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
$2
Average
$146
Median
$28
High
$1.1k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
79 hospitals; the 90th percentile is 92.6× 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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148 hospital rates
iThe hospitals that file a Medica 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 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 7 | $27 | $27 | $1 | 2% | 2,925 | $26 – $28 |
| 2 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 8 | $34 | $34 | $2 | 7% | 307 | $28 – $37 |
| 3 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 2 | $4 | $4 | $0 | 2% | 184 | $4 – $4 |
| 4 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 5 | $19 | $19 | $2 | 11% | 121 | $17 – $23 |
| 5 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 2 | $3 | $3 | $0 | 12% | 74 | $3 – $4 |
| 6 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $7 | $7 | $0 | 2% | 3–30 | $7 – $8 |
| 7 | Fairview Health Services Edina, MN other · inpatient | 1 | $23 | $23 | — | — | 2–20 | $23 – $23 |
| 8 | Fairview Health Services Burnsville, MN other · inpatient | 1 | $76 | $76 | — | — | 2–20 | $76 – $76 |
| 9 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 4 | $525 | $525 | $14 | 3% | — | $511 – $540 |
| 10 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 5 | $511 | $489 | $74 | 15% | — | $343 – $540 |
| 11 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 4 | $525 | $525 | $14 | 3% | — | $511 – $540 |
| 12 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 5 | $511 | $469 | $114 | 24% | — | $242 – $540 |
| 13 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 4 | $525 | $525 | $14 | 3% | — | $511 – $540 |
| 14 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 5 | $511 | $460 | $132 | 29% | — | $197 – $540 |
| 15 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · inpatient | 4 | $525 | $525 | $14 | 3% | — | $511 – $540 |
| 16 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient | 5 | $511 | $478 | $96 | 20% | — | $287 – $540 |
| 17 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $3 | $4 | $2 | 47% | — | $2 – $6 |
| 18 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $3 | $4 | $2 | 47% | — | $2 – $6 |
| 19 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $2 | $2 | $1 | 41% | — | $1 – $3 |
| 20 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 21 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 4 | $9 | $18 | $25 | 134% | — | $3 – $68 |
| 22 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 23 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 2 | $14 | $14 | $1 | 6% | — | $13 – $15 |
| 24 | Banner Ogallala Community Hospital Ogallala, NE facility · percent of total billed charges · outpatientfrom % of charges | 2 | $118 | $118 | $43 | 37% | — | $74 – $161 |
| 25 | Black River Health Inc Black River Falls, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
← Payers reporting CPT 95004 · Snapshot 20261111T120946Z-9134e7f7