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
$0
Average
$3.8k
Median
$149
High
$3820.2k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1045 hospitals; the 90th percentile is 2.4× 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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1,657 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 | St Peters Hospital Albany, NY professional · fee schedule · outpatient | 2 | $261 | $222 | $56 | 25% | 54 | $144 – $261 |
| 2 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $160 | $160 | — | — | 50 | $160 – $160 |
| 3 | Samaritan Medical Center Watertown, NY professional · other · both | 1 | $160 | $160 | — | — | 50 | $160 – $160 |
| 4 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 3 | $116 | $131 | $18 | 14% | 47 | $116 – $153 |
| 5 | Samaritan Hospital Troy, NY professional · fee schedule · outpatient | 2 | $261 | $222 | $56 | 25% | 43 | $144 – $261 |
| 6 | Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · bothfrom % of charges | 2 | $167 | $167 | — | — | 41–50 | $167 – $167 |
| 7 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 5 | $162 | $162 | $4 | 3% | 30–39 | $153 – $166 |
| 8 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 4 | $107 | $159 | $84 | 53% | 28–37 | $81 – $277 |
| 9 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 4 | $208 | $212 | $40 | 19% | 14 | $172 – $257 |
| 10 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $150 | $150 | — | — | 12 | $150 – $150 |
| 11 | Massachusetts General Hospital Boston, MA other · both | 1 | $158 | $158 | — | — | 12 | $158 – $158 |
| 12 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 3 | $189 | $189 | $25 | 13% | 12 | $164 – $213 |
| 13 | Harrison Community Hospital, Inc. Cadiz, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $55 | $1 | 1% | 3–30 | $54 – $56 |
| 14 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $48 | $48 | $2 | 3% | 3–30 | $47 – $50 |
| 15 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | 2–20 | $41 – $41 |
| 16 | Community Health Association Ripley, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $141 | $141 | — | — | 2–20 | $141 – $141 |
| 17 | Harrison Community Hospital, Inc. Cadiz, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | — | — | 2–20 | $129 – $129 |
| 18 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $407 | $407 | $103 | 25% | 2–20 | $304 – $509 |
| 19 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $274 | $269 | $55 | 20% | 2–20 | $199 – $333 |
| 20 | West Virginia Health Care Cooperative Inc. Summersville, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $141 | $141 | — | — | 2–20 | $141 – $141 |
| 21 | Barnesville Hospital Association, Inc. Barnesville, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $141 | $141 | — | — | 1–10 | $141 – $141 |
| 22 | Baystate Wing Hospital Palmer, MA percent of total billed charges · bothfrom % of charges | 1 | $141 | $141 | — | — | 1–10 | $141 – $141 |
| 23 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $136 | $136 | — | — | 1–10 | $136 – $136 |
| 24 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 4 | $137 | $197 | $92 | 46% | 1–10 | $120 – $326 |
| 25 | EATON RAPIDS MEDICAL CENTER Eaton Rapids, MI percent of total billed charges · outpatientfrom % of charges | 1 | $254 | $254 | — | — | 1–10 | $254 – $254 |
← Payers reporting HCPCS G0402 · Snapshot 20261111T120946Z-9134e7f7