CPT 99394
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
$56
Average
$202
Median
$196
High
$386
Each hospital's average Sanford Health Plan rate, under the methodology and billing class chosen below.
52 hospitals; the 90th percentile is 6.4× 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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93 hospital rates
iThe hospitals that file a Sanford Health Plan 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 | International Falls Memorial Hospital Association International Falls, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $213 | $203 | $87 | 43% | 3–30 | $91 – $304 |
| 2 | International Falls Memorial Hospital Association International Falls, MN professional · percent of total billed charges · bothfrom % of charges | 1 | $213 | $203 | $87 | 43% | 3–30 | $91 – $304 |
| 3 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 2 | $293 | $293 | $3 | 1% | 1–10 | $290 – $296 |
| 4 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 5 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $165 | $165 | $2 | 1% | — | $162 – $167 |
| 6 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 7 | Grand Itasca Clinic and Hospital Grand Rapids, MN professional · percent of total billed charges · bothfrom % of charges | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 8 | International Falls Memorial Hospital Association International Falls, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $213 | $203 | $87 | 43% | — | $91 – $304 |
| 9 | Linton Regional Medical Center dba Linton Regional Medical Center Linton, ND percent of total billed charges · outpatientfrom % of charges | 1 | $187 | $187 | $139 | 74% | — | $48 – $326 |
| 10 | MERCY MEDICAL CENTER Williston, ND fee schedule · inpatient | 1 | $100 | $100 | $50 | 50% | — | $50 – $149 |
| 11 | MERCY MEDICAL CENTER Williston, ND fee schedule · outpatient | 1 | $100 | $100 | $50 | 50% | — | $50 – $149 |
| 12 | Marshfield Medical Center - Dickinson Iron Mountain, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $197 | $197 | — | — | — | $197 – $197 |
| 13 | Marshfield Medical Center - Dickinson Iron Mountain, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $197 | $197 | — | — | — | $197 – $197 |
| 14 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 15 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 16 | Marshfield Medical Center - Ladysmith Ladysmith, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 17 | Marshfield Medical Center - Ladysmith Ladysmith, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 18 | Marshfield Medical Center - Marshfield Marshfield, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 19 | Marshfield Medical Center - Marshfield Marshfield, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 20 | Marshfield Medical Center - Minocqua Minocqua, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 21 | Marshfield Medical Center - Minocqua Minocqua, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 22 | Marshfield Medical Center - Neillsville Neillsville, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 23 | Marshfield Medical Center - Neillsville Neillsville, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 24 | Marshfield Medical Center - Park Falls Park Falls, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 25 | Marshfield Medical Center - Park Falls Park Falls, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
← Payers reporting CPT 99394 · Snapshot 20261113T090226Z-3ce6c0b8