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
$62
Average
$199
Median
$185
High
$393
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
69 hospitals; the 90th percentile is 3.6× 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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127 hospital rates
iThe hospitals that file a Healthpartners 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 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $76 | $167 | $128 | 77% | 45 | $76 – $348 |
| 2 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $287 | $287 | $3 | 1% | 2–20 | $284 – $290 |
| 3 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $287 | $287 | $3 | 1% | 1–10 | $284 – $290 |
| 4 | Mayo Clinic Health System Osseo, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $210 | $210 | $134 | 64% | 1–10 | $76 – $344 |
| 5 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $210 | $210 | $134 | 64% | 1–10 | $76 – $344 |
| 6 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · bothfrom % of charges | 3 | $174 | $179 | $116 | 65% | 1–10 | $63 – $305 |
| 7 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 3 | $174 | $179 | $116 | 65% | 1–10 | $63 – $305 |
| 8 | Mayo Clinic Health System Red Wing 55066-2848 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $287 | $287 | $3 | 1% | 1–10 | $284 – $290 |
| 9 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $210 | $210 | $134 | 64% | 1–10 | $76 – $344 |
| 10 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $393 | $393 | — | — | — | $393 – $393 |
| 11 | Amery Hospital Amery, WI facility · fee schedule · both | 1 | $223 | $223 | — | — | — | $223 – $223 |
| 12 | Aspirus Divine Savior Hospital Portage, WI fee schedule · both | 1 | $323 | $323 | — | — | — | $323 – $323 |
| 13 | Aspirus Langlade Hospital Antigo, WI fee schedule · both | 1 | $346 | $346 | — | — | — | $346 – $346 |
| 14 | Aspirus Medford Hospital Medford, WI fee schedule · both | 1 | $329 | $329 | — | — | — | $329 – $329 |
| 15 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 1 | $346 | $346 | — | — | — | $346 – $346 |
| 16 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 1 | $293 | $293 | — | — | — | $293 – $293 |
| 17 | Aspirus Stevens Point Hospital Stevens Point, WI fee schedule · both | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 18 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 1 | $346 | $346 | — | — | — | $346 – $346 |
| 19 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI fee schedule · both | 1 | $329 | $329 | — | — | — | $329 – $329 |
| 20 | Aurora BayCare Medical Center Green Bay, WI case rate · outpatient | 2 | $84 | $84 | $10 | 11% | — | $74 – $93 |
| 21 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · inpatientfrom % of charges | 1 | $41 | $41 | $8 | 18% | — | $34 – $49 |
| 22 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | $8 | 18% | — | $34 – $49 |
| 23 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI case rate · outpatient | 2 | $84 | $84 | $10 | 11% | — | $74 – $93 |
| 24 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $238 | $238 | $133 | 56% | — | $105 – $371 |
| 25 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $238 | $238 | $133 | 56% | — | $105 – $371 |
← Payers reporting CPT 99394 · Snapshot 20261111T120946Z-9134e7f7