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
$15
Average
$209
Median
$98
High
$19.5k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
233 hospitals; the 90th percentile is 3.8× 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.
Filter by billing methodology
Filter by billing class
405 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 | $118 | $111 | $12 | 11% | 1,033–1,087 | $90 – $118 |
| 2 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $10 | 42% | 96 | $14 – $34 |
| 3 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $250 | $250 | — | — | 69–114 | $250 – $250 |
| 4 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $250 | $250 | — | — | 56–92 | $250 – $250 |
| 5 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $41 | $41 | $0 | 1% | 48–57 | $40 – $41 |
| 6 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $219 | $219 | $30 | 14% | 26 | $188 – $249 |
| 7 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 2 | $157 | $145 | $26 | 18% | 8–80 | $88 – $157 |
| 8 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 2 | $133 | $125 | $17 | 14% | 5–50 | $88 – $133 |
| 9 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 2 | $157 | $145 | $26 | 18% | 5–50 | $88 – $157 |
| 10 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 1 | $40 | $40 | $1 | 1% | 3–30 | $40 – $41 |
| 11 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $42 | $42 | $2 | 4% | 2–20 | $40 – $44 |
| 12 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $77 | $77 | — | — | 1–10 | $77 – $77 |
| 13 | Jennie Stuart Medical Center Hopkinsville, KY professional · other · both | 1 | $77 | $77 | — | — | 1–10 | $77 – $77 |
| 14 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $188 | $188 | — | — | 1–10 | $188 – $188 |
| 15 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | $3 | 3% | — | $104 – $110 |
| 16 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 17 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 18 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $25 | $42 | $27 | 63% | — | $21 – $80 |
| 19 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 5 | $137 | $131 | $39 | 30% | — | $77 – $196 |
| 20 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | $11 | 18% | — | $49 – $71 |
| 21 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $120 | $89 | $48 | 54% | — | $21 – $126 |
| 22 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $130 | $130 | $22 | 17% | — | $108 – $151 |
| 23 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 24 | Ascension Calumet Hospital, Inc. Chilton, WI fee schedule · outpatient | 4 | $71 | $71 | — | — | — | $71 – $71 |
| 25 | Ascension NE Wisconsin, Inc. Appleton, WI fee schedule · outpatient | 4 | $71 | $71 | — | — | — | $71 – $71 |
← Payers reporting CPT 99391 · Snapshot 20261111T120946Z-9134e7f7