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See a sample rate comparisonCPT 84550 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 26 - Professional component QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | $4.52 national lab fee schedule rate (2026) · View Medicare rates for 84550 |
| Medicaid Fee Schedule | $4.465 median of the 8 states in the free preview · View Medicaid rates for 84550 |
National average reimbursement for CPT 84550 by major payers:
$3.65
$3.22
$5.68
$6.60
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CPT 84550
5 of 25 sample ratesHigher to lower in this preview
Vhs Harlingen Hospital Company, LLC, Valley Baptist Micro-Hospital Weslaco
$4.51Published rateZhuoer Xie
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$2.71Published rateMarisa Canale
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$2.30Published rateMaritza Klaiber
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$2.30Published rateMeredith Markey
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$2.30Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 84550 vs. Other Chemistry Procedures Codes
The CPT 84550 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 84550 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 |
|---|---|---|
| 84550-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 84550. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84550 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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