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
D XYLOSE TOLERENCE
Kane, PA
See all hospitals reporting CPT 84620 →Price type
UPMC Kane’s median price of $111 is 684% above the median hospital's median price ($14), higher than 95% of the 1,639 hospitals reporting CPT 84620. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 23 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 | Aetna chip/medicaid facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 2 | UnitedHealthcare unison kids facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Highmark medicaid facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 5 | UnitedHealthcare commercial facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 6 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 7 | Highmark managed care - social mission facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 8 | Highmark commercial - indemnity facility · fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 9 | Highmark managed care facility · fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 10 | Highmark community blue medicare advantage/complete blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 11 | Highmark freedom blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 12 | Highmark security blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 13 | Highmark together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 14 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
| 15 | UnitedHealthcare unison advantage non special needs facility · percent of total billed charges · outpatientfrom % of charges | $117 | $117 | — | — | — | $117 – $117 |
| 16 | Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 17 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 18 | UnitedHealthcare unison advantage special needs facility · percent of total billed charges · outpatientfrom % of charges | $123 | $123 | — | — | — | $123 – $123 |
| 19 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $211 | $211 | — | — | — | $211 – $211 |
| 20 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $211 | $211 | — | — | — | $211 – $211 |
| 21 | MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · inpatientfrom % of charges | $226 | $226 | — | — | — | $226 – $226 |
| 22 | MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · outpatientfrom % of charges | $226 | $226 | — | — | — | $226 – $226 |
| 23 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
Last updated: Mar 6, 2026
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