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
$0
Average
$297
Median
$157
High
$37k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
457 hospitals; the 90th percentile is 5.6× 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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620 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $255 | $257 | $11 | 4% | 82–91 | $243 – $277 |
| 2 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 4 | $175 | $158 | $31 | 20% | 81–135 | $98 – $175 |
| 3 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 4 | $81 | $71 | $24 | 34% | 44–71 | $43 – $101 |
| 4 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $117 | $117 | — | — | 36 | $117 – $117 |
| 5 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 3 | $103 | $103 | $15 | 14% | 36–45 | $89 – $119 |
| 6 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 3 | $373 | $354 | $63 | 18% | 30–39 | $269 – $420 |
| 7 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $116 | — | — | 26–35 | $116 – $116 |
| 8 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $145 | $145 | — | — | 22 | $145 – $145 |
| 9 | Mayo Clinic Health System Red Wing 55066-2848 professional · percent of total billed charges · outpatientfrom % of charges | 6 | $250 | $255 | $18 | 7% | 21–30 | $237 – $280 |
| 10 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 3 | $175 | $158 | $31 | 20% | 20–38 | $98 – $175 |
| 11 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 9 | $327 | $333 | $14 | 4% | 19–28 | $319 – $363 |
| 12 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $255 | $257 | $11 | 4% | 19 | $243 – $277 |
| 13 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 1 | $352 | $352 | — | — | 13–22 | $352 – $352 |
| 14 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $177 | $177 | $1 | 0% | 12 | $176 – $177 |
| 15 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 3 | $188 | $188 | — | — | 9–90 | $188 – $188 |
| 16 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 2 | $132 | $126 | $13 | 10% | 8–80 | $100 – $132 |
| 17 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 3 | $148 | $138 | $20 | 14% | 6–60 | $98 – $148 |
| 18 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $278 | $278 | — | — | 6–60 | $278 – $278 |
| 19 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $278 | $278 | — | — | 5–50 | $278 – $278 |
| 20 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 2 | $109 | $109 | $51 | 47% | 4–40 | $58 – $159 |
| 21 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 2 | $100 | $100 | $52 | 52% | 4–40 | $49 – $152 |
| 22 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 2 | $210 | $210 | $20 | 10% | 4–40 | $189 – $230 |
| 23 | Baystate Franklin Medical Center Greenfield, MA facility · percent of total billed charges · bothfrom % of charges | 3 | $62 | $62 | — | — | 3–30 | $62 – $62 |
| 24 | Baystate Medical Center Springfield, MA fee schedule · both | 1 | $188 | $188 | — | — | 3–30 | $188 – $188 |
| 25 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $108 | $108 | — | — | 3–30 | $108 – $108 |
← Payers reporting CPT 99381 · Snapshot 20261111T120946Z-9134e7f7