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
$652
Median
$661
High
$4.5k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
120 hospitals; the 90th percentile is 468.6× 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.
Filter by billing methodology
Filter by billing class
173 hospital rates
iThe hospitals that file a Optum 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $940 | $940 | — | — | — | $940 – $940 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 2 | $3 | $3 | $0 | 9% | — | $3 – $3 |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 5 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 6 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $3 | $3 | $0 | 16% | — | $2 – $3 |
| 7 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $1.0k | $1.0k | $10 | 1% | — | $1.0k – $1.0k |
| 8 | BRFHH MONROE, LLC Monroe, LA fee schedule · outpatient | 1 | $925 | $925 | — | — | — | $925 – $925 |
| 9 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 10 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 11 | Bluffton Health System LLC Bluffton, IN facility · per diem · outpatient | 1 | $909 | $909 | — | — | — | $909 – $909 |
| 12 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 19 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $834 | $834 | — | — | — | $834 – $834 |
| 20 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient | 2 | $943 | $943 | — | — | — | $943 – $943 |
| 21 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 22 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · fee schedule · outpatient | 2 | $943 | $943 | — | — | — | $943 – $943 |
| 23 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 24 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · fee schedule · outpatient | 1 | $943 | $943 | — | — | — | $943 – $943 |
| 25 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
← Payers reporting CPT 95004 · Snapshot 20261111T120946Z-9134e7f7