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
$738
Median
$653
High
$4.8k
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
94 hospitals; the 90th percentile is 265.1× 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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113 hospital rates
iThe hospitals that file a Caresource 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 Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 3 | $36 | $55 | $27 | 50% | 157 | $36 – $94 |
| 2 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $888 | $888 | — | — | 21 | $888 – $888 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 4 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 5 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $1.2k | $1.2k | $402 | 32% | — | $836 – $1.6k |
| 6 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 1 | $912 | $912 | — | — | — | $912 – $912 |
| 7 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 2 | $1.0k | $1.0k | $184 | 18% | — | $861 – $1.2k |
| 8 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 9 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 10 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 11 | Children's Hospital Medical Center Mason, OH fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 12 | Children's Hospital Medical Center Mason, OH percent of total billed charges · inpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 13 | Children's Hospital Medical Center Mason, OH percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 14 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 15 | Cleveland Clinic Mercy Hospital Canton, OH professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 16 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Coshocton Regional Medical Center Coshocton, OH fee schedule · outpatient | 4 | $821 | $754 | $349 | 46% | — | $203 – $1.2k |
| 18 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 2 | $3 | $3 | $0 | 5% | — | $3 – $3 |
| 19 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 2 | $3 | $3 | $0 | 13% | — | $3 – $4 |
| 20 | Deaconess Health System Henderson Hospital Henderson, KY facility · case rate · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 2 | $4 | $4 | $0 | 13% | — | $3 – $4 |
| 22 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 2 | $4 | $4 | $0 | 13% | — | $3 – $4 |
| 23 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 24 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 2 | $4 | $4 | $0 | 13% | — | $3 – $4 |
| 25 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 2 | $1.2k | $1.2k | $233 | 20% | — | $932 – $1.4k |
← Payers reporting CPT 95004 · Snapshot 20261111T120946Z-9134e7f7