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
Preventive Med New <1 Yr
Low
$6
Average
$9.0k
Median
$122
High
$5261.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
602 hospitals; the 90th percentile is 4.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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936 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 3 | $185 | $191 | $38 | 20% | 81–99 | $134 – $254 |
| 2 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $420 | $420 | — | — | 18 | $420 – $420 |
| 3 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $194 | $194 | $27 | 14% | 11 | $168 – $221 |
| 4 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $188 | $188 | — | — | 3–30 | $188 – $188 |
| 5 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $127 | $127 | — | — | 2–20 | $127 – $127 |
| 6 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 1 | $272 | $272 | — | — | 2–20 | $272 – $272 |
| 7 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 4 | $159 | $144 | $33 | 23% | 2–20 | $98 – $175 |
| 8 | Stanford Health Care Stanford, CA fee schedule · both | 1 | $360 | $360 | — | — | 2–20 | $360 – $360 |
| 9 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $274 | $269 | $55 | 20% | 2–20 | $199 – $333 |
| 10 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $145 | $145 | — | — | 2–20 | $145 – $145 |
| 11 | Baystate Franklin Medical Center Greenfield, MA facility · percent of total billed charges · bothfrom % of charges | 1 | $62 | $62 | — | — | 1–10 | $62 – $62 |
| 12 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 1 | $56 | $56 | — | — | 1–10 | $56 – $56 |
| 13 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | 1–10 | $96 – $96 |
| 14 | Good Samaritan Hospital Puyallup, WA other · outpatient | 1 | $241 | $241 | — | — | 1–10 | $241 – $241 |
| 15 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $386 | $386 | — | — | 1–10 | $386 – $386 |
| 16 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $60 | $60 | — | — | 1–10 | $60 – $60 |
| 17 | Jennie Stuart Medical Center Hopkinsville, KY professional · other · both | 1 | $60 | $60 | — | — | 1–10 | $60 – $60 |
| 18 | Mary Bridge Children's Hospital Tacoma, WA other · outpatient | 1 | $218 | $218 | — | — | 1–10 | $218 – $218 |
| 19 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $345 | $345 | — | — | 1–10 | $345 – $345 |
| 20 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $272 | $272 | — | — | 1–10 | $272 – $272 |
| 21 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $281 | $281 | — | — | 1–10 | $281 – $281 |
| 22 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $281 | $281 | — | — | 1–10 | $281 – $281 |
| 23 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 4 | $136 | $129 | $30 | 23% | 1–10 | $90 – $160 |
| 24 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 3 | $38 | $42 | $9 | 22% | 1–10 | $33 – $54 |
| 25 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 4 | $159 | $148 | $39 | 26% | 1–10 | $98 – $188 |
← Payers reporting CPT 99381 · Snapshot 20261111T120946Z-9134e7f7