What does code 49084 cost?

Across the published hospital price files, the disclosed cash price for 49084 ranges from $405 to $4,288. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

49084 is the billing code hospitals use to identify "HC PERITONEAL LAVAGE INCL IMAGING" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

49084

HCPCS

HC PERITONEAL LAVAGE INCL IMAGING

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 49084 (HC PERITONEAL LAVAGE INCL IMAGING) appears at 88 hospitals with disclosed cash prices from $405 to $4,288. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 49084 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code 49084 vary by about 11× across the 77 hospitals with disclosed prices here — from $405 to $4,288. Shopping around can matter.

Hospitals

101

Prices shown

$405

Lowest cash

$4,288

Highest cash

code 49084 cash price80 disclosed · 77 hospitals

$405median ~$1,660$4,288

Lowest cash price by hospital

Cash price by city

Reflects your current filters.

Cash price by city$405 – $1,323

Milwaukie · 1 hospital$405–$1,323
Burbank · 1 hospital$545
Kenton · 1 hospital$654
Delaware · 1 hospital$675
Mequon · 1 hospital$697
New Berlin · 1 hospital$697

101 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC PERITONEAL LAVAGE INCL IMAGING Inpatient & outpatient	Endeavor Health Edward Hospital	49084 HCPCS	$2,644	$2,644	—	—
Peritoneal lavage Outpatient	Endeavor Health Edward Hospital	49084 HCPCS	—	—	$346 – $2,622	—
Hc Peritoneal Lavage, Including Imaging Guidance, When Performed Inpatient & outpatient	University of Chicago Medical Center	49084 HCPCS	—	—	—	—
Hc Peritoneal Lavage, Including Imaging Guidance, When Performed-Gold Inpatient & outpatient	University of Chicago Medical Center	49084 HCPCS	—	—	—	—
Hc Peritoneal Lavage, Including Imaging Guidance, When Performed-Gold,Pbb Inpatient & outpatient	University of Chicago Medical Center	49084 HCPCS	—	—	—	—
Hc Peritoneal Lavage, Including Imaging Guidance, When Performed-Pbb Inpatient & outpatient	University of Chicago Medical Center	49084 HCPCS	—	—	—	—
Pr Peritoneal Lavage W/Wo Imaging Guidance-Gold Inpatient & outpatient	University of Chicago Medical Center	49084 HCPCS	—	—	—	—
Pr Peritoneal Lavage W/Wo Imaging Guidance-Gold,Oprm Inpatient & outpatient	University of Chicago Medical Center	49084 HCPCS	—	—	—	—
Pr Peritoneal Lavage W/Wo Imaging Guidance-Gold,Pbb Inpatient & outpatient	University of Chicago Medical Center	49084 HCPCS	—	—	—	—
Pr Peritoneal Lavage W/Wo Imaging Guidance-Pbb Inpatient & outpatient	University of Chicago Medical Center	49084 HCPCS	—	—	—	—
Peritoneal lavage Outpatient	University of Chicago Medical Center	49084 HCPCS	—	—	—	—
HB PERITONEAL LAVAGE W/WO IMAGE GUIDANCE Inpatient & outpatient	Endeavor Health Swedish Hospital	49084 HCPCS	$2,644	$2,644	—	—
PERITONEAL LAVAGE W IMAGING Outpatient	Advocate Condell Medical Center	49084 CPT	$2,490	$1,245	$981 – $4,636	—
PERITONEAL LAVAGE W IMAGING Outpatient	Advocate Good Samaritan Hospital	49084 CPT	$3,970	$1,985	$1,417 – $6,181	—
HC PERITONEAL LAVAGE W WO IMAG GUID Outpatient	Froedtert Hospital	49084 CPT	$2,340	$1,287	$702 – $6,766	—
HC PERITONEAL LAVAGE W WO IMAG GUID Outpatient	Froedtert Menomonee Falls Hospital	49084 CPT	$1,491	$820	$447 – $4,258	—
PERITONEAL LAVAGE W OR WO IMAGING Inpatient	Aurora Medical Center Bay Area	49084 CPT	$1,450	$725	$870 – $1,227	—
PERITONEAL LAVAGE W OR WO IMAGING Inpatient	Aurora Medical Center Fond du Lac	49084 CPT	$1,450	$725	$870 – $1,233	—
PERITONEAL LAVAGE W OR WO IMAGING Inpatient	Aurora Medical Center Grafton	49084 CPT	$1,450	$725	$870 – $1,233	—
PERITONEAL LAVAGE W OR WO IMAGING Inpatient	Aurora Medical Center Kenosha	49084 CPT	$1,450	$725	$870 – $1,233	—
PERITONEAL LAVAGE W OR WO IMAGING Inpatient	Aurora Lakeland Medical Center	49084 CPT	$1,450	$725	$870 – $1,233	—
HC PERITONEAL LAVAGE W WO IMAG GUID Inpatient	Froedtert West Bend Hospital	49084 CPT	$1,491	$820	$895 – $1,416	—
HC PERITONEAL LAVAGE W WO IMAG GUID Inpatient	Froedtert Community Hospital - Mequon	49084 CPT	$1,268	$697	$761 – $1,115	—
HC PERITONEAL LAVAGE W WO IMAG GUID Outpatient	Froedtert Community Hospital - New Berlin	49084 CPT	$1,268	$697	$507 – $3,995	—
HC PERITONEAL LAVAGE W WO IMAG GUID Inpatient	Froedtert Community Hospital - Oak Creek	49084 CPT	$1,268	$697	$761 – $1,115	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 49084 prices

Open a hospital to see this code in the context of its full published prices.

Code 49084: frequently asked

What does code 49084 cost?: Across the published hospital price files, the disclosed cash price for 49084 ranges from $405 to $4,288. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 49084?: 49084 is the billing code hospitals use to identify "HC PERITONEAL LAVAGE INCL IMAGING" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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Hospitals publishing code 49084 by state

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