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
$3
Average
$698
Median
$254
High
$16.9k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
258 hospitals; the 90th percentile is 335.5× 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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440 hospital rates
iThe hospitals that file a Anthem 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 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $68 | $70 | $21 | 30% | 3,855 | $43 – $101 |
| 2 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $27 | $27 | $1 | 2% | 813 | $26 – $27 |
| 3 | NATIONAL JEWISH HEALTH GOLDEN, CO percent of total billed charges · bothfrom % of charges | 1 | $28 | $28 | — | — | 478 | $28 – $28 |
| 4 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 1 | $6 | $6 | — | — | 40 | $6 – $6 |
| 5 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | $9 | 42% | 19 | $13 – $31 |
| 6 | Hospital Authority of Miller County Colquitt, GA facility · percent of total billed charges · outpatientfrom % of charges | 4 | $6 | $6 | $2 | 29% | 4–40 | $4 – $7 |
| 7 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 2 | $8 | $8 | — | — | 2–20 | $8 – $8 |
| 8 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 2 | $10 | $10 | $2 | 17% | 2–20 | $8 – $12 |
| 9 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT fee schedule · outpatient | 2 | $44 | $44 | $6 | 14% | 2–20 | $38 – $50 |
| 10 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $812 | $1.1k | $997 | 93% | — | $6 – $2.4k |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $9 | $9 | $4 | 49% | — | $3 – $13 |
| 14 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $985 | $985 | — | — | — | $985 – $985 |
| 15 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $5 | $5 | $2 | 42% | — | $3 – $8 |
| 16 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 3 | $2.6k | $2.3k | $950 | 41% | — | $1.0k – $3.3k |
| 19 | American Hospital Management Corporation Arcata, CA facility · case rate · outpatient | 2 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 20 | Ascension Calumet Hospital, Inc. Chilton, WI fee schedule · outpatient | 4 | $4 | $4 | — | — | — | $4 – $4 |
| 21 | Ascension NE Wisconsin, Inc. Appleton, WI fee schedule · outpatient | 4 | $4 | $4 | — | — | — | $4 – $4 |
| 22 | Ascension NE Wisconsin, Inc. Oshkosh, WI fee schedule · outpatient | 4 | $4 | $4 | — | — | — | $4 – $4 |
| 23 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · both | 3 | $4 | $4 | — | — | — | $4 – $4 |
| 24 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 8 | $6 | $6 | — | — | — | $6 – $6 |
| 25 | Aspirus Divine Savior Hospital Portage, WI fee schedule · outpatient | 2 | $3.6k | $3.6k | $2.7k | 76% | — | $851 – $6.3k |
← Payers reporting CPT 95004 · Snapshot 20261111T120946Z-9134e7f7