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Phenothiazine Level Test

Texas rates for HCPCS 84022

Measures how much phenothiazine medicine is present in a sample. Phenothiazines are an older family of drugs used for psychosis, severe nausea and agitation, and the result helps a prescriber judge whether the amount in the body is about right or too high.

Rates data updated July 2026.

How much does Phenothiazine Level Test cost?

$22.91

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $19.05 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$24.55$23.44 to $30.20
FacilityA hospital or hospital-owned outpatient department$19.05$13.80 to $89.13

How much rates vary

Facilitymedian $19 · 10th to 90th $14 to $100Professionalmedian $25 · 10th to 90th $23 to $30
$10$20$50$100facility $19professional $25

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$24.55
Typical High
$30.20
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$100.00
Typical High
$100.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$14.13
Typical High
$30.20
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$14.13
Typical High
$30.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44

Where Texas sits

The same service costs 7.2 times more in Massachusetts than in Kansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Texas· 40th of 50

$22.91

MA $100KS $13.80

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.