Test for allergy using airborne allergenic extract injected into skin
Medicare pricing data for 318 providers across 33 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 airborne allergenic extract injected into skin (HCPCS code 95027) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.88, but hospitals typically charge $16.23 — 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 $4.88, your out-of-pocket cost would be approximately $0.98. 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 $3.80 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $6 | $15 | 11 | 2,279 | +24.8% |
| Virginia | $6 | $15 | 6 | 3,809 | +21.3% |
| New York | $6 | $16 | 8 | 894 | +16.4% |
| New Jersey | $6 | $11 | 2 | 77 | +16.2% |
| Connecticut | $6 | $15 | 5 | 159 | +13.1% |
| Florida | $5 | $13 | 31 | 7,222 | +10.7% |
| Massachusetts | $5 | $25 | 7 | 26,030 | +7.0% |
| Texas | $5 | $15 | 14 | 1,978 | +4.5% |
| New Hampshire | $5 | $14 | 2 | 2,883 | +4.1% |
| Wyoming | $5 | $18 | 1 | 61 | +1.0% |
| Arizona | $5 | $10 | 9 | 10,248 | -0.2% |
| Washington | $5 | $15 | 6 | 364 | -0.4% |
| Michigan | $5 | $8 | 6 | 1,188 | -2.3% |
| Pennsylvania | $5 | $14 | 17 | 4,031 | -2.7% |
| North Carolina | $5 | $14 | 21 | 2,479 | -5.7% |
| Louisiana | $4 | $13 | 9 | 1,725 | -8.2% |
| South Carolina | $4 | $15 | 14 | 17,554 | -8.2% |
| Georgia | $4 | $14 | 12 | 3,140 | -8.4% |
| Indiana | $4 | $19 | 6 | 142 | -9.0% |
| Wisconsin | $4 | $15 | 5 | 186 | -9.0% |
| Iowa | $4 | $12 | 2 | 1,993 | -10.0% |
| North Dakota | $4 | $26 | 2 | 1,260 | -10.7% |
| Oklahoma | $4 | $11 | 13 | 240 | -11.7% |
| Missouri | $4 | $12 | 5 | 2,464 | -11.9% |
| Ohio | $4 | $16 | 5 | 656 | -12.5% |
| Tennessee | $4 | $13 | 21 | 2,758 | -12.5% |
| Alabama | $4 | $9 | 26 | 2,882 | -12.9% |
| Arkansas | $4 | $9 | 5 | 161 | -13.9% |
| Kansas | $4 | $13 | 9 | 438 | -15.4% |
| Illinois | $4 | $31 | 2 | 138 | -16.8% |
| Utah | $4 | $12 | 3 | 642 | -17.8% |
| West Virginia | $4 | $12 | 8 | 2,001 | -22.3% |
| Oregon | $4 | $13 | 5 | 400 | -26.4% |
⚠️ 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