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
$54
Average
$89
Median
$89
High
$132
Each hospital's average Bcbs Mi rate, under the methodology and billing class chosen below.
7 hospitals; the 90th percentile is 2.4× 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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9 hospital rates
iThe hospitals that file a Bcbs Mi 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 | Trinity Health Grand Haven Hospital Grand Haven, MI facility · fee schedule · both | 1 | $65 | $65 | — | — | 1–10 | $65 – $65 |
| 2 | Aspirus Iron River Hospital Iron River, MI fee schedule · both | 3 | $122 | $126 | $20 | 16% | — | $103 – $152 |
| 3 | Aspirus Ironwood Hospital Ironwood, MI fee schedule · both | 3 | $103 | $107 | $5 | 4% | — | $103 – $113 |
| 4 | Aspirus Keweenaw Hospital Laurium, MI fee schedule · both | 3 | $133 | $132 | $8 | 6% | — | $122 – $140 |
| 5 | Covenant Medical Center Inc Saginaw, MI facility · case rate · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 6 | Covenant Medical Center Inc Saginaw, MI facility · case rate · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 7 | The Toledo Hospital Maumee, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 8 | The Toledo Hospital Maumee, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 9 | The Toledo Hospital Maumee, OH professional · fee schedule · outpatient | 2 | $100 | $100 | — | — | — | $100 – $100 |
← Payers reporting CPT 99393 · Snapshot 20261111T120946Z-9134e7f7