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 ANNUAL WELLNESS PPS 1ST VISIT
Low
$1
Average
$243
Median
$208
High
$440
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 8.4× 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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44 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $415 | $415 | — | — | — | $415 – $415 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $415 | $415 | — | — | — | $415 – $415 |
| 3 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $415 | $415 | — | — | — | $415 – $415 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 7 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 8 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 9 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 10 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 11 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 12 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $440 | $440 | — | — | — | $440 – $440 |
| 13 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $415 | $415 | — | — | — | $415 – $415 |
| 16 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 17 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $415 | $419 | $6 | 1% | — | $415 – $427 |
| 18 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 19 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $212 | $212 | — | — | — | $212 – $212 |
| 20 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 21 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 22 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · inpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 23 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 24 | Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 25 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $369 | $369 | — | — | — | $369 – $369 |
← Payers reporting HCPCS G0438 · Snapshot 20261111T120946Z-9134e7f7