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
PROTEIN EXCEPT REFRACTOMETRY SERUM PLASMA/WHL BLD 84155
Wheaton, MN
See all hospitals reporting CPT 84155 →Price type
Sanford Wheaton’s median price of $49 is 616% above the median hospital's median price ($7), higher than 89% of the 2,637 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: 8 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Mn pmap percent of total billed charges · outpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 2 | Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 3 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $30 | $30 | — | — | — | $30 – $30 |
| 4 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $31 | $31 | — | — | — | $31 – $31 |
| 5 | Bcbs Mn medicare replacement percent of total billed charges · outpatientfrom % of charges | $31 | $31 | — | — | — | $31 – $31 |
| 6 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $31 | $31 | — | — | — | $31 – $31 |
| 7 | Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges | $39 | $39 | — | — | — | $39 – $39 |
| 8 | Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
| 9 | Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
| 10 | UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges | $47 | $47 | — | — | — | $47 – $47 |
| 11 | UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges | $47 | $47 | — | — | — | $47 – $47 |
| 12 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 13 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 14 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 15 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 16 | Medica choice percent of total billed charges · outpatientfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 17 | Medica choice percent of total billed charges · inpatientfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 18 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 19 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 20 | Bcbs Mn commercial/federal percent of total billed charges · outpatientfrom % of charges | $52 | $52 | — | — | — | $52 – $52 |
| 21 | Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $52 | $52 | — | — | — | $52 – $52 |
| 22 | Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $52 | $52 | — | — | — | $52 – $52 |
| 23 | Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges | $52 | $52 | — | — | — | $52 – $52 |
| 24 | Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges | $52 | $52 | — | — | — | $52 – $52 |
| 25 | Medica elect percent of total billed charges · outpatientfrom % of charges | $53 | $53 | — | — | — | $53 – $53 |
Last updated: Mar 4, 2026
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