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
Prvnt Phys Exam Init Face-Face 1st
Low
$0
Average
$170
Median
$153
High
$689
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 176 hospitals; the 90th percentile is 4.6× 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 | Massachusetts General Hospital Boston, MA | $153 | $153 | $2 | 1% | 297–333 | $150 – $601 |
| 2 | Saint Alphonsus Regional Medical Center - Boise Boise, ID | $145 | $191 | $84 | 44% | 278–332 | $40 – $416 |
| 3 | Range Regional Health Services Hibbing, MN | $135 | $135 | $5 | 3% | 127–802 | $2 – $2.8k |
| 4 | Grand Itasca Clinic and Hospital Grand Rapids, MN | $135 | $135 | $5 | 3% | 127–802 | $2 – $328 |
| 5 | Samaritan Medical Center Watertown, NY | $163 | $164 | $3 | 2% | 108–180 | $111 – $763 |
| 6 | Samaritan Hospital Troy, NY | $382 | $295 | $99 | 34% | 56–146 | $23 – $906 |
| 7 | St Joseph Mercy Ann Arbor Ypsilanti, MI | $133 | $147 | $43 | 29% | 48–138 | $36 – $375 |
| 8 | Mercy Health Saint Marys Grand Rapids, MI | $133 | $139 | $32 | 23% | 40–130 | $65 – $335 |
| 9 | Benefis Hospitals Inc Falls, MT | $136 | $171 | $86 | 50% | 27–45 | $136 – $394 |
| 10 | Brigham and Women's Hospital Boston, MA | $153 | $153 | — | — | 25–79 | $150 – $601 |
Ask Claude or any MCP client for HCPCS G0402 pricing at a specific hospital — see how to connect.