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See a sample rate comparisonCPT 84484 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Test For Heart Muscle Injury, This Test Of Troponin (Proteins Key To Muscle Contractions) Is Done At Intervals During An Emergency Visit To Help Identify Whether The Heart Muscle Has Been Injured.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | $12.47 national lab fee schedule rate (2026) · View Medicare rates for 84484 |
| Medicaid Fee Schedule | $12.315 median of the 8 states in the free preview · View Medicaid rates for 84484 |
National average reimbursement for CPT 84484 by major payers:
$9.90
$8.66
$14.31
$17.91
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CPT 84484
5 of 25 sample ratesHigher to lower in this preview
Penny Bernards
Neuroscience Group Of Northeast Wisconsin, S.C.
$31.35Published rateSaid Awad
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$7.48Published rateCandice Hallmon
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$6.36Published rateDavillee Hawkins
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$6.36Published rateTh Healthcare, Ltd, Nacogdoches Medical Center
$3.36Published rate
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See a sample payer proposalCPT 84484 vs. Other Chemistry Procedures Codes
The CPT 84484 code is part of the Pathology and Laboratory Procedures services used for Chemistry Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 84484 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 84484-CPT | Low | Test For Heart Muscle Injury, This Test Of Troponin (Proteins Key To Muscle Contractions) Is Done At Intervals During An Emergency Visit To Help Identify Whether The Heart Muscle Has Been Injured. |
| 84520-CPT | Low | Kidney Function Test, This Test Evaluates Either Blood Or Urine For Urea A Byproduct Of Protein Digestion. Blood Tests Evaluate How Well The Kidneys Filter Waste. Urine Tests Can Identify A Protein Deficiency. |
| 84525-CPT | Low | Kidney Function Test, This Test Evaluates Either Blood Or Urine For Urea A Byproduct Of Protein Digestion. Blood Tests Evaluate How Well The Kidneys Filter Waste. Urine Tests Can Identify A Protein Deficiency. |
| 84560-CPT | Low | Uric Acid Test, This Test Evaluates Either Blood Or Urine For Uric Acid. The Blood Test Detects How Well The Kidneys Filter Uric Acid. The Urine Test Measures Excess Uric Acid That May Be Forming Crystals As Kidney Stones Or Gout Deposits. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84484. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84484 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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Frequently Asked Questions
To find out the cost of a medical procedure, it's best to first contact your healthcare provider and your insurance company for an estimate. Many providers can give you a 'good faith estimate' or an 'advanced explanation of benefits'. For specific fee schedule information based on CPT codes and location, you can utilize tools like Payerprice, which offers a lookup tool to search for prices.
CPT stands for Current Procedural Terminology. CPT codes are a set of medical codes used by physicians, healthcare providers, and payers to describe medical, surgical, and diagnostic services. They standardize the reporting of medical procedures and services, making billing and record-keeping consistent across the healthcare industry.
Medical procedure prices can vary significantly due to several factors, including: the specific healthcare provider or facility (e.g., hospital vs. outpatient clinic), geographic location, your insurance plan and its negotiated rates with providers, your deductible and co-pay, and whether the provider is in-network or out-of-network. Different payers (insurance companies) also have different fee schedules and negotiated rates for the same services.
For specific fee schedule information related to CPT codes and a particular location, you can use specialized tools. We recommend using Payerprice, which has a fee schedule lookup tool allowing users to search with a CPT code and specific location to find pricing information. You can also contact your insurance provider or healthcare facility directly for an estimate.
Payerprice is a service that provides a fee schedule lookup tool designed to help users search for medical procedure prices. By using a CPT code and a specific location, users can access information on what different payers (insurance companies) are reimbursing for various medical services, promoting price transparency in healthcare.