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
$151
Median
$131
High
$425
Each hospital's average Regence rate, under the methodology and billing class chosen below.
59 hospitals; the 90th percentile is 1.8× 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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96 hospital rates
iThe hospitals that file a Regence 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 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR percent of total billed charges · outpatientfrom % of charges | 3 | $124 | $129 | $54 | 42% | 117 | $69 – $211 |
| 2 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 1 | $122 | $122 | — | — | 2–20 | $122 – $122 |
| 3 | ALBANY GENERAL HOSPITAL Albany, OR facility · fee schedule · outpatient | 1 | $415 | $415 | — | — | — | $415 – $415 |
| 4 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 14 | $183 | $179 | $78 | 43% | — | $79 – $324 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 4 | $123 | $118 | $17 | 14% | — | $92 – $133 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 4 | $123 | $118 | $17 | 14% | — | $92 – $133 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 4 | $123 | $118 | $17 | 14% | — | $92 – $133 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient | 4 | $123 | $118 | $17 | 14% | — | $92 – $133 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 4 | $123 | $118 | $17 | 14% | — | $92 – $133 |
| 10 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 11 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $179 | $179 | — | — | — | $179 – $179 |
| 12 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $105 | $111 | $64 | 57% | — | $46 – $238 |
| 13 | Columbia Lutheran Charities Astoria, OR professional · fee schedule · both | 1 | $137 | $137 | — | — | — | $137 – $137 |
| 14 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 15 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 2 | $113 | $98 | $38 | 38% | — | $38 – $130 |
| 16 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA fee schedule · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 17 | FRANCISCAN HEALTH SYSTEM Tacoma, WA fee schedule · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 18 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR facility · fee schedule · outpatient | 1 | $403 | $403 | — | — | — | $403 – $403 |
| 19 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR professional · fee schedule · outpatient | 14 | $183 | $179 | $78 | 43% | — | $79 – $324 |
| 20 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 2 | $140 | $140 | $46 | 33% | — | $94 – $186 |
| 21 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 1 | $132 | $132 | $24 | 18% | — | $108 – $155 |
| 22 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 2 | $253 | $253 | — | — | — | $253 – $253 |
| 23 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 2 | $253 | $253 | — | — | — | $253 – $253 |
| 24 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 25 | HIGHLINE MEDICAL CENTER Burien, WA fee schedule · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
← Payers reporting CPT 99393 · Snapshot 20261111T120946Z-9134e7f7