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
$35
Average
$21.4k
Median
$168
High
$2136.9k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
101 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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197 hospital rates
iThe hospitals that file a Highmark 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 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $424 | $424 | — | — | 13 | $424 – $424 |
| 2 | Community Health Association Ripley, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $78 | $78 | — | — | 1–10 | $78 – $78 |
| 3 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $424 | $424 | — | — | 1–10 | $424 – $424 |
| 4 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 10 | $179 | $202 | $63 | 31% | — | $123 – $328 |
| 5 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 13 | $130 | $128 | $5 | 4% | — | $113 – $130 |
| 6 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 20 | $130 | $156 | $54 | 34% | — | $80 – $274 |
| 7 | Alice Hyde Medical Center Malone, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $570 | $570 | — | — | — | $570 – $570 |
| 8 | Boone Memorial Hospital Madison, WV other · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 9 | Broaddus Hospital Association Inc Philippi, WV facility · case rate · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 10 | Broaddus Hospital Association Inc Philippi, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $129 | $129 | $6 | 4% | — | $122 – $137 |
| 11 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 3 | $123 | $127 | $26 | 21% | — | $86 – $166 |
| 12 | Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 13 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 3 | $210 | $208 | $64 | 31% | — | $121 – $291 |
| 14 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 13 | $130 | $128 | $5 | 4% | — | $113 – $130 |
| 15 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 20 | $130 | $153 | $50 | 33% | — | $80 – $260 |
| 16 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient | 2 | $168 | $168 | — | — | — | $168 – $168 |
| 17 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · fee schedule · outpatient | 2 | $97 | $97 | — | — | — | $97 – $97 |
| 18 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 19 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 2 | $107 | $155 | $57 | 37% | — | $107 – $223 |
| 20 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · percent of total billed charges · bothfrom % of charges | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 21 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 2 | $107 | $155 | $57 | 37% | — | $107 – $223 |
| 22 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 2 | $137 | $181 | $52 | 29% | — | $137 – $242 |
| 23 | Central Community Hospital Elkader, IA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 24 | Central Community Hospital Elkader, IA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $425 | $425 | — | — | — | $425 – $425 |
| 25 | Charleston Area Medical Center Charleston, WV fee schedule · both | 4 | $115 | $128 | $22 | 17% | — | $115 – $166 |
← Payers reporting HCPCS G0402 · Snapshot 20261111T120946Z-9134e7f7