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
UNLISTED PREVENTIVE SERVICE
Low
$0
Average
$502
Median
$80
High
$13.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
60 hospitals; the 90th percentile is 14.1× 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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72 hospital rates
iThe hospitals that file a Aetna 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 | Good Samaritan Hospital Puyallup, WA other · outpatient | 1 | $17 | $17 | — | — | 1–10 | $17 – $17 |
| 2 | Mary Bridge Children's Hospital Tacoma, WA other · outpatient | 1 | $17 | $17 | — | — | 1–10 | $17 – $17 |
| 3 | MultiCare Capital Medical Center Lacey, WA other · outpatient | 1 | $17 | $17 | — | — | 1–10 | $17 – $17 |
| 4 | MultiCare Deaconess Hospital Spokane, WA other · outpatient | 1 | $17 | $17 | — | — | 1–10 | $17 – $17 |
| 5 | Tacoma General Allenmore Hospital Bremerton, WA other · outpatient | 1 | $17 | $17 | — | — | 1–10 | $17 – $17 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $75 | $80 | $10 | 13% | — | $71 – $94 |
| 7 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $200 | $200 | — | — | — | $200 – $200 |
| 8 | BOCA RATON REGIONAL HOSPITAL Delray Beach, FL percent of total billed charges · bothfrom % of charges | 1 | $45 | $45 | $9 | 20% | — | $36 – $54 |
| 9 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $200 | $200 | — | — | — | $200 – $200 |
| 10 | COQUILLE VALLEY HOSPITAL COQUILLE, OR percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 11 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | Charleston Area Medical Center Charleston, WV percent of total billed charges · outpatientfrom % of charges | 2 | $117 | $117 | $65 | 56% | — | $52 – $181 |
| 13 | Cleveland Clinic Mercy Hospital Canton, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $75 | $80 | $10 | 13% | — | $71 – $94 |
| 14 | Cogdell Memorial Hospital dba Cogdell Memorial Hospital Snyder, TX fee schedule · outpatient | 1 | $22 | $25 | $13 | 53% | — | $12 – $49 |
| 15 | Cogdell Memorial Hospital dba Cogdell Memorial Hospital Snyder, TX percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $43 | $21 | 49% | — | $21 – $85 |
| 16 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $69 | $81 | $46 | 57% | — | $30 – $156 |
| 17 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 18 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 19 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 20 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $37 | $36 | $14 | 38% | — | $18 – $52 |
| 21 | Emerson Hospital Concord, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 22 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $12 | $5 | 41% | — | $8 – $18 |
| 23 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $13.9k | $13.9k | — | — | — | $13.9k – $13.9k |
| 24 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 1 | $200 | $200 | — | — | — | $200 – $200 |
| 25 | Greenbrier Valley Medical Center Ronceverte, WV percent of total billed charges · bothfrom % of charges | 3 | $10 | $17 | $11 | 67% | — | $9 – $33 |
← Payers reporting CPT 99429 · Snapshot 20261113T090226Z-3ce6c0b8