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
$1
Average
$4.0k
Median
$139
High
$2795.8k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
737 hospitals; the 90th percentile is 2.4× 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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1,028 hospital rates
iThe hospitals that file a Humana 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 | 4 | $162 | $158 | $5 | 3% | 13 | $153 – $162 |
| 2 | Grant Memorial Hospital Inc Petersburg, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | — | — | 2–20 | $17 – $17 |
| 3 | Lake Charles Memorial Hospital Charles., LA fee schedule · outpatient | 2 | $151 | $200 | $109 | 55% | 2–20 | $112 – $385 |
| 4 | Massachusetts General Hospital Boston, MA other · both | 1 | $153 | $153 | — | — | 2–20 | $153 – $153 |
| 5 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $407 | $407 | $103 | 25% | 2–20 | $304 – $509 |
| 6 | West Virginia Health Care Cooperative Inc. Summersville, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | $21 | 23% | 2–20 | $71 – $113 |
| 7 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 4 | $107 | $123 | $26 | 21% | 1–10 | $107 – $174 |
| 8 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $213 | $213 | — | — | 1–10 | $213 – $213 |
| 9 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $127 | $127 | — | — | 1–10 | $127 – $127 |
| 10 | MVHS, Inc. Utica, NY fee schedule · both | 3 | $156 | $154 | $3 | 2% | 1–10 | $148 – $156 |
| 11 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient | 3 | $115 | $118 | $4 | 4% | 1–10 | $115 – $125 |
| 12 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $175 | $175 | — | — | 1–10 | $175 – $175 |
| 13 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $63 | $63 | — | — | 1–10 | $63 – $63 |
| 14 | Pana Community Hospital Association Pana, IL facility · other · outpatient | 1 | $162 | $162 | — | — | 1–10 | $162 – $162 |
| 15 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 5 | $162 | $161 | $6 | 4% | 1–10 | $151 – $172 |
| 16 | Samaritan Hospital Troy, NY professional · fee schedule · outpatient | 1 | $127 | $127 | — | — | 1–10 | $127 – $127 |
| 17 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $424 | $424 | — | — | 1–10 | $424 – $424 |
| 18 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $424 | $424 | — | — | 1–10 | $424 – $424 |
| 19 | Valley County Hospital NE 68862-1240; 400 S 23rd St Ord, NE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $88 | — | — | 1–10 | $88 – $88 |
| 20 | West Virginia Health Care Cooperative Inc. Summersville, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $59 | — | — | 1–10 | $59 – $59 |
| 21 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 22 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 24 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 1 | $355 | $355 | $73 | 21% | — | $282 – $428 |
| 25 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
← Payers reporting HCPCS G0402 · Snapshot 20261111T120946Z-9134e7f7