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
$242
Median
$34
High
$4.6k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
177 hospitals; the 90th percentile is 45.4× 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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270 hospital rates
iThe hospitals that file a First Health 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 | AdventHealth Deland Deland, FL fee schedule · outpatient | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 2 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 3 | Adventhealth Waterman Tavares, FL fee schedule · outpatient | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 4 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 1 | $897 | $897 | — | — | — | $897 – $897 |
| 5 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 6 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 7 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 8 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 1 | $828 | $828 | — | — | — | $828 – $828 |
| 9 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 10 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 11 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 12 | Banner Ogallala Community Hospital Ogallala, NE facility · percent of total billed charges · inpatientfrom % of charges | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 13 | Banner Ogallala Community Hospital Ogallala, NE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 14 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 15 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 16 | Baylor Scott & White Continuing Care Hospital Temple, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 17 | Baylor Scott & White Continuing Care Hospital Temple, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 18 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 19 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 20 | Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 21 | Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 22 | Baylor Scott & White McLane Children's Medical Center Temple, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 23 | Baylor Scott & White McLane Children's Medical Center Temple, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 24 | Baylor Scott & White Medical Center - Austin Austin, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 25 | Baylor Scott & White Medical Center - Austin Austin, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
← Payers reporting CPT 95004 · Snapshot 20261111T120946Z-9134e7f7