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
$41
Average
$225
Median
$172
High
$431
Each hospital's average Magellan rate, under the methodology and billing class chosen below.
40 hospitals; the 90th percentile is 4.6× 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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50 hospital rates
iThe hospitals that file a Magellan 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 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 2 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 3 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 4 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 5 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · percent of total billed charges · bothfrom % of charges | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 7 | Central Community Hospital Elkader, IA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 8 | Central Community Hospital Elkader, IA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $425 | $425 | — | — | — | $425 – $425 |
| 9 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · bothfrom % of charges | 1 | $404 | $404 | — | — | — | $404 – $404 |
| 10 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 11 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 12 | Holyoke Medical Center Holyoke, MA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $127 | $127 | — | — | — | $127 – $127 |
| 13 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $386 | $386 | — | — | — | $386 – $386 |
| 14 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 15 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 16 | MEDICAL CITY NORTH HILLS North Richland Hills, TX percent of total billed charges · outpatientfrom % of charges | 2 | $91 | $91 | — | — | — | $91 – $91 |
| 17 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 18 | Mercy Health Services-Iowa Corp. Mason City, IA professional · percent of total billed charges · bothfrom % of charges | 1 | $404 | $404 | — | — | — | $404 – $404 |
| 19 | Mercy Medical Center - New Hampton New Hampton, IA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 20 | Mercy Medical Center - New Hampton New Hampton, IA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $404 | $404 | — | — | — | $404 – $404 |
| 21 | Mercy Medical Center-Clinton Inc Clinton, IA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $404 | $404 | — | — | — | $404 – $404 |
| 22 | Mercy Medical Center-Clinton Inc Clinton, IA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 23 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 24 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $369 | $369 | — | — | — | $369 – $369 |
| 25 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $360 | $360 | — | — | — | $360 – $360 |
← Payers reporting HCPCS G0402 · Snapshot 20261111T120946Z-9134e7f7