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
Travel Clinic-Prev Med Cnsl Spx 30 Min
Low
$0
Average
$115
Median
$95
High
$444
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
57 hospitals; the 90th percentile is 5.0× 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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70 hospital rates
iThe hospitals that file a Ambetter 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 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | 1–10 | $50 – $50 |
| 2 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 3 | AnMed Health Anderson, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 4 | AnMed Health Anderson, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 5 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 6 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 7 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 8 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 9 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 10 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 11 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL case rate · outpatient | 3 | $0 | $0 | $0 | 14% | — | $0 – $0 |
| 15 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 16 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 17 | Hendrick Medical Center Brownwood, TX facility · case rate · outpatient | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 18 | Holy Name Teaneck, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 19 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 20 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 21 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 22 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 23 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 24 | Mease Dunedin Hospital Dunedin, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $444 | $444 | — | — | — | $444 – $444 |
| 25 | Mease Dunedin Hospital Dunedin, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $444 | $444 | — | — | — | $444 – $444 |
← Payers reporting CPT 99402 · Snapshot 20261112T181611Z-3fa9fb76