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 40-64 Years
Low
$16
Average
$274
Median
$157
High
$19.5k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
242 hospitals; the 90th percentile is 3.6× 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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417 hospital rates
iThe hospitals that file a Anthem 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 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 5 | $188 | $175 | $22 | 12% | 210–264 | $138 – $188 |
| 2 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $381 | $381 | — | — | 167–248 | $381 – $381 |
| 3 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $381 | $381 | — | — | 141–204 | $381 – $381 |
| 4 | The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · bothfrom % of charges | 1 | $144 | $144 | — | — | 36 | $144 – $144 |
| 5 | The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $241 | $241 | — | — | 36 | $241 – $241 |
| 6 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $240 | $240 | — | — | 30–66 | $240 – $240 |
| 7 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 5 | $230 | $197 | $57 | 29% | 30–102 | $81 – $230 |
| 8 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 2 | $174 | $168 | $15 | 9% | 17–71 | $135 – $174 |
| 9 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | $31 | 42% | 16 | $43 – $104 |
| 10 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · outpatient | 1 | $165 | $165 | — | — | 14 | $165 – $165 |
| 11 | Mount Carmel Grove City Grove City, OH professional · fee schedule · outpatient | 1 | $173 | $173 | — | — | 11 | $173 – $173 |
| 12 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 2 | $194 | $182 | $27 | 15% | 9–90 | $123 – $194 |
| 13 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 2 | $141 | $131 | $21 | 16% | 7–70 | $87 – $141 |
| 14 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 2 | $174 | $168 | $15 | 9% | 6–60 | $135 – $174 |
| 15 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 2 | $120 | $111 | $19 | 17% | 5–50 | $69 – $120 |
| 16 | St. Francis Hospital Inc Wilmington, DE professional · fee schedule · both | 2 | $122 | $120 | $6 | 5% | 5–50 | $108 – $122 |
| 17 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 2 | $185 | $169 | $35 | 21% | 5–50 | $92 – $185 |
| 18 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $241 | $241 | — | — | 4–40 | $241 – $241 |
| 19 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $174 | $174 | — | — | 4–40 | $174 – $174 |
| 20 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 2 | $174 | $168 | $15 | 9% | 3–30 | $135 – $174 |
| 21 | Barnesville Hospital Association, Inc. Barnesville, OH facility · other · outpatient | 1 | $147 | $147 | — | — | 1–10 | $147 – $147 |
| 22 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 2 | $219 | $198 | $43 | 22% | 1–10 | $104 – $219 |
| 23 | Lafayette County Darlington, WI facility · other · inpatient | 1 | $151 | $151 | — | — | 1–10 | $151 – $151 |
| 24 | Lafayette County Darlington, WI facility · other · outpatient | 1 | $151 | $151 | — | — | 1–10 | $151 – $151 |
| 25 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · inpatient | 2 | $174 | $162 | $27 | 16% | 1–10 | $104 – $174 |
← Payers reporting CPT 99386 · Snapshot 20261111T120946Z-9134e7f7