CPT 95170
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
CH PS PREPJ& ANTIGEN ALLRGN IMMUNOTHERAPY WHL INSE
Low
$7
Average
$124
Median
$72
High
$6.1k
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115 hospital rates
iThe hospitals that file a Oscar 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 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA other · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 2 | AdventHealth New Smyrna Beach New Smyrna Beach, FL fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 3 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 4 | Adventhealth Dade City Dade City, FL fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 5 | Adventhealth Daytona Beach Port Orange, FL fee schedule · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 6 | Adventhealth Fish Memorial Deltona, FL fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 7 | Adventhealth Hendersonville Hendersonville, NC fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 8 | Adventhealth Lake Wales Lake Wales, FL fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 9 | Adventhealth Ocala Ocala, FL fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 10 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 11 | Adventhealth Palm Coast Parkway Palm Coast, FL fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 12 | Adventhealth Port Charlotte Port Charlotte, FL fee schedule · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 13 | Adventhealth Sebring Sebring, FL fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 14 | Adventhealth Shawnee Mission Lenexa, KS fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 15 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 16 | Adventhealth Waterman Tavares, FL fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 17 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 18 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 19 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 20 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 21 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 22 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 23 | Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 24 | Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 25 | Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
← Payers reporting CPT 95170 · Snapshot 20261113T090226Z-3ce6c0b8