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
$195
Median
$124
High
$1.8k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
52 hospitals; the 90th percentile is 2.8× 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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94 hospital rates
iThe hospitals that file a Wellmark 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 | Avera Creighton Hospital Creighton, NE inpatient | 1 | $163 | $163 | — | — | 19 | $163 – $163 |
| 2 | Avera Creighton Hospital Creighton, NE percent of total billed charges · inpatientfrom % of charges | 1 | $88 | $88 | — | — | 19 | $88 – $88 |
| 3 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 3 | $179 | $160 | $34 | 21% | 2–20 | $101 – $179 |
| 4 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 1 | $103 | $103 | — | — | 1–10 | $103 – $103 |
| 5 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 1 | $122 | $122 | — | — | 1–10 | $122 – $122 |
| 6 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 1 | $128 | $128 | — | — | 1–10 | $128 – $128 |
| 7 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $267 | $267 | — | — | 1–10 | $267 – $267 |
| 8 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $124 | $124 | — | — | — | $124 – $124 |
| 9 | Avera Creighton Hospital Creighton, NE percent of total billed charges · bothfrom % of charges | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 10 | Avera Creighton Hospital Creighton, NE percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 11 | Avera Dell Rapids Hospital Dell Rapids, SD fee schedule · both | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 12 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · inpatientfrom % of charges | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 13 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · outpatientfrom % of charges | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 14 | Avera Gregory Hospital Gregory, SD fee schedule · both | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 15 | Avera Gregory Hospital Gregory, SD percent of total billed charges · inpatientfrom % of charges | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 16 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 17 | Avera Hand County Hospital Miller, SD fee schedule · both | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 18 | Avera Hand County Hospital Miller, SD percent of total billed charges · inpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 19 | Avera Hand County Hospital Miller, SD percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 20 | Avera Holy Family Hospital Estherville, IA fee schedule · both | 2 | $124 | $124 | — | — | — | $124 – $124 |
| 21 | Avera Holy Family Hospital Estherville, IA percent of total billed charges · inpatientfrom % of charges | 2 | $49 | $49 | — | — | — | $49 – $49 |
| 22 | Avera Sacred Heart Hospital Yankton, SD fee schedule · both | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 23 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · inpatientfrom % of charges | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 24 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 25 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $124 | $124 | — | — | — | $124 – $124 |
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