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 Periodic Compr Estab Patient Infant < 1 Year
Low
$25
Average
$7.0k
Median
$107
High
$4160.4k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
620 hospitals; the 90th percentile is 4.1× 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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992 hospital rates
iThe hospitals that file a Aetna 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $274 | $269 | $55 | 20% | 1,168 | $199 – $333 |
| 2 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $186 | $188 | $32 | 17% | 386 | $148 – $232 |
| 3 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $357 | $357 | — | — | 188 | $357 – $357 |
| 4 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $112 | $112 | — | — | 172 | $112 – $112 |
| 5 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | — | — | 85 | $98 – $98 |
| 6 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $333 | $333 | — | — | 83 | $333 – $333 |
| 7 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $84 | — | — | 77 | $84 – $84 |
| 8 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 4 | $143 | $133 | $35 | 26% | 73 | $88 – $169 |
| 9 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $198 | $198 | $12 | 6% | 55 | $187 – $210 |
| 10 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 1 | $51 | $51 | — | — | 44 | $51 – $51 |
| 11 | Mercy Hospital Southeast Girardeau, MO professional · percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | — | — | 41 | $98 – $98 |
| 12 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | 36 | $80 – $80 |
| 13 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 4 | $96 | $103 | $15 | 14% | 27 | $90 – $127 |
| 14 | Good Samaritan Hospital Puyallup, WA other · outpatient | 1 | $196 | $196 | — | — | 25 | $196 – $196 |
| 15 | Samaritan Hospital Troy, NY professional · fee schedule · both | 2 | $181 | $154 | $39 | 25% | 24 | $99 – $181 |
| 16 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $175 | $175 | $27 | 15% | 23 | $148 – $201 |
| 17 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $56 | $56 | — | — | 23 | $56 – $56 |
| 18 | Jennie Stuart Medical Center Hopkinsville, KY professional · other · both | 1 | $56 | $56 | — | — | 23 | $56 – $56 |
| 19 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 1 | $51 | $51 | — | — | 22 | $51 – $51 |
| 20 | Tacoma General Allenmore Hospital Bremerton, WA other · outpatient | 1 | $196 | $196 | — | — | 22 | $196 – $196 |
| 21 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | $2 | 8% | 18–27 | $24 – $29 |
| 22 | Mary Bridge Children's Hospital Tacoma, WA other · outpatient | 1 | $196 | $196 | — | — | 15 | $196 – $196 |
| 23 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 4 | $121 | $116 | $26 | 23% | 15 | $82 – $143 |
| 24 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 1 | $51 | $51 | — | — | 15 | $51 – $51 |
| 25 | St Peters Hospital Albany, NY professional · fee schedule · both | 2 | $181 | $154 | $39 | 25% | 14 | $99 – $181 |
← Payers reporting CPT 99391 · Snapshot 20261111T120946Z-9134e7f7