Test for allergy using ingested items, initial 2 hours
Medicare pricing data for 2,285 providers across 48 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 ingested items, initial 2 hours (HCPCS code 95076) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $118.51, but hospitals typically charge $327.56 — a 2.8x 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 $118.51, your out-of-pocket cost would be approximately $23.70. 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 2.8x more than what Medicare allows for this procedure. Medicare actually pays $91.05 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $151 | $545 | 9 | 74 | +27.5% |
| California | $135 | $332 | 193 | 952 | +14.0% |
| New Jersey | $132 | $291 | 104 | 532 | +11.7% |
| New York | $131 | $396 | 189 | 1,042 | +10.8% |
| District of Columbia | $129 | $290 | 6 | 30 | +8.7% |
| Maryland | $125 | $226 | 58 | 231 | +5.8% |
| Washington | $123 | $322 | 42 | 142 | +3.7% |
| Rhode Island | $121 | $190 | 8 | 40 | +2.5% |
| Illinois | $121 | $389 | 101 | 567 | +2.3% |
| Colorado | $120 | $274 | 42 | 136 | +1.0% |
| Virginia | $120 | $257 | 79 | 315 | +0.9% |
| Nevada | $120 | $244 | 11 | 32 | +0.9% |
| New Hampshire | $119 | $319 | 7 | 28 | +0.5% |
| Vermont | $119 | $268 | 1 | 23 | +0.4% |
| Delaware | $117 | $293 | 13 | 100 | -1.0% |
| Minnesota | $117 | $432 | 47 | 123 | -1.1% |
| Texas | $117 | $259 | 159 | 411 | -1.2% |
| Missouri | $117 | $330 | 34 | 122 | -1.3% |
| Massachusetts | $117 | $391 | 101 | 614 | -1.3% |
| Georgia | $116 | $322 | 49 | 157 | -1.7% |
| Oregon | $116 | $353 | 20 | 79 | -1.9% |
| Florida | $116 | $291 | 145 | 833 | -1.9% |
| Connecticut | $115 | $326 | 40 | 188 | -2.7% |
| Kansas | $113 | $265 | 15 | 75 | -4.3% |
| Arizona | $113 | $286 | 53 | 281 | -4.4% |
| South Dakota | $113 | $152 | 6 | 35 | -4.9% |
| Michigan | $113 | $233 | 66 | 203 | -5.0% |
| North Carolina | $112 | $326 | 89 | 350 | -5.8% |
| Pennsylvania | $111 | $238 | 97 | 456 | -6.0% |
| Indiana | $111 | $276 | 27 | 94 | -6.4% |
| Utah | $111 | $227 | 19 | 65 | -6.6% |
| South Carolina | $110 | $258 | 35 | 130 | -6.8% |
| New Mexico | $110 | $231 | 7 | 27 | -7.4% |
| Kentucky | $109 | $258 | 32 | 97 | -8.0% |
| Iowa | $108 | $270 | 23 | 161 | -8.5% |
| Mississippi | $108 | $258 | 19 | 87 | -8.5% |
| Oklahoma | $108 | $235 | 14 | 32 | -8.7% |
| Arkansas | $108 | $198 | 13 | 19 | -8.7% |
| Louisiana | $108 | $213 | 22 | 71 | -8.8% |
| Idaho | $108 | $292 | 16 | 57 | -9.2% |
| Tennessee | $107 | $302 | 75 | 330 | -9.4% |
| Alabama | $106 | $195 | 21 | 60 | -10.3% |
| Maine | $105 | $224 | 6 | 26 | -11.6% |
| Wisconsin | $102 | $689 | 44 | 293 | -13.7% |
| West Virginia | $100 | $258 | 12 | 62 | -15.7% |
| Ohio | $98 | $403 | 84 | 440 | -17.5% |
| Montana | $96 | $208 | 8 | 18 | -19.1% |
| Nebraska | $85 | $371 | 13 | 43 | -28.0% |
⚠️ 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