PR E&M Preventive Medicine Periodic Comprehensive Established Pt 40-64 Yrs

Excellus pricing summary

Low

$83

Average

$1.1k

Median

$129

High

$44k

Excellus rate distribution

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79 hospital rates

#		Plans
1	Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges	1	$316	$316	—	—	116	$316 – $316
2	St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges	1	$316	$316	—	—	105	$316 – $316
3	Samaritan Medical Center Watertown, NY facility · other · inpatient	3	$129	$121	$10	8%	56–74	$107 – $129
4	Samaritan Medical Center Watertown, NY professional · other · both	2	$118	$118	$11	9%	39–57	$107 – $129
5	Samaritan Medical Center Watertown, NY facility · other · outpatient	1	$129	$129	—	—	37	$129 – $129
6	Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient	2	$118	$118	$6	5%	23	$112 – $124
7	Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both	2	$129	$129	$31	24%	1–10	$98 – $159
8	Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges	1	$198	$198	—	—	1–10	$198 – $198
9	Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both	2	$129	$129	$16	13%	1–10	$112 – $145
10	Mercy Health Saint Marys Rockford, MI professional · fee schedule · both	2	$129	$129	$16	13%	1–10	$112 – $145
11	Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient	2	$121	$121	$59	49%	1–10	$62 – $180
12	St. Francis Hospital Inc Wilmington, DE professional · fee schedule · both	2	$94	$94	$6	6%	1–10	$88 – $100
13	The Mercy Hospital Inc Springfield, MA professional · fee schedule · both	2	$114	$114	$38	34%	1–10	$75 – $152
14	Alice Hyde Medical Center Malone, NY professional · fee schedule · both	2	$120	$120	$13	11%	—	$106 – $133
15	CLIFTON-FINE HEALTHCARE CORPORATION STAR LAKE, NY fee schedule · outpatient	1	$276	$276	—	—	—	$276 – $276
16	Central Community Hospital Elkader, IA professional · fee schedule · inpatient	2	$129	$129	$31	24%	—	$98 – $159
17	Central Community Hospital Elkader, IA professional · fee schedule · outpatient	2	$156	$156	$58	37%	—	$98 – $214
18	Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · fee schedule · both	2	$120	$120	$13	11%	—	$106 – $133
19	Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient	1	$264	$264	$49	18%	—	$216 – $313
20	Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient	2	$109	$109	$26	24%	—	$83 – $135
21	Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient	2	$129	$129	$31	24%	—	$98 – $159
22	Elizabethtown Community Hospital Elizabethtown, NY professional · fee schedule · both	2	$120	$120	$13	11%	—	$106 – $133
23	F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient	3	$89	$86	$31	36%	—	$30 – $149
24	Highland Hospital Rochester, NY fee schedule · outpatient	4	$39	$112	$125	112%	—	$39 – $329
25	Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both	1	$763	$763	—	—	—	$763 – $763

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← Payers reporting CPT 99396 · Snapshot 20261111T120946Z-9134e7f7

CPT 99396

PR E&M Preventive Medicine Periodic Comprehensive Established Pt 40-64 Yrs

Excellus pricing summary

Low

$83

Average

$1.1k

Median

$129

High

$44k

Excellus rate distribution

Filter by billing methodology

Filter by billing class

79 hospital rates

#		Plans
1	Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges	1	$316	$316	—	—	116	$316 – $316
2	St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges	1	$316	$316	—	—	105	$316 – $316
3	Samaritan Medical Center Watertown, NY facility · other · inpatient	3	$129	$121	$10	8%	56–74	$107 – $129
4	Samaritan Medical Center Watertown, NY professional · other · both	2	$118	$118	$11	9%	39–57	$107 – $129
5	Samaritan Medical Center Watertown, NY facility · other · outpatient	1	$129	$129	—	—	37	$129 – $129
6	Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient	2	$118	$118	$6	5%	23	$112 – $124
7	Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both	2	$129	$129	$31	24%	1–10	$98 – $159
8	Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges	1	$198	$198	—	—	1–10	$198 – $198
9	Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both	2	$129	$129	$16	13%	1–10	$112 – $145
10	Mercy Health Saint Marys Rockford, MI professional · fee schedule · both	2	$129	$129	$16	13%	1–10	$112 – $145
11	Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient	2	$121	$121	$59	49%	1–10	$62 – $180
12	St. Francis Hospital Inc Wilmington, DE professional · fee schedule · both	2	$94	$94	$6	6%	1–10	$88 – $100
13	The Mercy Hospital Inc Springfield, MA professional · fee schedule · both	2	$114	$114	$38	34%	1–10	$75 – $152
14	Alice Hyde Medical Center Malone, NY professional · fee schedule · both	2	$120	$120	$13	11%	—	$106 – $133
15	CLIFTON-FINE HEALTHCARE CORPORATION STAR LAKE, NY fee schedule · outpatient	1	$276	$276	—	—	—	$276 – $276
16	Central Community Hospital Elkader, IA professional · fee schedule · inpatient	2	$129	$129	$31	24%	—	$98 – $159
17	Central Community Hospital Elkader, IA professional · fee schedule · outpatient	2	$156	$156	$58	37%	—	$98 – $214
18	Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · fee schedule · both	2	$120	$120	$13	11%	—	$106 – $133
19	Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient	1	$264	$264	$49	18%	—	$216 – $313
20	Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient	2	$109	$109	$26	24%	—	$83 – $135
21	Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient	2	$129	$129	$31	24%	—	$98 – $159
22	Elizabethtown Community Hospital Elizabethtown, NY professional · fee schedule · both	2	$120	$120	$13	11%	—	$106 – $133
23	F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient	3	$89	$86	$31	36%	—	$30 – $149
24	Highland Hospital Rochester, NY fee schedule · outpatient	4	$39	$112	$125	112%	—	$39 – $329
25	Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both	1	$763	$763	—	—	—	$763 – $763

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← Payers reporting CPT 99396 · Snapshot 20261111T120946Z-9134e7f7