Yearly preventive checkup for patients 65 and older

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR E&M Preventive Medicine Periodic Comprehensive Established Pt >=65 Years

Payers reporting CPT 99397

Payer pricing summary

Low

$56

Average

$3.0k

Median

$188

High

$55.0k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Ucare professional · fee schedule · outpatient · +12 other terms	21	$141	$132	$36	27%	84–102	$20 – $242
2	Bcbs Mt percent of total billed charges · outpatientfrom % of charges	1	$91	$91	$9	10%	72	$80 – $106
3	Cigna fee schedule · both · +27 other terms	85	$207	$235	$104	44%	60–114	$27 – $650
4	Humana fee schedule · outpatient · +26 other terms	232	$126	$204	$593	291%	21	$1 – $8.3k
5	Carefirst professional · fee schedule · both · +10 other terms	11	$142	$139	$35	25%	4–40	$42 – $203
6	Premera professional · fee schedule · both · +8 other terms	9	$157	$158	$23	15%	3–30	$121 – $203
7	Optum professional · fee schedule · outpatient · +15 other terms	23	$138	$107	$39	36%	2–20	$49 – $145
8	Oscar professional · fee schedule · both · +13 other terms	6	$164	$159	$24	15%	2–20	$115 – $180
9	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	175	$289	$314	$174	56%	1–10	$0 – $804
10	UnitedHealthcare fee schedule · outpatient · +36 other terms	172	$131	$138	$78	56%	1–10	$1 – $784
11	Anthem fee schedule · outpatient · +27 other terms	66	$137	$138	$28	20%	1–10	$20 – $351
12	Ambetter fee schedule · both · +17 other terms	17	$137	$197	$69	35%	1–10	$97 – $711
13	Excellus professional · fee schedule · both · +12 other terms	15	$138	$134	$52	39%	1–10	$42 – $351
14	Bcbs Mo professional · other · both · +2 other terms	1	$181	$181	—	—	1–10	$181 – $181
15	Aetna fee schedule · outpatient · +33 other terms	127	$133	$347	$929	268%	—	$1 – $8.4k
16	Molina fee schedule · outpatient · +22 other terms	43	$123	$124	$79	63%	—	$1 – $354
17	Kaiser fee schedule · outpatient · +17 other terms	38	$140	$184	$95	52%	—	$5 – $523
18	Caresource fee schedule · outpatient · +17 other terms	33	$81	$146	$45	30%	—	$1 – $189
19	MultiPlan fee schedule · outpatient · +19 other terms	26	$155	$199	$145	73%	—	$81 – $648
20	Medica fee schedule · both · +16 other terms	25	$208	$255	$134	53%	—	$73 – $423
21	Wellmark fee schedule · both · +18 other terms	24	$167	$170	$11	6%	—	$167 – $223
22	Bcbs Tx fee schedule · outpatient · +2 other terms	23	$413	$405	$132	33%	—	$121 – $697
23	Devoted fee schedule · outpatient · +15 other terms	23	$133	$144	$37	26%	—	$129 – $319
24	Tricare fee schedule · both · +17 other terms	23	$95	$113	$33	30%	—	$90 – $239
25	Regence fee schedule · outpatient · +12 other terms	22	$166	$170	$54	32%	—	$56 – $435

Page 1 of 3 · 61 payers