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
$0
Average
$5.5k
Median
$132
High
$3727.8k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
702 hospitals; the 90th percentile is 2.6× 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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926 hospital rates
iThe hospitals that file a Humana 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 | MVHS, Inc. Utica, NY fee schedule · both | 3 | $122 | $122 | $1 | 1% | 482 | $116 – $122 |
| 2 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $92 | $94 | $32 | 33% | 346–355 | $60 – $128 |
| 3 | West Virginia Health Care Cooperative Inc. Summersville, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $55 | $21 | 39% | 265–274 | $32 – $84 |
| 4 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $331 | $331 | — | — | 168 | $331 – $331 |
| 5 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $331 | $331 | — | — | 133 | $331 – $331 |
| 6 | Boone Memorial Hospital Madison, WV other · outpatient | 1 | $84 | $84 | — | — | 127 | $84 – $84 |
| 7 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 3 | $129 | $130 | $3 | 2% | 118 | $128 – $135 |
| 8 | Webster Memorial Hospital Inc Cowen, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5591.6k | $5591.6k | $491.3k | 9% | 116 | $5100.3k – $6082.8k |
| 9 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $137 | $137 | — | — | 111 | $137 – $137 |
| 10 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $197 | $197 | — | — | 109 | $197 – $197 |
| 11 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 3 | $143 | $139 | $6 | 4% | 96 | $129 – $143 |
| 12 | Grant Memorial Hospital Inc Petersburg, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $127 | $127 | $10 | 8% | 93 | $117 – $138 |
| 13 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $110 | $110 | — | — | 51 | $110 – $110 |
| 14 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $110 | $110 | — | — | 50 | $110 – $110 |
| 15 | Broaddus Hospital Association Inc Philippi, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | — | — | 48 | $129 – $129 |
| 16 | Mon Health Medical Center Morgantown, WV fee schedule · outpatient | 1 | $130 | $130 | — | — | 40 | $130 – $130 |
| 17 | Lake Charles Memorial Hospital Charles., LA fee schedule · outpatient | 2 | $141 | $206 | $131 | 63% | 37 | $112 – $431 |
| 18 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $273 | $273 | — | — | 37 | $273 – $273 |
| 19 | Pana Community Hospital Association Pana, IL facility · other · outpatient | 1 | $162 | $162 | — | — | 35 | $162 – $162 |
| 20 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 3 | $68 | $96 | $34 | 36% | 26 | $63 – $136 |
| 21 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $302 | $302 | — | — | 18 | $302 – $302 |
| 22 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 4 | $140 | $144 | $18 | 13% | 17 | $124 – $179 |
| 23 | HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH JENA, LA other · both | 1 | $99 | $99 | — | — | 16 | $99 – $99 |
| 24 | Harrison Community Hospital, Inc. Cadiz, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $139 | $134 | $9 | 7% | 16–43 | $119 – $139 |
| 25 | Community Health Association Ripley, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | $42 | 55% | 12–21 | $34 – $117 |
← Payers reporting HCPCS G0439 · Snapshot 20261111T120946Z-9134e7f7