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

Wellmark pricing summary

Low

$43

Average

$199

Median

$113

High

$1.8k

Wellmark rate distribution

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82 hospital rates

#		Plans
1	Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both	3	$113	$113	—	—	—	$113 – $113
2	Avera Dell Rapids Hospital Dell Rapids, SD fee schedule · both	1	$118	$118	—	—	—	$118 – $118
3	Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · inpatientfrom % of charges	1	$87	$87	—	—	—	$87 – $87
4	Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · outpatientfrom % of charges	1	$87	$87	—	—	—	$87 – $87
5	Avera Gregory Hospital Gregory, SD fee schedule · both	1	$118	$118	—	—	—	$118 – $118
6	Avera Gregory Hospital Gregory, SD percent of total billed charges · inpatientfrom % of charges	1	$96	$96	—	—	—	$96 – $96
7	Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges	1	$96	$96	—	—	—	$96 – $96
8	Avera Hand County Hospital Miller, SD fee schedule · both	1	$118	$118	—	—	—	$118 – $118
9	Avera Hand County Hospital Miller, SD percent of total billed charges · inpatientfrom % of charges	1	$90	$90	—	—	—	$90 – $90
10	Avera Hand County Hospital Miller, SD percent of total billed charges · outpatientfrom % of charges	1	$90	$90	—	—	—	$90 – $90
11	Avera Sacred Heart Hospital Yankton, SD fee schedule · both	1	$118	$118	—	—	—	$118 – $118
12	Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · inpatientfrom % of charges	1	$96	$96	—	—	—	$96 – $96
13	Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges	1	$96	$96	—	—	—	$96 – $96
14	Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges	1	$116	$116	—	—	—	$116 – $116
15	Central Iowa Hospital Corporation Des Moines, IA fee schedule · both	3	$113	$113	—	—	—	$113 – $113
16	Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both	3	$113	$113	—	—	—	$113 – $113
17	Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient	1	$86	$86	—	—	—	$86 – $86
18	Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both	3	$113	$99	$25	25%	—	$55 – $113
19	Floyd Valley Healthcare Le Mars, IA fee schedule · both	2	$113	$113	—	—	—	$113 – $113
20	Floyd Valley Healthcare Le Mars, IA percent of total billed charges · inpatientfrom % of charges	2	$46	$46	—	—	—	$46 – $46
21	Freeman Regional Health Svcs. Freeman, SD fee schedule · both	1	$118	$118	—	—	—	$118 – $118
22	Freeman Regional Health Svcs. Freeman, SD percent of total billed charges · inpatientfrom % of charges	1	$138	$138	—	—	—	$138 – $138
23	Freeman Regional Health Svcs. Freeman, SD percent of total billed charges · outpatientfrom % of charges	1	$138	$138	—	—	—	$138 – $138
24	Grinnell Regional Medical Center Grinnell, IA fee schedule · both	3	$113	$113	—	—	—	$113 – $113
25	HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA other · outpatient	2	$85	$85	—	—	—	$85 – $85