Yearly preventive checkup for young child

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 Comprehensive Established Pt 1-4 Years

Payers reporting CPT 99392

Payer pricing summary

Low

$44

Average

$3.2k

Median

$160

High

$62.5k

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +26 other terms	102	$115	$180	$119	66%	71	$0 – $472
2	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	178	$229	$243	$131	54%	51–60	$0 – $712
3	Ambetter fee schedule · both · +18 other terms	17	$102	$142	$27	19%	31	$73 – $186
4	Carefirst professional · fee schedule · both · +10 other terms	10	$111	$110	$31	28%	3–30	$52 – $167
5	Humana fee schedule · outpatient · +25 other terms	227	$99	$192	$638	333%	1–10	$23 – $8.3k
6	Oscar professional · fee schedule · both · +14 other terms	5	$113	$114	$18	15%	1–10	$86 – $141
7	UnitedHealthcare fee schedule · outpatient · +35 other terms	182	$102	$141	$85	60%	—	$1 – $583
8	Aetna fee schedule · outpatient · +31 other terms	136	$104	$345	$964	279%	—	$20 – $8.4k
9	Anthem fee schedule · outpatient · +27 other terms	71	$107	$120	$60	50%	—	$22 – $324
10	Molina fee schedule · outpatient · +25 other terms	45	$97	$106	$68	64%	—	$22 – $275
11	Kaiser fee schedule · outpatient · +19 other terms	38	$110	$144	$90	63%	—	$5 – $523
12	Caresource fee schedule · outpatient · +18 other terms	33	$60	$144	$47	33%	—	$23 – $189
13	Tricare fee schedule · both · +18 other terms	30	$75	$84	$18	21%	—	$68 – $131
14	Bcbs Tx fee schedule · outpatient · +2 other terms	23	$311	$307	$98	32%	—	$91 – $526
15	Devoted fee schedule · outpatient · +15 other terms	23	$104	$116	$43	38%	—	$101 – $319
16	Optum professional · fee schedule · outpatient · +15 other terms	23	$109	$92	$26	29%	—	$39 – $114
17	Highmark facility · fee schedule · outpatient · +16 other terms	22	$55	$148	$127	85%	—	$28 – $442
18	MultiPlan fee schedule · outpatient · +19 other terms	22	$158	$202	$148	73%	—	$36 – $479
19	Regence fee schedule · outpatient · +13 other terms	22	$130	$136	$48	35%	—	$92 – $342
20	Aetna Better Health fee schedule · outpatient · +18 other terms	21	$69	$119	$97	82%	—	$61 – $395
21	Medica fee schedule · both · +17 other terms	21	$159	$201	$111	55%	—	$55 – $332
22	WellCare fee schedule · outpatient · +21 other terms	21	$88	$81	$20	25%	—	$32 – $116
23	Wellmark fee schedule · both · +16 other terms	21	$124	$127	$10	8%	—	$124 – $174
24	Ucare professional · fee schedule · outpatient · +12 other terms	19	$111	$104	$25	24%	—	$27 – $162
25	Medicaid fee schedule · outpatient · +12 other terms	18	$151	$159	$54	34%	—	$1 – $252

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