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
$0
Average
$431
Median
$144
High
$50.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
466 hospitals; the 90th percentile is 5.9× 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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654 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 4 | $157 | $142 | $28 | 20% | 1,038–1,128 | $88 – $157 |
| 2 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $270 | $270 | — | — | 911 | $270 – $270 |
| 3 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 2 | $0 | $0 | — | — | 521–530 | $0 – $0 |
| 4 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $211 | $213 | $10 | 4% | 424–451 | $201 – $230 |
| 5 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 2 | $89 | $89 | $1 | 1% | 384–402 | $89 – $91 |
| 6 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $95 | $95 | $6 | 6% | 372–399 | $90 – $101 |
| 7 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 3 | $92 | $93 | $13 | 15% | 323–332 | $79 – $107 |
| 8 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 3 | $337 | $337 | $51 | 15% | 300 | $286 – $387 |
| 9 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $97 | $97 | — | — | 298 | $97 – $97 |
| 10 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 9 | $261 | $266 | $11 | 4% | 283 | $255 – $290 |
| 11 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 4 | $73 | $59 | $26 | 44% | 258–285 | $28 – $87 |
| 12 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $211 | $213 | $10 | 4% | 240–258 | $201 – $230 |
| 13 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | — | — | 174 | $83 – $83 |
| 14 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | 148 | $0 – $0 |
| 15 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $119 | $119 | — | — | 129 | $119 – $119 |
| 16 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 2 | $191 | $188 | $91 | 48% | 112 | $91 – $279 |
| 17 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 3 | $274 | $279 | $6 | 2% | 110 | $272 – $286 |
| 18 | Mayo Clinic Health System Red Wing 55066-2848 professional · percent of total billed charges · outpatientfrom % of charges | 6 | $207 | $212 | $15 | 7% | 110–119 | $197 – $232 |
| 19 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 2 | $66 | $66 | $8 | 13% | 109 | $58 – $75 |
| 20 | Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient | 2 | $79 | $89 | $13 | 15% | 108 | $79 – $107 |
| 21 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | 102 | $0 – $0 |
| 22 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 3 | $157 | $142 | $28 | 20% | 101–146 | $88 – $157 |
| 23 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · outpatient | 2 | $310 | $310 | $69 | 22% | 97 | $241 – $379 |
| 24 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 3 | $133 | $124 | $18 | 14% | 88–151 | $88 – $133 |
| 25 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 2 | $90 | $90 | $41 | 46% | 66 | $49 – $131 |
← Payers reporting CPT 99391 · Snapshot 20261111T120946Z-9134e7f7