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
PR E&M Preventive Medicine Initial Comprehensive New Patient 12-17 Years
Low
$1
Average
$147
Median
$120
High
$456
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
72 hospitals; the 90th percentile is 7.2× 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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90 hospital rates
iThe hospitals that file a Medicaid 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 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN per diem · both | 2 | $193 | $193 | $34 | 18% | 18 | $159 – $227 |
| 2 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $266 | $266 | $89 | 33% | — | $177 – $354 |
| 3 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $226 | $226 | $6 | 3% | — | $219 – $232 |
| 4 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $240 | $240 | $18 | 7% | — | $222 – $257 |
| 5 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $240 | $240 | $18 | 7% | — | $222 – $257 |
| 6 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $199 | $199 | $24 | 12% | — | $175 – $222 |
| 7 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 8 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 9 | Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient | 2 | $204 | $204 | — | — | — | $204 – $204 |
| 10 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 12 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 13 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 14 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 15 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 16 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 17 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 2 | $412 | $412 | — | — | — | $412 – $412 |
| 18 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 19 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $200 | $200 | — | — | — | $200 – $200 |
| 20 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · both | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 24 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · inpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 25 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
← Payers reporting CPT 99384 · Snapshot 20261111T120946Z-9134e7f7