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
Perq tests w/alrgnc xtrcs
Isle, ME
See all hospitals reporting CPT 95004 →Price type
The Aroostook Medical Center’s median price of $104 is 86% below the median hospital's median price ($764), higher than 41% of the 1,423 hospitals reporting CPT 95004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Anthem mcr advantage professional · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 2 | UnitedHealthcare mcr advantage professional · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | WellCare mcr advantage professional · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 4 | Aetna mcr advantage professional · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Aetna commercial professional · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 6 | Anthem commercial professional · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 7 | Anthem enhanced pathways professional · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 8 | Cigna commercial professional · fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 9 | UnitedHealthcare commercial professional · fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 10 | Aetna mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $81 | $81 | — | — | — | $81 – $81 |
| 11 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $104 | $104 | — | — | — | $104 – $104 |
| 12 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $104 | $104 | — | — | — | $104 – $104 |
| 13 | Anthem enhanced pathways facility · percent of total billed charges · inpatientfrom % of charges | $104 | $104 | — | — | — | $104 – $104 |
| 14 | Anthem enhanced pathways facility · percent of total billed charges · outpatientfrom % of charges | $104 | $104 | — | — | — | $104 – $104 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 16 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 17 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 18 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 19 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $125 | $125 | — | — | — | $125 – $125 |
| 20 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $129 | $129 | — | — | — | $129 – $129 |
| 21 | Aetna mcr advantage facility · case rate · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 22 | Anthem mcr advantage facility · case rate · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 23 | UnitedHealthcare mcr advantage facility · case rate · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 24 | WellCare mcr advantage facility · case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | Anthem enhanced pathways facility · case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
Last updated: Mar 30, 2026
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