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
$810
Median
$929
High
$2.4k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
326 hospitals; the 90th percentile is 271.2× 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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410 hospital rates
iThe hospitals that file a WellCare 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 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 1 | $16 | $16 | — | — | 587 | $16 – $16 |
| 2 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $929 | $929 | $22 | 2% | — | $907 – $950 |
| 3 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 4 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 5 | Adventhealth North Pinellas Palm Harbor, FL fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 6 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 7 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 8 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $866 | $866 | — | — | — | $866 – $866 |
| 9 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 10 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 2 | $3 | $3 | $0 | 14% | — | $2 – $3 |
| 11 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 2 | $3 | $3 | $0 | 14% | — | $2 – $3 |
| 12 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 2 | $3 | $3 | $0 | 14% | — | $2 – $3 |
| 13 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 2 | $3 | $3 | $0 | 14% | — | $2 – $3 |
| 14 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 2 | $3 | $3 | $0 | 14% | — | $2 – $3 |
| 15 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 2 | $3 | $3 | $0 | 14% | — | $2 – $3 |
| 16 | Arkansas Childrens Hospital Little Rock, AR facility · other · outpatient | 1 | $803 | $803 | — | — | — | $803 – $803 |
| 17 | Arkansas Childrens Northwest Springdale, AR facility · other · outpatient | 1 | $801 | $801 | — | — | — | $801 – $801 |
| 18 | Ascension NE Wisconsin, Inc. Appleton, WI other · inpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 19 | Ascension NE Wisconsin, Inc. Appleton, WI other · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 20 | Ascension NE Wisconsin, Inc. Oshkosh, WI other · inpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 21 | Ascension NE Wisconsin, Inc. Oshkosh, WI other · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 22 | Ascension Providence Waco, TX other · inpatient | 1 | $997 | $997 | — | — | — | $997 – $997 |
| 23 | Ascension Providence Waco, TX other · outpatient | 1 | $997 | $997 | — | — | — | $997 – $997 |
| 24 | Ascension Seton Austin, TX other · inpatient | 1 | $986 | $986 | — | — | — | $986 – $986 |
| 25 | Ascension Seton Austin, TX other · outpatient | 1 | $986 | $986 | — | — | — | $986 – $986 |
← Payers reporting CPT 95004 · Snapshot 20261111T120946Z-9134e7f7