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
$521
Median
$510
High
$1.0k
Each hospital's average Cigna Healthspring rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 300.5× 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
39 hospital rates
iThe hospitals that file a Cigna Healthspring 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 | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 3 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 4 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 5 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 6 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 7 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 8 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 10 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | Carolinas Medical Center Davidson, NC fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 12 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 13 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 14 | Columbus Regional Healthcare System, Inc Whiteville, NC fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $827 | $827 | — | — | — | $827 – $827 |
| 16 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $913 | $913 | — | — | — | $913 – $913 |
| 17 | Laird Hospital, Inc. Union, MS fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 18 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · fee schedule · outpatient | 1 | $925 | $925 | — | — | — | $925 – $925 |
| 19 | Rush Hospital/Butler, Inc. Butler, AL fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 20 | Rush Medical Foundation Meridian, MS fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 21 | Rush Medical Foundation Quitman, MS fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 22 | Scott Regional Medical Center, Inc. Morton, MS fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 23 | The Charlotte Mecklenburg Hospital Authority Charlotte, NC fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 24 | The Charlotte Mecklenburg Hospital Authority Charlotte, NC fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 25 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
← Payers reporting CPT 95004 · Snapshot 20261111T120946Z-9134e7f7