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
$59
Average
$191
Median
$186
High
$362
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
75 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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138 hospital rates
iThe hospitals that file a Healthpartners 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 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $362 | $362 | — | — | — | $362 – $362 |
| 2 | Amery Hospital Amery, WI facility · fee schedule · both | 1 | $185 | $185 | — | — | — | $185 – $185 |
| 3 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 4 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 5 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI case rate · outpatient | 2 | $84 | $84 | $10 | 11% | — | $74 – $93 |
| 6 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 7 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 8 | Avera Behavioral Health Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 9 | Avera Creighton Hospital Creighton, NE fee schedule · both | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 10 | Avera DeSmet De Smet, SD fee schedule · both | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 11 | Avera DeSmet De Smet, SD percent of total billed charges · inpatientfrom % of charges | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 12 | Avera DeSmet De Smet, SD percent of total billed charges · outpatientfrom % of charges | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 13 | Avera Dell Rapids Hospital Dell Rapids, SD fee schedule · both | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 14 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · inpatientfrom % of charges | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 15 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · outpatientfrom % of charges | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 16 | Avera Granite Falls Health Center Granite Falls, MN fee schedule · both | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 17 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · inpatientfrom % of charges | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 18 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · outpatientfrom % of charges | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 19 | Avera Gregory Hospital Gregory, SD fee schedule · both | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 20 | Avera Hand County Hospital Miller, SD fee schedule · both | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 21 | Avera Hand County Hospital Miller, SD percent of total billed charges · inpatientfrom % of charges | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 22 | Avera Hand County Hospital Miller, SD percent of total billed charges · outpatientfrom % of charges | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 23 | Avera Holy Family Hospital Estherville, IA fee schedule · both | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 24 | Avera Holy Family Hospital Estherville, IA percent of total billed charges · inpatientfrom % of charges | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 25 | Avera Holy Family Hospital Estherville, IA percent of total billed charges · outpatientfrom % of charges | 1 | $126 | $126 | — | — | — | $126 – $126 |
← Payers reporting HCPCS G0402 · Snapshot 20261111T120946Z-9134e7f7