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
T4 Free (Free T4) Dialysis-Q
Mobile, AL
See all hospitals reporting CPT 84439 →Price type
USA Health Children's & Women's Hospital’s median price of $9 is 47% below the median hospital's median price ($17), higher than 5% of the 2,631 hospitals reporting CPT 84439. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 22 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 | UnitedHealthcare all payor/commercial facility · fee schedule · outpatient | $5.29 | $5.29 | $5.29 – $5.29 |
| 2 | UnitedHealthcare ppo/commercial facility · fee schedule · outpatient | $5.29 | $5.29 | $5.29 – $5.29 |
| 3 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $8.12 | $8.12 | $8.12 – $8.12 |
| 4 | Bcbs Al medicare advantage facility · case rate · outpatient | $8.84 | $8.84 | $8.84 – $8.84 |
| 5 | Molina managed medicaid facility · fee schedule · outpatient | $8.93 | $8.93 | $8.93 – $8.93 |
| 6 | Aetna medicare advantage facility · case rate · outpatient | $9.02 | $9.02 | $9.02 – $9.02 |
| 7 | Devoted medicare advantage facility · case rate · outpatient | $9.02 | $9.02 | $9.02 – $9.02 |
| 8 | Humana medicare advantage/hmo facility · case rate · outpatient | $9.02 | $9.02 | $9.02 – $9.02 |
| 9 | Humana medicare advantage/ppo facility · case rate · outpatient | $9.02 | $9.02 | $9.02 – $9.02 |
| 10 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $9.02 | $9.02 | $9.02 – $9.02 |
| 11 | UnitedHealthcare vaccn facility · case rate · outpatient | $9.02 | $9.02 | $9.02 – $9.02 |
| 12 | WellCare medicare advantage facility · case rate · outpatient | $9.02 | $9.02 | $9.02 – $9.02 |
| 13 | Molina medicare advantage facility · case rate · outpatient | $9.92 | $9.92 | $9.92 – $9.92 |
| 14 | Ambetter commercial/exchange facility · case rate · outpatient | $10.82 | $10.82 | $10.82 – $10.82 |
| 15 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $71.88 | $95.95 | $71.88 – $168.17 |
| 16 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $98.15 | $131.03 | $98.15 – $229.65 |
| 17 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $98.15 | $131.03 | $98.15 – $229.65 |
| 18 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $105.70 | $141.10 | $105.70 – $247.31 |
| 19 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $105.70 | $141.10 | $105.70 – $247.31 |
| 20 | UnitedHealthcare all payor/commercial facility · percent of total billed charges · outpatientfrom % of charges | $190.78 | $190.78 | $190.78 – $190.78 |
| 21 | UnitedHealthcare ppo/commercial facility · percent of total billed charges · outpatientfrom % of charges | $190.78 | $190.78 | $190.78 – $190.78 |
| 22 | Cigna Healthspring medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $229.65 | $229.65 | $229.65 – $229.65 |
Last updated: Apr 30, 2026
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