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
$17
Average
$117
Median
$104
High
$227
Each hospital's average Bcbs La rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 6.8× 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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17 hospital rates
iThe hospitals that file a Bcbs La 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 | BRFHH MONROE, LLC Monroe, LA percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 2 | Coushatta Health Care Center Coushatta, LA fee schedule · outpatient | 4 | $233 | $227 | $16 | 7% | — | $203 – $241 |
| 3 | Highland Medical Center - Shreveport Shreveport, LA fee schedule · outpatient | 4 | $208 | $196 | $30 | 15% | — | $149 – $222 |
| 4 | KAPLAN GENERAL HOSPITAL, INC ST, LA fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 5 | KAPLAN GENERAL HOSPITAL, INC ST, LA other · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 6 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA fee schedule · outpatient | 1 | $5 | $17 | $25 | 148% | — | $5 – $68 |
| 7 | OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC Shreveport, LA percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 8 | Ochsner American Legion Hospital, LLC Jennings, LA fee schedule · outpatient | 1 | $100 | $80 | $37 | 47% | — | $5 – $100 |
| 9 | Ochsner American Legion Hospital, LLC Jennings, LA other · outpatient | 1 | $198 | $211 | $58 | 28% | — | $152 – $294 |
| 10 | Ochsner Lake Area Hospital Lake Charles, LA fee schedule · outpatient | 3 | $171 | $171 | — | — | — | $171 – $171 |
| 11 | Ochsner St. Patrick Hospital Lake Charles, LA fee schedule · outpatient | 3 | $173 | $173 | — | — | — | $173 – $173 |
| 12 | Opelousas General Main Campus Opelousas, LA facility · fee schedule · outpatient | 4 | $137 | $137 | $2 | 2% | — | $135 – $140 |
| 13 | ST MARTIN HOSPITAL INC Breaux Bridge, LA other · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 14 | ST MARTIN HOSPITAL INC Breaux Bridge, LA percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | $4 | 4% | — | $83 – $91 |
| 15 | St. Frances Cabrini Hospital Alexandria, LA fee schedule · outpatient | 3 | $223 | $223 | — | — | — | $223 – $223 |
| 16 | UNIVERSITY HEALTH SHREVEPORT, LLC Shreveport, LA percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 17 | University Hospital & Clinics, Inc. Lafayette, LA fee schedule · outpatient | 1 | $5 | $17 | $25 | 148% | — | $5 – $68 |
← Payers reporting CPT 99393 · Snapshot 20261111T120946Z-9134e7f7