Preventive health visit for new adult patient

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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
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 18-39 Years

Payers reporting CPT 99385

Payer pricing summary

Low

$54

Average

$2.5k

Median

$198

High

$46.4k

Payer rate distribution

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#
1	Oscar professional · fee schedule · both · +15 other terms	9	$144	$148	$17	12%	110	$123 – $175
2	Ambetter fee schedule · both · +18 other terms	17	$131	$185	$51	28%	25	$93 – $520
3	UnitedHealthcare fee schedule · outpatient · +37 other terms	190	$129	$194	$137	71%	18–27	$1 – $752
4	Premera professional · fee schedule · both · +9 other terms	15	$152	$153	$33	21%	10–100	$98 – $242
5	Carefirst professional · fee schedule · both · +12 other terms	17	$131	$127	$43	34%	6–60	$20 – $242
6	Tricare fee schedule · both · +19 other terms	30	$121	$146	$73	50%	3–30	$88 – $520
7	Humana fee schedule · outpatient · +26 other terms	228	$123	$208	$615	296%	1–10	$1 – $8.3k
8	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	178	$291	$309	$165	54%	1–10	$0 – $817
9	Optum professional · fee schedule · outpatient · +19 other terms	24	$131	$104	$37	36%	1–10	$47 – $140
10	Excellus professional · fee schedule · both · +15 other terms	20	$127	$125	$52	42%	1–10	$20 – $341
11	Bcbs Mo professional · other · both · +2 other terms	1	$174	$174	—	—	1–10	$174 – $174
12	Aetna fee schedule · outpatient · +34 other terms	151	$131	$345	$846	245%	—	$1 – $8.4k
13	Cigna fee schedule · outpatient · +28 other terms	101	$136	$172	$110	64%	—	$0 – $460
14	Anthem fee schedule · outpatient · +25 other terms	64	$129	$127	$31	24%	—	$21 – $427
15	Molina fee schedule · outpatient · +26 other terms	46	$117	$124	$77	62%	—	$1 – $342
16	Kaiser fee schedule · outpatient · +19 other terms	37	$136	$173	$89	52%	—	$5 – $523
17	Caresource fee schedule · outpatient · +16 other terms	34	$77	$143	$49	34%	—	$1 – $189
18	Regence fee schedule · outpatient · +14 other terms	26	$161	$186	$73	39%	—	$56 – $422
19	First Health professional · fee schedule · both · +19 other terms	24	$114	$118	$71	60%	—	$0 – $377
20	WellCare professional · fee schedule · both · +22 other terms	24	$77	$26	$37	142%	—	$0 – $119
21	Aetna Better Health fee schedule · outpatient · +17 other terms	23	$88	$127	$86	68%	—	$71 – $395
22	Bcbs Tx fee schedule · outpatient · +2 other terms	23	$396	$388	$126	33%	—	$116 – $668
23	Devoted fee schedule · outpatient · +17 other terms	23	$129	$140	$38	27%	—	$125 – $319
24	Medcost fee schedule · both · +10 other terms	23	$205	$209	$4	2%	—	$205 – $213
25	MultiPlan fee schedule · outpatient · +19 other terms	22	$181	$218	$134	61%	—	$59 – $509

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