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
$10.6k
Median
$164
High
$6337.1k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
612 hospitals; the 90th percentile is 3.0× 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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899 hospital rates
iThe hospitals that file a Cigna 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 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $290 | $290 | — | — | 2–20 | $290 – $290 |
| 2 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $320 | $320 | $17 | 5% | 2–20 | $303 – $337 |
| 3 | Baystate Wing Hospital Palmer, MA fee schedule · both | 1 | $141 | $141 | — | — | 1–10 | $141 – $141 |
| 4 | Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · bothfrom % of charges | 1 | $167 | $167 | — | — | 1–10 | $167 – $167 |
| 5 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $277 | $277 | — | — | 1–10 | $277 – $277 |
| 6 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $117 | $117 | — | — | 1–10 | $117 – $117 |
| 7 | LEE MEMORIAL HOSPITAL FORT MYERS, FL professional · fee schedule · outpatient | 2 | $313 | $313 | $123 | 39% | 1–10 | $189 – $436 |
| 8 | MVHS, Inc. Utica, NY fee schedule · both | 1 | $221 | $221 | — | — | 1–10 | $221 – $221 |
| 9 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient | 2 | $175 | $175 | $60 | 34% | 1–10 | $115 – $235 |
| 10 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $162 | $186 | $41 | 22% | 1–10 | $153 – $244 |
| 11 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR percent of total billed charges · outpatientfrom % of charges | 1 | $387 | $387 | — | — | 1–10 | $387 – $387 |
| 12 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 1 | $116 | $116 | — | — | 1–10 | $116 – $116 |
| 13 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $207 | $207 | — | — | — | $207 – $207 |
| 14 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $242 | $242 | $82 | 34% | — | $160 – $325 |
| 15 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $242 | $242 | $82 | 34% | — | $160 – $324 |
| 16 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 17 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 18 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $412 | $412 | — | — | — | $412 – $412 |
| 19 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $222 | $225 | $36 | 16% | — | $177 – $278 |
| 20 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 3 | $269 | $268 | $56 | 21% | — | $208 – $337 |
| 21 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $243 | $243 | $110 | 45% | — | $133 – $353 |
| 22 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 1 | $173 | $159 | $71 | 45% | — | $66 – $239 |
| 24 | Abbeville Area Medical Center Abbeville, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 25 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
← Payers reporting HCPCS G0402 · Snapshot 20261111T120946Z-9134e7f7