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 Comprehensive Established Pt 5-11 Yrs
Low
$20
Average
$8.8k
Median
$113
High
$5261.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
620 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.
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992 hospital rates
iThe hospitals that file a Aetna 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $274 | $269 | $55 | 20% | 1,096 | $199 – $333 |
| 2 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $208 | $210 | $31 | 15% | 210 | $170 – $254 |
| 3 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | 159 | $89 – $89 |
| 4 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 4 | $152 | $142 | $37 | 26% | 151 | $93 – $180 |
| 5 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | 150 | $122 – $122 |
| 6 | Baystate Franklin Medical Center Greenfield, MA facility · percent of total billed charges · bothfrom % of charges | 1 | $183 | $183 | — | — | 95 | $183 – $183 |
| 7 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | 82 | $107 – $107 |
| 8 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $127 | $127 | — | — | 55 | $127 – $127 |
| 9 | Mercy Hospital Southeast Girardeau, MO professional · percent of total billed charges · outpatientfrom % of charges | 1 | $108 | $108 | — | — | 51 | $108 – $108 |
| 10 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 4 | $102 | $109 | $15 | 14% | 46 | $96 – $135 |
| 11 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $198 | $198 | $12 | 6% | 45 | $187 – $210 |
| 12 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $105 | $105 | — | — | 37 | $105 – $105 |
| 13 | Samaritan Medical Center Watertown, NY professional · other · both | 1 | $105 | $105 | — | — | 37 | $105 – $105 |
| 14 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $94 | $94 | — | — | 36–45 | $94 – $94 |
| 15 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $281 | $281 | — | — | 30 | $281 – $281 |
| 16 | Tacoma General Allenmore Hospital Bremerton, WA other · outpatient | 1 | $208 | $208 | — | — | 27 | $208 – $208 |
| 17 | St Peters Hospital Albany, NY professional · fee schedule · both | 2 | $193 | $163 | $41 | 25% | 25 | $105 – $193 |
| 18 | Stanford Health Care Stanford, CA fee schedule · both | 1 | $334 | $334 | — | — | 25–52 | $334 – $334 |
| 19 | Good Samaritan Hospital Puyallup, WA other · outpatient | 1 | $208 | $208 | — | — | 23 | $208 – $208 |
| 20 | Samaritan Hospital Troy, NY professional · fee schedule · both | 2 | $193 | $163 | $41 | 25% | 21 | $105 – $193 |
| 21 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | $2 | 8% | 21–30 | $24 – $29 |
| 22 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 4 | $152 | $137 | $31 | 23% | 16 | $93 – $167 |
| 23 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $266 | $266 | — | — | 15–24 | $266 – $266 |
| 24 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $315 | $315 | — | — | 15 | $315 – $315 |
| 25 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 4 | $130 | $123 | $28 | 23% | 14 | $87 – $153 |
← Payers reporting CPT 99393 · Snapshot 20261111T120946Z-9134e7f7