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
$4
Average
$236
Median
$35
High
$877
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
10 hospitals; the 90th percentile is 71.5× 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.
Filter by billing methodology
Filter by billing class
18 hospital rates
iThe hospitals that file a Carefirst 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 | Children's National Hospital Washington, DC facility · fee schedule · outpatient | 2 | $141 | $141 | — | — | — | $141 – $141 |
| 2 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 3 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 4 | Children's National Hospital Washington, DC professional · fee schedule · both | 3 | $5 | $5 | $0 | 5% | — | $4 – $5 |
| 5 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $877 | $877 | — | — | — | $877 – $877 |
| 6 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 3 | $4 | $4 | $1 | 19% | — | $3 – $5 |
| 7 | MedStar Washington Hospital Center NW, WA facility · fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 8 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $31 | $31 | — | — | — | $31 – $31 |
| 9 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $877 | $877 | — | — | — | $877 – $877 |
| 10 | National Rehabilitation Hospital Washington, WA facility · fee schedule · outpatient | 1 | $900 | $900 | — | — | — | $900 – $900 |
| 11 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $638 | $638 | $85 | 13% | — | $553 – $723 |
| 12 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $689 | $689 | — | — | — | $689 – $689 |
| 13 | RESTON HOSPITAL CENTER Reston, VA fee schedule · outpatient | 2 | $18 | $18 | — | — | — | $18 – $18 |
| 14 | STONESPRINGS HOSPITAL CENTER Dulles, VA fee schedule · outpatient | 2 | $18 | $18 | — | — | — | $18 – $18 |
| 15 | St. Joseph's Mercy Hospital, Centerville Centerville, IA professional · fee schedule · inpatient | 3 | $4 | $4 | $1 | 19% | — | $3 – $5 |
| 16 | St. Joseph's Mercy Hospital, Centerville Centerville, IA professional · fee schedule · outpatient | 3 | $4 | $4 | $1 | 19% | — | $3 – $5 |
| 17 | University of Virginia Haymarket Medical Center Haymarket, VA fee schedule · both | 2 | $11 | $11 | $1 | 11% | — | $10 – $12 |
| 18 | University of Virginia Prince William Medical Center Manassas, VA fee schedule · both | 2 | $11 | $11 | $1 | 11% | — | $10 – $12 |
← Payers reporting CPT 95004 · Snapshot 20261111T120946Z-9134e7f7