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
HC Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading
Prices here combine facility and professional fees. See them separately →Experimental
Low
$1
Average
$208
Median
$52
High
$8.1k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 144 hospitals; the 90th percentile is 17.1× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Boston Medical Center Boston, MA | $44 | $53 | $20 | 38% | 1–10 | $43 – $107 |
| 2 | University of Virginia Haymarket Medical Center Haymarket, VA | $108 | $102 | $13 | 13% | — | $76 – $108 |
| 3 | Laird Hospital, Inc. Union, MS | $47 | $55 | $21 | 38% | — | $41 – $110 |
| 4 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI | $38 | $53 | $22 | 40% | — | $38 – $84 |
| 5 | Henry Ford Health Novi, MI | $38 | $32 | $11 | 35% | — | $15 – $53 |
| 6 | Robert Wood Johnson University Hospital Somerset Somerville, NJ | $472 | $472 | $74 | 16% | — | $372 – $572 |
| 7 | Vanderbilt Bedford Hospital Shelbyville, TN | $36 | $30 | $26 | 86% | — | $0 – $83 |
| 8 | Vanderbilt University Medical Center Nashville, TN | $37 | $29 | $26 | 89% | — | $0 – $79 |
| 9 | Claiborne Medical Center Tazewell, TN | $200 | $205 | $31 | 15% | — | $170 – $246 |
| 10 | Sacred Heart Health System, Inc. Joe, FL | $43 | $52 | $15 | 28% | — | $42 – $95 |
Ask Claude or any MCP client for CPT 95028 pricing at a specific hospital — see how to connect.