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
$56
Average
$249
Median
$200
High
$1.1k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
295 hospitals; the 90th percentile is 3.2× 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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574 hospital rates
iThe hospitals that file a Anthem 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 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 6 | $186 | $173 | $14 | 8% | 125–188 | $153 – $186 |
| 2 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $424 | $424 | — | — | 14–32 | $424 – $424 |
| 3 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 5 | $185 | $158 | $32 | 20% | 7–70 | $116 – $185 |
| 4 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $137 | $137 | — | — | 3–30 | $137 – $137 |
| 5 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $424 | $424 | — | — | 3–30 | $424 – $424 |
| 6 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $360 | $360 | — | — | 2–20 | $360 – $360 |
| 7 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 3 | $326 | $251 | $81 | 32% | 2–20 | $162 – $326 |
| 8 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $121 | $121 | — | — | 1–10 | $121 – $121 |
| 9 | Samaritan Hospital Troy, NY facility · other · both | 3 | $382 | $366 | $53 | 15% | 1–10 | $163 – $382 |
| 10 | Samaritan Hospital Troy, NY facility · other · outpatient | 3 | $382 | $366 | $53 | 15% | 1–10 | $163 – $382 |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $228 | $242 | $101 | 42% | — | $126 – $373 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $294 | $294 | — | — | — | $294 – $294 |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $285 | $285 | — | — | — | $285 – $285 |
| 15 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $331 | $325 | $163 | 50% | — | $113 – $555 |
| 16 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 1 | $169 | $169 | $35 | 21% | — | $134 – $204 |
| 17 | ARH Tug Valley Health Services, Inc. Paintsville, KY other · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 18 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $243 | $180 | $98 | 54% | — | $42 – $256 |
| 19 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $228 | $228 | $37 | 16% | — | $191 – $266 |
| 20 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $189 | $189 | $66 | 35% | — | $109 – $270 |
| 21 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 22 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $174 | $181 | $50 | 28% | — | $121 – $254 |
| 23 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 24 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 25 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 3 | $332 | $292 | $120 | 41% | — | $129 – $415 |
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