CPT 95004 Allergy/Immunology
Perq tests w/alrgnc xtrcs Cost
Body System: General
Medicare Facility Rate
$4
CMS PFS CY2026
Medicare Non-Facility Rate
$4
Office/clinic setting
Hospital Outpatient
$877
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.01
Work RVU
0.09
Facility PE RVU
0.01
Malpractice RVU
0.11
Total RVU
Frequently Asked Questions
How much does Perq tests w/alrgnc xtrcs cost?
The Medicare facility rate is $4. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $877.
How much does Perq tests w/alrgnc xtrcs cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $4.