New patient preventive checkup, teen visit

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR E&M Preventive Medicine Initial Comprehensive New Patient 12-17 Years

Payers reporting CPT 99384

Payer pricing summary

Low

$56

Average

$1.6k

Median

$191

High

$26.8k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	173	$289	$316	$172	54%	2–20	$0 – $757
2	Oscar professional · fee schedule · both · +15 other terms	7	$150	$146	$19	13%	2–20	$115 – $180
3	UnitedHealthcare fee schedule · outpatient · +37 other terms	185	$133	$201	$139	69%	1–10	$1 – $784
4	Carefirst professional · fee schedule · both · +14 other terms	15	$129	$130	$36	28%	1–10	$20 – $167
5	Premera professional · fee schedule · both · +10 other terms	12	$158	$154	$17	11%	1–10	$111 – $167
6	Humana fee schedule · outpatient · +25 other terms	229	$126	$221	$638	289%	—	$1 – $8.3k
7	Aetna fee schedule · outpatient · +33 other terms	148	$135	$368	$875	238%	—	$1 – $8.4k
8	Cigna fee schedule · outpatient · +29 other terms	95	$140	$189	$108	57%	—	$0 – $473
9	Anthem fee schedule · outpatient · +24 other terms	65	$133	$136	$31	23%	—	$24 – $395
10	Molina fee schedule · outpatient · +25 other terms	46	$116	$131	$87	66%	—	$1 – $354
11	Kaiser fee schedule · outpatient · +20 other terms	38	$140	$170	$88	52%	—	$5 – $523
12	Caresource fee schedule · outpatient · +20 other terms	33	$81	$145	$48	33%	—	$1 – $189
13	Tricare fee schedule · both · +16 other terms	31	$97	$106	$19	17%	—	$90 – $187
14	Optum professional · fee schedule · outpatient · +17 other terms	24	$135	$109	$38	35%	—	$40 – $145
15	Bcbs Tx fee schedule · outpatient · +2 other terms	23	$413	$407	$130	32%	—	$121 – $697
16	Devoted fee schedule · outpatient · +14 other terms	23	$133	$144	$38	26%	—	$129 – $319
17	First Health professional · fee schedule · both · +18 other terms	23	$114	$121	$72	59%	—	$0 – $389
18	WellCare professional · fee schedule · both · +22 other terms	23	$80	$26	$38	148%	—	$0 – $123
19	Medica fee schedule · outpatient · +17 other terms	22	$256	$261	$129	49%	—	$31 – $435
20	MultiPlan fee schedule · outpatient · +19 other terms	22	$206	$234	$134	57%	—	$64 – $509
21	Regence fee schedule · outpatient · +15 other terms	22	$166	$169	$55	32%	—	$56 – $434
22	Ucare professional · fee schedule · outpatient · +13 other terms	21	$141	$131	$31	24%	—	$37 – $205
23	Aetna Better Health fee schedule · outpatient · +18 other terms	20	$92	$138	$88	64%	—	$82 – $395
24	Medicaid fee schedule · outpatient · +14 other terms	20	$211	$206	$85	42%	—	$1 – $354
25	Highmark facility · fee schedule · outpatient · +18 other terms	19	$73	$167	$131	78%	—	$19 – $589

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