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 >=65 Years
Low
$21
Average
$257
Median
$137
High
$19.5k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
238 hospitals; the 90th percentile is 3.5× 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.
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409 hospital rates
iThe hospitals that file a Anthem 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 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 5 | $172 | $159 | $21 | 13% | 346–364 | $123 – $172 |
| 2 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $341 | $341 | — | — | 199–271 | $341 – $341 |
| 3 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $341 | $341 | — | — | 182–254 | $341 – $341 |
| 4 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | $28 | 42% | 149 | $39 – $95 |
| 5 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 5 | $191 | $164 | $47 | 28% | 116–170 | $69 – $191 |
| 6 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $216 | $216 | — | — | 43–61 | $216 – $216 |
| 7 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 2 | $157 | $150 | $14 | 9% | 38–119 | $121 – $157 |
| 8 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $219 | $219 | $30 | 14% | 20 | $188 – $249 |
| 9 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 2 | $157 | $150 | $14 | 9% | 5–50 | $121 – $157 |
| 10 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 2 | $157 | $150 | $14 | 9% | 4–40 | $121 – $157 |
| 11 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 2 | $125 | $116 | $19 | 16% | 2–20 | $75 – $125 |
| 12 | MaineHealth Portland, ME other · both | 1 | $126 | $126 | — | — | 2–20 | $126 – $126 |
| 13 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 2 | $157 | $150 | $14 | 9% | 2–20 | $121 – $157 |
| 14 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $299 | $299 | — | — | 2–20 | $299 – $299 |
| 15 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · outpatient | 1 | $148 | $148 | — | — | 1–10 | $148 – $148 |
| 16 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $77 | $77 | — | — | 1–10 | $77 – $77 |
| 17 | Jennie Stuart Medical Center Hopkinsville, KY professional · other · both | 1 | $77 | $77 | — | — | 1–10 | $77 – $77 |
| 18 | Mount Carmel Grove City Grove City, OH professional · fee schedule · both | 1 | $203 | $203 | — | — | 1–10 | $203 – $203 |
| 19 | Pagosa Springs Medical Center Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $184 | $184 | — | — | 1–10 | $184 – $184 |
| 20 | The Medical Center of Central Georgia Inc Macon, GA other · both | 1 | $32 | $32 | — | — | 1–10 | $32 – $32 |
| 21 | The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · bothfrom % of charges | 1 | $290 | $290 | — | — | 1–10 | $290 – $290 |
| 22 | The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $227 | $227 | — | — | 1–10 | $227 – $227 |
| 23 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 24 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
← Payers reporting CPT 99397 · Snapshot 20261111T120946Z-9134e7f7