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
$0
Average
$333
Median
$147
High
$37k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
485 hospitals; the 90th percentile is 5.9× 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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698 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | $133 | $127 | $12 | 10% | 762–870 | $102 – $133 |
| 2 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $272 | $274 | $12 | 4% | 514–550 | $259 – $296 |
| 3 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 2 | $103 | $103 | — | — | 504–531 | $103 – $103 |
| 4 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | $29 | 33% | 412 | $61 – $119 |
| 5 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $106 | $106 | — | — | 292 | $106 – $106 |
| 6 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 3 | $92 | $100 | $16 | 16% | 280 | $83 – $124 |
| 7 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 9 | $293 | $298 | $13 | 4% | 274–283 | $286 – $325 |
| 8 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 1 | $116 | $116 | — | — | 201 | $116 – $116 |
| 9 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $30 | $42 | 141% | 183 | $0 – $89 |
| 10 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $272 | $274 | $12 | 4% | 169–196 | $259 – $296 |
| 11 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 4 | $101 | $80 | $44 | 55% | 154–181 | $28 – $136 |
| 12 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 2 | $325 | $257 | $97 | 38% | 140 | $120 – $325 |
| 13 | Mayo Clinic Health System Red Wing 55066-2848 professional · percent of total billed charges · outpatientfrom % of charges | 6 | $266 | $272 | $19 | 7% | 131–140 | $253 – $299 |
| 14 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 4 | $113 | $113 | $9 | 8% | 130–202 | $93 – $122 |
| 15 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 4 | $113 | $111 | $5 | 4% | 108–198 | $95 – $113 |
| 16 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | 102 | $87 – $87 |
| 17 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 2 | $146 | $167 | $45 | 27% | 99–216 | $105 – $218 |
| 18 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 3 | $133 | $157 | $35 | 23% | 93–138 | $102 – $199 |
| 19 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 4 | $348 | $307 | $86 | 28% | 90 | $117 – $359 |
| 20 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | 89 | $0 – $0 |
| 21 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 3 | $344 | $349 | $8 | 2% | 85 | $340 – $359 |
| 22 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 2 | $89 | $89 | $31 | 35% | 77 | $58 – $121 |
| 23 | Mayo Clinic Health System Sparta, WI professional · percent of total billed charges · outpatientfrom % of charges | 6 | $347 | $347 | $15 | 4% | 75 | $317 – $366 |
| 24 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 5 | $229 | $247 | $27 | 11% | 68–77 | $225 – $296 |
| 25 | Stanford Health Care Stanford, CA fee schedule · both | 2 | $528 | $448 | $101 | 22% | 51–96 | $321 – $528 |
← Payers reporting CPT 99394 · Snapshot 20261111T120946Z-9134e7f7