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
$1
Average
$667
Median
$591
High
$5.5k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
367 hospitals; the 90th percentile is 378.4× 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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476 hospital rates
iThe hospitals that file a Molina 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 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 3 | $590 | $522 | $370 | 71% | 2,006 | $13 – $896 |
| 2 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 3 | $590 | $522 | $370 | 71% | 2,006 | $13 – $896 |
| 3 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $2.1k | $6.0k | $4.5k | 76% | 290 | $2.1k – $11.7k |
| 4 | Community Health Association Ripley, WV facility · other · outpatient | 1 | $96 | $96 | — | — | 39 | $96 – $96 |
| 5 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $371 | $371 | — | — | 24 | $371 – $371 |
| 6 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $108 | $108 | — | — | 17–26 | $108 – $108 |
| 7 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT percent of total billed charges · outpatientfrom % of charges | 2 | $415 | $415 | $17 | 4% | 2–20 | $398 – $432 |
| 8 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | 1–10 | $21 – $21 |
| 9 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT other · outpatient | 1 | $351 | $351 | — | — | 1–10 | $351 – $351 |
| 10 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | — | — | 1–10 | $60 – $60 |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 12 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $907 | $907 | — | — | — | $907 – $907 |
| 14 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 15 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $1.3k | $1.3k | $430 | 34% | — | $820 – $1.7k |
| 16 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 17 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 18 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 19 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 20 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 21 | Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 22 | Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 24 | Advocate Sherman Hospital Elgin, IL case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 25 | Advocate South Suburban Hospital Hazel Crest, IL case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
← Payers reporting CPT 95004 · Snapshot 20261111T120946Z-9134e7f7