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
$5.5k
Median
$124
High
$2760.6k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
513 hospitals; the 90th percentile is 4.6× 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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765 hospital rates
iThe hospitals that file a Cigna 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 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $161 | $166 | $42 | 25% | 399 | $113 – $229 |
| 2 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | 121 | $96 – $96 |
| 3 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · outpatient | 2 | $360 | $360 | — | — | 112–121 | $360 – $360 |
| 4 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | 112 | $105 – $105 |
| 5 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 2 | $112 | $112 | $4 | 3% | 70 | $109 – $116 |
| 6 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $157 | $157 | — | — | 65 | $157 – $157 |
| 7 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $82 | — | — | 63 | $82 – $82 |
| 8 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $81 | $81 | — | — | 44 | $81 – $81 |
| 9 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 2 | $114 | $114 | $26 | 23% | 38 | $88 – $140 |
| 10 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 2 | $117 | $117 | $27 | 23% | 35 | $90 – $144 |
| 11 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $277 | $277 | — | — | 32 | $277 – $277 |
| 12 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $250 | $250 | — | — | 24 | $250 – $250 |
| 13 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 4 | $276 | $278 | $6 | 2% | 21 | $276 – $290 |
| 14 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $250 | $250 | — | — | 21 | $250 – $250 |
| 15 | Mayo Clinic Health System Red Wing 55066-2848 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $225 | — | — | 14 | $225 – $225 |
| 16 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $161 | $166 | $42 | 25% | 13–31 | $113 – $229 |
| 17 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $326 | $326 | — | — | 13–22 | $326 – $326 |
| 18 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $225 | — | — | 11 | $225 – $225 |
| 19 | Baystate Medical Center Springfield, MA fee schedule · both | 1 | $194 | $194 | — | — | 3–30 | $194 – $194 |
| 20 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | 3–30 | $73 – $73 |
| 21 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | 3–30 | $89 – $89 |
| 22 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $101 | $45 | 44% | 3–30 | $61 – $163 |
| 23 | Harrison Community Hospital, Inc. Cadiz, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | — | — | 2–20 | $93 – $93 |
| 24 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · bothfrom % of charges | 1 | $88 | $88 | $11 | 13% | 2–20 | $76 – $99 |
| 25 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 2 | $164 | $164 | — | — | 2–20 | $164 – $164 |
← Payers reporting CPT 99391 · Snapshot 20261111T120946Z-9134e7f7