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
$2
Average
$9.7k
Median
$109
High
$6708.4k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
705 hospitals; the 90th percentile is 4.1× 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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1,137 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | $105 | $105 | $8 | 7% | 823 | $93 – $114 |
| 2 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 6 | $123 | $102 | $46 | 45% | 418–454 | $24 – $149 |
| 3 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 2 | $78 | $79 | $46 | 58% | 270–279 | $33 – $125 |
| 4 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $229 | $229 | $29 | 13% | 203 | $199 – $258 |
| 5 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $108 | $110 | $3 | 3% | 199 | $108 – $114 |
| 6 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $257 | $257 | — | — | 189 | $257 – $257 |
| 7 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $267 | $267 | — | — | 176 | $267 – $267 |
| 8 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $223 | $223 | — | — | 174–192 | $223 – $223 |
| 9 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | — | — | 162 | $90 – $90 |
| 10 | St Peters Hospital Albany, NY professional · fee schedule · both | 1 | $176 | $176 | — | — | 153 | $176 – $176 |
| 11 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $118 | $118 | — | — | 137 | $118 – $118 |
| 12 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $101 | $118 | $27 | 23% | 128 | $96 – $155 |
| 13 | Baystate Franklin Medical Center Greenfield, MA facility · percent of total billed charges · bothfrom % of charges | 1 | $183 | $183 | — | — | 95 | $183 – $183 |
| 14 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $128 | $128 | — | — | 91 | $128 – $128 |
| 15 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $304 | $304 | — | — | 91–109 | $304 – $304 |
| 16 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $269 | $269 | — | — | 75–84 | $269 – $269 |
| 17 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 3 | $93 | $94 | $2 | 2% | 67 | $92 – $96 |
| 18 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $267 | $267 | — | — | 61 | $267 – $267 |
| 19 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 2 | $93 | $93 | $0 | 0% | 59 | $93 – $93 |
| 20 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 4 | $114 | $106 | $51 | 48% | 48–84 | $33 – $172 |
| 21 | Samaritan Hospital Troy, NY professional · fee schedule · both | 1 | $176 | $176 | — | — | 48 | $176 – $176 |
| 22 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $304 | $304 | — | — | 45–63 | $304 – $304 |
| 23 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO case rate · outpatient | 1 | $452 | $452 | — | — | 41 | $452 – $452 |
| 24 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 6 | $123 | $102 | $46 | 45% | 40–49 | $24 – $149 |
| 25 | Denver Health and Hospital Authority Denver, CO facility · other · outpatient | 1 | $269 | $269 | — | — | 39 | $269 – $269 |
← Payers reporting CPT 99393 · Snapshot 20261112T181611Z-3fa9fb76