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
$181
Average
$215
Median
$231
High
$231
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8 hospital rates
iThe hospitals that file a Bcbs Mi 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 | Covenant Medical Center Inc Saginaw, MI facility · case rate · outpatient | 1 | $459 | $459 | — | — | — | $459 – $459 |
| 2 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Covenant Medical Center Inc Saginaw, MI facility · case rate · outpatient | 1 | $459 | $459 | — | — | — | $459 – $459 |
| 4 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 5 | The Toledo Hospital Maumee, OH facility · fee schedule · outpatient | 1 | $834 | $834 | — | — | — | $834 – $834 |
| 6 | The Toledo Hospital Maumee, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 7 | The Toledo Hospital Maumee, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 8 | The Toledo Hospital Maumee, OH professional · fee schedule · outpatient | 2 | $5 | $5 | — | — | — | $5 – $5 |
← Payers reporting CPT 95004 · Snapshot 20261111T120946Z-9134e7f7