Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR PERC TESTS ALLERGENIC EXTRACTS
Low
$2
Average
$116
Median
$18
High
$842
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
51 hospitals; the 90th percentile is 137.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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57 hospital rates
iThe hospitals that file a Amerihealth Caritas rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 4 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 5 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 6 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 7 | Bayhealth Hospital, Sussex Campus Milton, DE fee schedule · outpatient | 2 | $476 | $476 | $470 | 99% | — | $6 – $947 |
| 8 | Bayhealth Medical Center, Kent Campus Dover, DE fee schedule · outpatient | 2 | $491 | $491 | $485 | 99% | — | $6 – $977 |
| 9 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 10 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 11 | Carolinas Medical Center Davidson, NC fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 12 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 13 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 14 | Children's Hospital Medical Center Mason, OH fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 15 | Coshocton Regional Medical Center Coshocton, OH fee schedule · outpatient | 1 | $213 | $213 | — | — | — | $213 – $213 |
| 16 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 17 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 18 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 19 | Henry Ford Health System West Bloomfield, MI facility · fee schedule · outpatient | 1 | $839 | $839 | — | — | — | $839 – $839 |
| 20 | Henry Ford Health System West Bloomfield, MI professional · fee schedule · outpatient | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 21 | Henry Ford Health System Plymouth, MI facility · fee schedule · outpatient | 1 | $839 | $839 | — | — | — | $839 – $839 |
| 22 | Henry Ford Health System Plymouth, MI professional · fee schedule · outpatient | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 23 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · fee schedule · outpatient | 1 | $839 | $839 | — | — | — | $839 – $839 |
| 24 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI professional · fee schedule · outpatient | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 25 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · fee schedule · outpatient | 1 | $839 | $839 | — | — | — | $839 – $839 |
← Payers reporting CPT 95004 · Snapshot 20261111T120946Z-9134e7f7