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
$38
Average
$140
Median
$127
High
$386
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
113 hospitals; the 90th percentile is 1.5× 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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140 hospital rates
iThe hospitals that file a Tricare 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $127 | $129 | $19 | 14% | — | $104 – $156 |
| 2 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 3 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 4 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 5 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 6 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 7 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 8 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $290 | $290 | — | — | — | $290 – $290 |
| 9 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $290 | $290 | — | — | — | $290 – $290 |
| 10 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 11 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 12 | CLEVELAND AREA HOSPITAL CLEVELAND, OK percent of total billed charges · outpatientfrom % of charges | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 13 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient | 4 | $141 | $143 | $21 | 15% | — | $115 – $174 |
| 14 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $159 | $159 | $6 | 4% | — | $153 – $165 |
| 15 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 16 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 17 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 18 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 19 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 20 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 21 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 22 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $95 | $101 | $31 | 30% | — | $69 – $144 |
| 23 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 24 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $323 | $319 | $34 | 11% | — | $276 – $359 |
| 25 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $386 | $386 | $29 | 8% | — | $357 – $415 |
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