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
$170
Median
$137
High
$1.4k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
47 hospitals; the 90th percentile is 258.6× 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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51 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $50 | $50 | — | — | — | $50 – $50 |
| 2 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 4 | $1 | $1 | $0 | 43% | — | $0 – $1 |
| 3 | BOCA RATON REGIONAL HOSPITAL Delray Beach, FL case rate · both | 4 | $125 | $125 | $25 | 20% | — | $100 – $150 |
| 4 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $382 | $382 | — | — | — | $382 – $382 |
| 5 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $46 | $46 | $2 | 5% | — | $44 – $48 |
| 6 | Burke Health Waynesboro, GA percent of total billed charges · outpatientfrom % of charges | 2 | $0 | $0 | $0 | 3% | — | $0 – $0 |
| 7 | Emerson Hospital Concord, MA facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 8 | Emerson Hospital Concord, MA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $90 | $90 | $11 | 13% | — | $79 – $101 |
| 9 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 10 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $14 | $6 | 41% | — | $9 – $22 |
| 11 | Henry Ford Health Novi, MI other · outpatient | 2 | $364 | $364 | — | — | — | $364 – $364 |
| 12 | Henry Ford Health Southfield, MI other · outpatient | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | HonorHealth Florence Medical Center Florence, AZ facility · fee schedule · outpatient | 1 | $192 | $192 | $2 | 1% | — | $190 – $194 |
| 14 | Honorhealth Deer Valley Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 15 | Honorhealth Four Peaks Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $192 | $192 | $2 | 1% | — | $190 – $194 |
| 16 | Honorhealth John C. Lincoln Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 17 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 18 | Honorhealth Scottsdale Shea Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 19 | Honorhealth Scottsdale Thompson Peak Med Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 20 | Honorhealth Sonoran Crossing Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 21 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 22 | LaSalle Parish Hospital Service District No. 1 Olla, LA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Lakewood Medical Center Kansas City, MO facility · percent of total billed charges · inpatientfrom % of charges | 2 | $37 | $37 | $2 | 4% | — | $36 – $39 |
| 24 | Lakewood Medical Center Kansas City, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $36 | $36 | $2 | 6% | — | $33 – $39 |
| 25 | Lakewood Ranch Sarasota, FL per diem · both | 5 | $1.0k | $982 | $188 | 19% | — | $735 – $1.2k |
← Payers reporting CPT 99429 · Snapshot 20261113T090226Z-3ce6c0b8