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
$209
Median
$112
High
$13.4k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
401 hospitals; the 90th percentile is 4.9× 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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516 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Stanford Health Care Stanford, CA fee schedule · both | 2 | $228 | $228 | $1 | 0% | 177–213 | $228 – $229 |
| 2 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 9 | $184 | $187 | $8 | 4% | 33 | $180 – $204 |
| 3 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 3 | $271 | $262 | $13 | 5% | 2–20 | $243 – $271 |
| 4 | Lancaster General Health Lancaster, PA facility · other · outpatient | 2 | $93 | $94 | $53 | 56% | 2–20 | $41 – $151 |
| 5 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 1 | $130 | $130 | $45 | 34% | 2–20 | $85 – $175 |
| 6 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 6 | $131 | $137 | $11 | 8% | 2–20 | $131 – $158 |
| 7 | Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $66 | $66 | — | — | 2–20 | $66 – $66 |
| 8 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 2 | $66 | $66 | — | — | 2–20 | $66 – $66 |
| 9 | Prairie Lakes Health Care System Inc. Watertown, SD fee schedule · both | 21 | $153 | $153 | — | — | 2–20 | $153 – $153 |
| 10 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $204 | $206 | $9 | 4% | 1–10 | $195 – $222 |
| 11 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $204 | $206 | $9 | 4% | 1–10 | $195 – $222 |
| 12 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $177 | $177 | — | — | 1–10 | $177 – $177 |
| 13 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA case rate · outpatient | 2 | $84 | $84 | $4 | 5% | — | $80 – $89 |
| 14 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 4 | $102 | $146 | $93 | 64% | — | $76 – $304 |
| 15 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $71 | $71 | $6 | 8% | — | $65 – $77 |
| 16 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 4 | $78 | $114 | $98 | 86% | — | $21 – $279 |
| 17 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 4 | $118 | $106 | $28 | 27% | — | $58 – $131 |
| 18 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 4 | $84 | $88 | $12 | 13% | — | $76 – $106 |
| 19 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $75 | $75 | $3 | 4% | — | $72 – $79 |
| 20 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 18 | $57 | $64 | $23 | 36% | — | $37 – $115 |
| 21 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 7 | $155 | $150 | $21 | 14% | — | $97 – $175 |
| 22 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 23 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $212 | $212 | $15 | 7% | — | $197 – $227 |
| 24 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $212 | $212 | $15 | 7% | — | $197 – $227 |
| 25 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 2 | $355 | $353 | $19 | 5% | — | $329 – $374 |
← Payers reporting CPT 99402 · Snapshot 20261112T181611Z-3fa9fb76