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
$95
Average
$202
Median
$168
High
$444
Each hospital's average Premera rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 2.3× 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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41 hospital rates
iThe hospitals that file a Premera 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 Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $157 | $157 | — | — | 2–20 | $157 – $157 |
| 2 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 1 | $157 | $157 | — | — | 2–20 | $157 – $157 |
| 3 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 1 | $172 | $172 | — | — | 1–10 | $172 – $172 |
| 4 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 1 | $191 | $191 | — | — | 1–10 | $191 – $191 |
| 5 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $341 | $341 | — | — | 1–10 | $341 – $341 |
| 6 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $341 | $341 | — | — | 1–10 | $341 – $341 |
| 7 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 8 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 9 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $164 | $217 | $77 | 35% | — | $162 – $326 |
| 10 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 11 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $95 | $95 | $39 | 41% | — | $56 – $133 |
| 12 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 13 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 14 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · inpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 15 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 16 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $395 | $395 | — | — | — | $395 – $395 |
| 17 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 18 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · inpatient | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 19 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $179 | $179 | — | — | — | $179 – $179 |
| 20 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · both | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 21 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · inpatient | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 22 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 23 | Mount Carmel Grove City Grove City, OH professional · fee schedule · both | 1 | $203 | $203 | — | — | — | $203 – $203 |
| 24 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $216 | $216 | — | — | — | $216 – $216 |
| 25 | PORTLAND ADVENTIST MEDICAL CENTER Portland, OR percent of total billed charges · outpatientfrom % of charges | 1 | $101 | $101 | — | — | — | $101 – $101 |
← Payers reporting CPT 99397 · Snapshot 20261111T120946Z-9134e7f7