Test for allergy using combination of methods with drug or biological
Medicare pricing data for 2,371 providers across 50 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Test for allergy using combination of methods with drug or biological (HCPCS code 95018) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $18.79, but hospitals typically charge $62.56 — a 3.3x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $18.79, your out-of-pocket cost would be approximately $3.76. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.3x more than what Medicare allows for this procedure. Medicare actually pays $14.60 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $24 | $108 | 9 | 374 | +25.1% |
| California | $22 | $66 | 205 | 6,689 | +16.9% |
| District of Columbia | $22 | $65 | 6 | 192 | +15.5% |
| New York | $22 | $71 | 196 | 8,783 | +15.0% |
| Rhode Island | $21 | $30 | 3 | 78 | +10.5% |
| Virginia | $21 | $41 | 64 | 1,824 | +9.5% |
| New Hampshire | $20 | $62 | 11 | 476 | +7.3% |
| Maryland | $20 | $47 | 67 | 3,030 | +7.2% |
| Puerto Rico | $20 | $21 | 5 | 63 | +6.7% |
| Vermont | $20 | $50 | 2 | 231 | +5.4% |
| Colorado | $20 | $47 | 46 | 1,052 | +4.0% |
| Delaware | $19 | $50 | 12 | 850 | +3.7% |
| Oregon | $19 | $58 | 18 | 573 | +2.8% |
| Florida | $19 | $55 | 156 | 7,544 | +2.6% |
| Texas | $19 | $34 | 120 | 4,474 | +2.4% |
| Georgia | $19 | $50 | 52 | 1,335 | +2.2% |
| Nevada | $19 | $39 | 7 | 320 | +1.9% |
| South Dakota | $19 | $28 | 6 | 277 | +1.7% |
| North Dakota | $19 | $102 | 4 | 601 | +1.5% |
| Missouri | $19 | $66 | 36 | 1,230 | +0.2% |
| New Jersey | $19 | $56 | 115 | 5,768 | -0.5% |
| Washington | $19 | $51 | 49 | 1,503 | -0.8% |
| North Carolina | $19 | $62 | 89 | 2,265 | -0.9% |
| Connecticut | $19 | $66 | 36 | 1,395 | -0.9% |
| New Mexico | $19 | $41 | 6 | 372 | -1.0% |
| Arizona | $18 | $57 | 46 | 1,712 | -1.8% |
| South Carolina | $18 | $48 | 44 | 1,607 | -2.9% |
| Indiana | $18 | $56 | 32 | 1,197 | -3.2% |
| Kentucky | $18 | $52 | 34 | 794 | -4.3% |
| Oklahoma | $18 | $41 | 13 | 328 | -4.4% |
| Louisiana | $18 | $44 | 21 | 453 | -4.7% |
| Wisconsin | $18 | $148 | 40 | 1,275 | -4.8% |
| Idaho | $18 | $50 | 16 | 401 | -6.0% |
| Arkansas | $18 | $44 | 12 | 235 | -6.0% |
| Michigan | $18 | $43 | 73 | 2,472 | -6.2% |
| West Virginia | $18 | $43 | 8 | 304 | -6.2% |
| Alabama | $18 | $30 | 20 | 432 | -6.4% |
| Massachusetts | $18 | $65 | 114 | 7,394 | -6.8% |
| Pennsylvania | $17 | $40 | 109 | 3,782 | -7.1% |
| Tennessee | $17 | $54 | 62 | 1,504 | -7.7% |
| Minnesota | $17 | $185 | 62 | 3,894 | -8.1% |
| Iowa | $17 | $45 | 26 | 1,952 | -8.8% |
| Ohio | $17 | $49 | 78 | 1,980 | -10.5% |
| Mississippi | $17 | $78 | 17 | 422 | -12.0% |
| Kansas | $16 | $49 | 23 | 882 | -12.5% |
| Illinois | $16 | $60 | 114 | 4,658 | -12.5% |
| Maine | $16 | $36 | 6 | 226 | -13.1% |
| Utah | $15 | $50 | 14 | 240 | -18.5% |
| Montana | $15 | $35 | 5 | 132 | -19.1% |
| Nebraska | $15 | $56 | 23 | 758 | -19.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber