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 12-17 Yrs
Low
$1
Average
$8.4k
Median
$127
High
$5261.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
650 hospitals; the 90th percentile is 3.8× 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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1,048 hospital rates
iThe hospitals that file a Aetna 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 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $235 | $237 | $37 | 16% | 133–151 | $190 – $289 |
| 2 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 4 | $167 | $155 | $41 | 26% | 92 | $102 – $197 |
| 3 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $97 | $97 | — | — | 88 | $97 – $97 |
| 4 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $133 | — | — | 84 | $133 – $133 |
| 5 | Stanford Health Care Stanford, CA fee schedule · both | 1 | $365 | $365 | — | — | 65–83 | $365 – $365 |
| 6 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $136 | $136 | — | — | 61 | $136 – $136 |
| 7 | Samaritan Medical Center Watertown, NY professional · other · both | 1 | $136 | $136 | — | — | 61 | $136 – $136 |
| 8 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $127 | $127 | — | — | 50 | $127 – $127 |
| 9 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $102 | $102 | — | — | 39–57 | $102 – $102 |
| 10 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $198 | $198 | $12 | 6% | 36 | $187 – $210 |
| 11 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 4 | $112 | $119 | $17 | 14% | 31 | $105 – $148 |
| 12 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $102 | $102 | — | — | 25 | $102 – $102 |
| 13 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | $5 | 8% | 25–34 | $56 – $66 |
| 14 | Tacoma General Allenmore Hospital Bremerton, WA other · outpatient | 1 | $228 | $228 | — | — | 24 | $228 – $228 |
| 15 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $74 | $74 | $24 | 33% | 23 | $50 – $99 |
| 16 | Mercy Hospital Southeast Girardeau, MO professional · percent of total billed charges · outpatientfrom % of charges | 1 | $118 | $118 | — | — | 22 | $118 – $118 |
| 17 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 1 | $63 | $63 | — | — | 19 | $63 – $63 |
| 18 | Samaritan Hospital Troy, NY professional · fee schedule · both | 2 | $211 | $179 | $45 | 25% | 19 | $115 – $211 |
| 19 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 1 | $63 | $63 | — | — | 15 | $63 – $63 |
| 20 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $309 | $309 | — | — | 13 | $309 – $309 |
| 21 | St Peters Hospital Albany, NY professional · fee schedule · both | 2 | $211 | $179 | $45 | 25% | 13 | $115 – $211 |
| 22 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 4 | $142 | $135 | $31 | 23% | 12 | $95 – $167 |
| 23 | MultiCare Valley Hospital Spokane Valley, WA other · outpatient | 1 | $228 | $228 | — | — | 12 | $228 – $228 |
| 24 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $227 | $227 | — | — | 11 | $227 – $227 |
| 25 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $63 | $63 | — | — | 11 | $63 – $63 |
← Payers reporting CPT 99394 · Snapshot 20261111T120946Z-9134e7f7