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
$52
Average
$154
Median
$126
High
$1.9k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
119 hospitals; the 90th percentile is 1.4× 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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145 hospital rates
iThe hospitals that file a Medicare 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 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $424 | $424 | — | — | 347 | $424 – $424 |
| 2 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 1 | $162 | $162 | — | — | 273 | $162 – $162 |
| 3 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $424 | $424 | — | — | 251 | $424 – $424 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $107 | $107 | — | — | 229 | $107 – $107 |
| 5 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 1 | $162 | $162 | — | — | 137 | $162 – $162 |
| 6 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $164 | $164 | — | — | 103 | $164 – $164 |
| 7 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 1 | $113 | $113 | — | — | 83 | $113 – $113 |
| 8 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 1 | $116 | $116 | — | — | 80 | $116 – $116 |
| 9 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 1 | $140 | $140 | — | — | 68 | $140 – $140 |
| 10 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $277 | $277 | — | — | 63 | $277 – $277 |
| 11 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 1 | $172 | $172 | — | — | 62 | $172 – $172 |
| 12 | Massachusetts General Hospital Boston, MA other · both | 1 | $153 | $153 | — | — | 57 | $153 – $153 |
| 13 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 1 | $117 | $117 | — | — | 46–55 | $117 – $117 |
| 14 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $111 | $111 | — | — | 38 | $111 – $111 |
| 15 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient | 1 | $115 | $115 | — | — | 32 | $115 – $115 |
| 16 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $360 | $360 | — | — | 29 | $360 – $360 |
| 17 | Nazareth Hospital Philadelphia, PA professional · fee schedule · both | 1 | $115 | $115 | — | — | 26 | $115 – $115 |
| 18 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $136 | $136 | — | — | 25 | $136 – $136 |
| 19 | Brigham and Women's Hospital Boston, MA other · both | 1 | $153 | $153 | — | — | 19 | $153 – $153 |
| 20 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $117 | $117 | — | — | 11 | $117 – $117 |
| 21 | MVHS, Inc. Utica, NY fee schedule · both | 1 | $169 | $169 | — | — | 8–80 | $169 – $169 |
| 22 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · inpatient | 4 | $132 | $139 | $10 | 8% | 3–30 | $132 – $154 |
| 23 | Martha's Vineyard Hospital Bluffs, MA other · outpatient | 1 | $164 | $164 | — | — | 2–20 | $164 – $164 |
| 24 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $137 | $137 | — | — | 1–10 | $137 – $137 |
| 25 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN percent of total billed charges · bothfrom % of charges | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
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