Initial annual wellness visit with prevention plan

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR ANNUAL WELLNESS PPS 1ST VISIT

Tricare pricing summary

Low

$59

Average

$166

Median

$152

High

$556

Tricare rate distribution

Filter by billing methodology

Filter by billing class

116 hospital rates

#		Plans
1	ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient	4	$144	$144	$12	8%	—	$132 – $155
2	AnMed Health Anderson, SC professional · fee schedule · inpatient	1	$158	$158	—	—	—	$158 – $158
3	AnMed Health Anderson, SC professional · fee schedule · outpatient	1	$158	$158	—	—	—	$158 – $158
4	AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient	1	$158	$158	—	—	—	$158 – $158
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	$158	$158	—	—	—	$158 – $158
7	AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient	1	$158	$158	—	—	—	$158 – $158
8	Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient	1	$158	$158	—	—	—	$158 – $158
9	Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient	1	$155	$155	—	—	—	$155 – $155
10	CLEVELAND AREA HOSPITAL CLEVELAND, OK percent of total billed charges · outpatientfrom % of charges	1	$130	$130	—	—	—	$130 – $130
11	COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient	4	$160	$160	$13	8%	—	$147 – $173
12	Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges	1	$59	$59	—	—	—	$59 – $59
13	Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient	1	$152	$152	—	—	—	$152 – $152
14	CentraState Medical Center Freehold Township, NJ fee schedule · outpatient	2	$144	$144	$8	5%	—	$137 – $152
15	Central Community Hospital Elkader, IA professional · fee schedule · inpatient	1	$151	$151	—	—	—	$151 – $151
16	Central Community Hospital Elkader, IA professional · fee schedule · outpatient	1	$129	$129	—	—	—	$129 – $129
17	Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges	1	$266	$266	$2	1%	—	$265 – $268
18	Chilton Medical Center Pompton Plains, NJ fee schedule · outpatient	2	$148	$148	$3	2%	—	$145 – $151
19	Clarion Hospital Clarion, PA facility · fee schedule · outpatient	1	$155	$155	—	—	—	$155 – $155
20	Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges	1	$67	$86	$30	35%	—	$62 – $129
21	Columbia Lutheran Charities Astoria, OR professional · fee schedule · both	1	$205	$205	—	—	—	$205 – $205
22	Coshocton Regional Medical Center Coshocton, OH fee schedule · outpatient	1	$167	$167	—	—	—	$167 – $167
23	Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient	1	$151	$151	—	—	—	$151 – $151
24	Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient	1	$129	$129	—	—	—	$129 – $129
25	Dukes Health System LLC Peru, IN facility · fee schedule · outpatient	1	$73	$73	$8	11%	—	$65 – $81