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
$205
Median
$90
High
$23.1k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
231 hospitals; the 90th percentile is 4.5× 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.
Filter by billing methodology
Filter by billing class
339 hospital rates
iThe hospitals that file a Molina 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 | $107 | $109 | $8 | 7% | 409 | $102 – $121 |
| 2 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC per diem · both | 1 | $123 | $123 | — | — | 183 | $123 – $123 |
| 3 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC per diem · both | 1 | $123 | $123 | — | — | 183 | $123 – $123 |
| 4 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $223 | $223 | — | — | 81–99 | $223 – $223 |
| 5 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 4 | $102 | $102 | $9 | 8% | 54–63 | $93 – $121 |
| 6 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $39 | $39 | — | — | 45 | $39 – $39 |
| 7 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $104 | $104 | — | — | 33 | $104 – $104 |
| 8 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC per diem · both | 1 | $124 | $124 | — | — | 30 | $124 – $124 |
| 9 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC per diem · both | 1 | $124 | $124 | — | — | 30 | $124 – $124 |
| 10 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $20 | $20 | — | — | 23 | $20 – $20 |
| 11 | Nor-Lea Hospital District Lovington, NM professional · fee schedule · both | 1 | $81 | $81 | — | — | 22 | $81 – $81 |
| 12 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 4 | $102 | $105 | $9 | 9% | 16–25 | $95 – $121 |
| 13 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 4 | $119 | $123 | $19 | 15% | 12–21 | $102 – $153 |
| 14 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $39 | $39 | $0 | 1% | 3–30 | $39 – $40 |
| 15 | Wetzel County Hospital, Inc. New Martinsville, WV facility · other · outpatient | 1 | $39 | $39 | — | — | 3–30 | $39 – $39 |
| 16 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 5 | $94 | $91 | $11 | 12% | 2–20 | $77 – $107 |
| 17 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 1 | $40 | $40 | — | — | 2–20 | $40 – $40 |
| 18 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · inpatient | 1 | $90 | $90 | — | — | 1–10 | $90 – $90 |
| 19 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · outpatient | 1 | $90 | $90 | — | — | 1–10 | $90 – $90 |
| 20 | HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 21 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $253 | $253 | — | — | 1–10 | $253 – $253 |
| 22 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $273 | $273 | $91 | 33% | 1–10 | $182 – $364 |
| 23 | Trinity Health Grand Haven Hospital Grand Haven, MI professional · fee schedule · both | 1 | $65 | $65 | — | — | 1–10 | $65 – $65 |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
← Payers reporting CPT 99394 · Snapshot 20261111T120946Z-9134e7f7