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
$19.9k
Median
$215
High
$4503.1k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
229 hospitals; the 90th percentile is 2.7× 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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377 hospital rates
iThe hospitals that file a First Health 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 | Baystate Wing Hospital Palmer, MA percent of total billed charges · bothfrom % of charges | 1 | $141 | $141 | — | — | 1–10 | $141 – $141 |
| 2 | AdventHealth Deland Deland, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 3 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 4 | Adventhealth Daytona Beach Port Orange, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 5 | Adventhealth Fish Memorial Deltona, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 6 | Adventhealth Heart of Florida Winter Haven, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 7 | Adventhealth Lake Wales Lake Wales, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 8 | Adventhealth Ocala Ocala, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 9 | Adventhealth Palm Coast Palm Coast, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 10 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 11 | Adventhealth Waterman Tavares, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 12 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 13 | Allina Health Systems Ulm, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 14 | Allina Health Systems Ulm, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 15 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $176 | $176 | $112 | 64% | — | $64 – $288 |
| 16 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 17 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 18 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 19 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 20 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 21 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 1 | $227 | $227 | — | — | — | $227 – $227 |
| 22 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $227 | $227 | — | — | — | $227 – $227 |
| 23 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 24 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 25 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $208 | $208 | — | — | — | $208 – $208 |
← Payers reporting HCPCS G0402 · Snapshot 20261111T120946Z-9134e7f7