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See a sample rate comparisonCPT 84112 Fee Schedule
Medicare rates as of January 2026
CPT 84112 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Check For Ruptured Membranes, This Test Collects A Sample Of Fluid From The Cervix Or Vagina. If A Specific Type Of Protein Is Found It Is Assumed That The Amniotic Membrane Has Broken (Ruptured) Early. The Protein Is Called Pamg-1 Or Placental Alpha Microglobulin-1.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $98.11 national lab fee schedule rate (2026) · View Medicare rates for 84112 |
| Medicaid Fee Schedule | $90.265 median of the 8 states in the free preview · View Medicaid rates for 84112 |
National average reimbursement for CPT 84112 by major payers:
$72.58
BCBS / Anthem
$63.06
UnitedHealthcare
$90.39
Aetna
$170.32
Cigna
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CPT 84112
5 of 25 sample ratesHigher to lower in this preview
Laura Birkholtz
Via Christi Clinic, P.A.
$200.13Published rateSherebanu Gaslightwala
Midwest Physician Services LLC
$58.86Published rateCarla Burford
$58.86Published rateJeffrey Teply
Lincoln Center Obgyn PA
$54.38Published rateBrian Eades
Ashley Valley Physician Practice LLC
$36.90Published rate
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See a sample payer proposalCPT 84112 vs. Other Chemistry Procedures Codes
The table lists codes related to 84112. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 84112-CPT | Low | Check For Ruptured Membranes, This Test Collects A Sample Of Fluid From The Cervix Or Vagina. If A Specific Type Of Protein Is Found It Is Assumed That The Amniotic Membrane Has Broken (Ruptured) Early. The Protein Is Called Pamg-1 Or Placental Alpha Microglobulin-1. |
| 84143-CPT | Low | Test For Hormone Problem, 17-Oh-Pregnenolone Is Related To Hormone Secretion And Normal Metabolic Wastes From The Adrenal Gland. This Hormone Is Tested For When A Condition Affecting Sexual Characteristics Is Suspected. |
| 84144-CPT | Low | Progesterone Hormone Test, Progesterone Levels Relate To The Ovulation Cycle And Pregnancy Development. The Test Helps Understand Fertility Problems And Assess Risk Such As Threatened Miscarriage Or Ectopic Pregnancy. |
| 84146-CPT | Low | Prolactin Hormone Test, Prolactin Is A Hormone Made By The Pituitary Gland. It Affects Fertility And Production And Release Of Other Hormones. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84112. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84112 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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