | $4 – $4 |
| 9 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 10 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 11 | Cigna commercial|exchange fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 12 | Cigna commercial|localplus surefit fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 13 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 14 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 15 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $5 | $10 | $9 | 93% | — | $2 – $23 |
| 16 | Cigna commercial|all other plans fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 17 | Cigna commercial|ppo fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 18 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $12 | $12 | — | — | 3–30 | $12 – $12 |
| 19 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $19 | $17 | $2 | 11% | — | $15 – $19 |
| 20 | Aetna commercial|all other plans fee schedule · outpatient | $19 | $17 | $2 | 11% | — | $15 – $19 |
| 21 | Aetna commercial|hmo fee schedule · outpatient | $19 | $17 | $2 | 11% | — | $15 – $19 |
| 22 | Aetna commercial|ppo fee schedule · outpatient | $19 | $17 | $2 | 11% | — | $15 – $19 |
| 23 | First Health commercial|all plans fee schedule · inpatient | $19 | $39 | $36 | 93% | — | $8 – $90 |
| 24 | First Health commercial|all plans fee schedule · outpatient | $19 | $39 | $36 | 93% | — | $8 – $90 |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $27 | $56 | $52 | 93% | — | $11 – $129 |
Last updated: Feb 28, 2026
See Serum protein test pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.