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 18-39 Years
Low
$64
Average
$226
Median
$160
High
$1.8k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
56 hospitals; the 90th percentile is 2.7× 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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94 hospital rates
iThe hospitals that file a Wellmark 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 3 | $160 | $140 | $36 | 26% | 360 | $78 – $160 |
| 2 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 3 | $190 | $169 | $36 | 21% | 2–20 | $107 – $190 |
| 3 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · both | 3 | $160 | $140 | $36 | 26% | 2–20 | $78 – $160 |
| 4 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 1 | $154 | $154 | — | — | 2–20 | $154 – $154 |
| 5 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $199 | $199 | — | — | 1–10 | $199 – $199 |
| 6 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 1 | $152 | $152 | — | — | 1–10 | $152 – $152 |
| 7 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $209 | $209 | — | — | 1–10 | $209 – $209 |
| 8 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 1 | $191 | $191 | — | — | 1–10 | $191 – $191 |
| 9 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $331 | $331 | — | — | 1–10 | $331 – $331 |
| 10 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 1 | $152 | $152 | — | — | 1–10 | $152 – $152 |
| 11 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $160 | $160 | — | — | — | $160 – $160 |
| 12 | Avera Dell Rapids Hospital Dell Rapids, SD fee schedule · both | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 13 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · inpatientfrom % of charges | 1 | $206 | $206 | — | — | — | $206 – $206 |
| 14 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · outpatientfrom % of charges | 1 | $206 | $206 | — | — | — | $206 – $206 |
| 15 | Avera Holy Family Hospital Estherville, IA fee schedule · both | 2 | $160 | $160 | — | — | — | $160 – $160 |
| 16 | Avera Holy Family Hospital Estherville, IA percent of total billed charges · inpatientfrom % of charges | 2 | $108 | $108 | — | — | — | $108 – $108 |
| 17 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 18 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 3 | $160 | $140 | $36 | 26% | — | $78 – $160 |
| 19 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 3 | $160 | $160 | — | — | — | $160 – $160 |
| 20 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 3 | $160 | $160 | — | — | — | $160 – $160 |
| 21 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $24 | $24 | $11 | 45% | — | $13 – $35 |
| 22 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 3 | $160 | $140 | $36 | 26% | — | $78 – $160 |
| 23 | Freeman Regional Health Svcs. Freeman, SD fee schedule · both | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 24 | Freeman Regional Health Svcs. Freeman, SD percent of total billed charges · inpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 25 | Freeman Regional Health Svcs. Freeman, SD percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
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