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
$28
Average
$1.4k
Median
$111
High
$44k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 3.2× 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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64 hospital rates
iThe hospitals that file a Excellus 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 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 2 | $180 | $180 | $51 | 29% | 4–40 | $129 – $231 |
| 2 | Samaritan Medical Center Watertown, NY facility · other · outpatient | 1 | $129 | $129 | — | — | 2–20 | $129 – $129 |
| 3 | Samaritan Medical Center Watertown, NY professional · other · both | 1 | $129 | $129 | — | — | 2–20 | $129 – $129 |
| 4 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 2 | $98 | $98 | $5 | 5% | 1–10 | $93 – $103 |
| 5 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 2 | $108 | $108 | $14 | 13% | 1–10 | $93 – $122 |
| 6 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $267 | $267 | — | — | 1–10 | $267 – $267 |
| 7 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $267 | $267 | — | — | 1–10 | $267 – $267 |
| 8 | Alice Hyde Medical Center Malone, NY professional · fee schedule · both | 2 | $100 | $100 | $12 | 12% | — | $88 – $112 |
| 9 | CLIFTON-FINE HEALTHCARE CORPORATION STAR LAKE, NY fee schedule · outpatient | 1 | $229 | $229 | — | — | — | $229 – $229 |
| 10 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 2 | $102 | $102 | $22 | 22% | — | $80 – $124 |
| 11 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 2 | $129 | $129 | $50 | 38% | — | $80 – $179 |
| 12 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · fee schedule · both | 2 | $100 | $100 | $12 | 12% | — | $88 – $112 |
| 13 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 2 | $102 | $102 | $22 | 22% | — | $80 – $124 |
| 14 | Elizabethtown Community Hospital Elizabethtown, NY professional · fee schedule · both | 2 | $100 | $100 | $12 | 12% | — | $88 – $112 |
| 15 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 3 | $71 | $70 | $27 | 38% | — | $23 – $124 |
| 16 | Highland Hospital Rochester, NY fee schedule · outpatient | 4 | $33 | $93 | $105 | 112% | — | $33 – $275 |
| 17 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 18 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 2 | $69 | $69 | $17 | 25% | — | $52 – $87 |
| 19 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $185 | $185 | — | — | — | $185 – $185 |
| 20 | MVHS, Inc. Utica, NY percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 21 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 2 | $44k | $44k | — | — | — | $44k – $44k |
| 22 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 6 | $88 | $87 | $29 | 34% | — | $40 – $143 |
| 23 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $323 | $323 | — | — | — | $323 – $323 |
| 24 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · outpatient | 1 | $323 | $323 | — | — | — | $323 – $323 |
| 25 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 2 | $98 | $98 | $5 | 5% | — | $93 – $103 |
← Payers reporting CPT 99393 · Snapshot 20261111T120946Z-9134e7f7