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 Exam Init Preventive Phys New Visit During 1st 12 Mo of Mcare Enrollment
Low
$12
Average
$215
Median
$177
High
$1.5k
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 1294 hospitals; the 90th percentile is 2.6× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Mishawaka Medical Center Mishawaka, IN | $162 | $163 | $14 | 9% | 620–800 | $120 – $360 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA | $107 | $143 | $56 | 39% | 385–439 | $81 – $277 |
| 3 | Saint Alphonsus Regional Medical Center - Boise Boise, ID | $162 | $151 | $68 | 45% | 333–423 | $40 – $416 |
| 4 | Mercy Hospital Southeast Girardeau, MO | $230 | $211 | $57 | 27% | 194–230 | $84 – $283 |
| 5 | Saint Francis Hospital and Medical Center Hartford, CT | $116 | $138 | $36 | 26% | 189–324 | $81 – $277 |
| 6 | Mercy Health Saint Marys Grand Rapids, MI | $193 | $179 | $42 | 23% | 123–177 | $65 – $405 |
| 7 | St Mary Mercy Livonia Livonia, MI | $172 | $182 | $48 | 27% | 105–186 | $81 – $360 |
| 8 | The Mercy Hospital Inc Springfield, MA | $113 | $142 | $46 | 32% | 93–183 | $81 – $277 |
| 9 | Mercy Health Hackley Campus Muskegon, MI | $165 | $180 | $50 | 28% | 80–116 | $54 – $405 |
| 10 | St Peters Hospital Albany, NY | $588 | $505 | $226 | 45% | 56–74 | $22 – $906 |
Ask Claude or any MCP client for HCPCS G0402 pricing at a specific hospital — see how to connect.