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
$12
Average
$199
Median
$82
High
$23.1k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
219 hospitals; the 90th percentile is 4.5× 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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311 hospital rates
iThe hospitals that file a Molina 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 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 4 | $98 | $100 | $7 | 7% | 427 | $93 – $109 |
| 2 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC per diem · both | 1 | $123 | $123 | — | — | 391 | $123 – $123 |
| 3 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC per diem · both | 1 | $123 | $123 | — | — | 391 | $123 – $123 |
| 4 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $223 | $223 | — | — | 115–133 | $223 – $223 |
| 5 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $39 | $39 | — | — | 77 | $39 – $39 |
| 6 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC per diem · both | 1 | $124 | $124 | — | — | 66 | $124 – $124 |
| 7 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC per diem · both | 1 | $124 | $124 | — | — | 66 | $124 – $124 |
| 8 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $130 | $130 | — | — | 39 | $130 – $130 |
| 9 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 4 | $93 | $96 | $8 | 9% | 38–47 | $87 – $109 |
| 10 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 4 | $93 | $96 | $8 | 9% | 36–45 | $87 – $109 |
| 11 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $95 | $95 | — | — | 33 | $95 – $95 |
| 12 | Nor-Lea Hospital District Lovington, NM professional · fee schedule · both | 1 | $81 | $81 | — | — | 33 | $81 – $81 |
| 13 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 4 | $100 | $101 | $7 | 7% | 26 | $93 – $109 |
| 14 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $40 | $39 | $0 | 1% | 3–30 | $39 – $40 |
| 15 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 1 | $39 | $39 | — | — | 3–30 | $39 – $39 |
| 16 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | 1–10 | $26 – $26 |
| 17 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · inpatient | 1 | $79 | $79 | — | — | 1–10 | $79 – $79 |
| 18 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · outpatient | 1 | $79 | $79 | — | — | 1–10 | $79 – $79 |
| 19 | HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 20 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | 1–10 | $167 – $167 |
| 21 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 22 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 23 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 24 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 25 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $213 | $213 | — | — | — | $213 – $213 |
← Payers reporting CPT 99393 · Snapshot 20261111T120946Z-9134e7f7