Yearly preventive checkup for an infant

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 Periodic Compr Estab Patient Infant < 1 Year

Payers reporting CPT 99391

Payer pricing summary

Low

$41

Average

$1.7k

Median

$155

High

$31.6k

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +26 other terms	101	$106	$176	$124	71%	112–121	$0 – $472
2	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	177	$209	$225	$121	54%	99–117	$0 – $712
3	Ambetter fee schedule · both · +18 other terms	17	$94	$128	$28	22%	21	$39 – $174
4	Carefirst professional · fee schedule · both · +10 other terms	11	$97	$98	$33	34%	3–30	$25 – $157
5	Humana fee schedule · outpatient · +25 other terms	226	$93	$187	$643	345%	1–10	$23 – $8.3k
6	Optum professional · fee schedule · outpatient · +15 other terms	23	$102	$86	$25	29%	1–10	$36 – $107
7	Oscar professional · fee schedule · both · +14 other terms	5	$103	$106	$17	16%	1–10	$79 – $133
8	UnitedHealthcare fee schedule · outpatient · +35 other terms	183	$96	$135	$86	63%	—	$1 – $532
9	Aetna fee schedule · outpatient · +31 other terms	136	$98	$334	$962	288%	—	$5 – $8.4k
10	Anthem fee schedule · outpatient · +27 other terms	73	$98	$111	$62	56%	—	$5 – $314
11	Molina fee schedule · outpatient · +24 other terms	44	$92	$100	$65	64%	—	$22 – $260
12	Kaiser fee schedule · outpatient · +19 other terms	37	$104	$130	$86	66%	—	$5 – $523
13	Caresource fee schedule · outpatient · +16 other terms	34	$54	$142	$50	35%	—	$22 – $189
14	Tricare fee schedule · both · +18 other terms	31	$71	$76	$14	19%	—	$62 – $119
15	Bcbs Tx fee schedule · outpatient · +2 other terms	23	$284	$280	$90	32%	—	$81 – $480
16	Devoted fee schedule · outpatient · +14 other terms	23	$98	$110	$45	41%	—	$94 – $319
17	MultiPlan fee schedule · outpatient · +19 other terms	23	$138	$179	$140	78%	—	$36 – $449
18	Regence fee schedule · outpatient · +13 other terms	22	$122	$128	$46	36%	—	$87 – $320
19	Highmark fee schedule · outpatient · +17 other terms	21	$84	$87	$42	48%	—	$5 – $313
20	Medica fee schedule · both · +17 other terms	21	$145	$187	$105	56%	—	$50 – $312
21	Wellmark fee schedule · both · +15 other terms	21	$113	$114	$5	4%	—	$97 – $141
22	Aetna Better Health fee schedule · outpatient · +17 other terms	20	$63	$116	$101	87%	—	$50 – $395
23	WellCare fee schedule · outpatient · +21 other terms	20	$71	$65	$32	49%	—	$5 – $110
24	Medicaid fee schedule · outpatient · +11 other terms	19	$135	$132	$50	38%	—	$1 – $204
25	First Health professional · fee schedule · both · +18 other terms	18	$76	$86	$55	64%	—	$0 – $285

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