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 Visit Annual Well W/ Ppps Subsequent Visit
Low
$1
Average
$155
Median
$140
High
$331
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
143 hospitals; the 90th percentile is 2.5× 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.
Filter by billing methodology
Filter by billing class
195 hospital rates
iThe hospitals that file a Caresource 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 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $241 | $241 | — | — | 2–20 | $241 – $241 |
| 2 | Indiana University Health Jay Inc. Portland, IN percent of total billed charges · outpatientfrom % of charges | 1 | $126 | $126 | — | — | 1–10 | $126 – $126 |
| 3 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $285 | $285 | — | — | 1–10 | $285 – $285 |
| 4 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 1 | $102 | $102 | $34 | 33% | 1–10 | $68 – $136 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 6 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $156 | $156 | $3 | 2% | — | $153 – $159 |
| 7 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $143 | $142 | $16 | 11% | — | $123 – $161 |
| 8 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $263 | $263 | — | — | — | $263 – $263 |
| 9 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $199 | $199 | $65 | 32% | — | $134 – $263 |
| 10 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 11 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 12 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 13 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 14 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 15 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 16 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 2 | $166 | $166 | $29 | 18% | — | $137 – $196 |
| 17 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 2 | $81 | $85 | $30 | 36% | — | $49 – $127 |
| 18 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 2 | $137 | $134 | $23 | 17% | — | $99 – $161 |
| 19 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 20 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 21 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $164 | $164 | $32 | 20% | — | $132 – $196 |
| 22 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 23 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 24 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $171 | $171 | — | — | — | $171 – $171 |
| 25 | Coshocton Regional Medical Center Coshocton, OH fee schedule · outpatient | 4 | $134 | $124 | $19 | 16% | — | $90 – $137 |
← Payers reporting HCPCS G0439 · Snapshot 20261111T120946Z-9134e7f7