Yearly wellness visit with prevention plan follow-up

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 Visit Annual Well W/ Ppps Subsequent Visit

Optum pricing summary

Low

$32

Average

$171

Median

$137

High

$500

Optum rate distribution

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214 hospital rates

#		Plans
1	Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient	1	$137	$137	—	—	1–10	$137 – $137
2	Mayo Clinic Health System Fairmont 56031-4575 professional · fee schedule · outpatient	1	$137	$137	—	—	1–10	$137 – $137
3	Mayo Clinic Health System Osseo, WI professional · fee schedule · outpatient	1	$122	$122	$10	8%	1–10	$112 – $132
4	Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient	2	$119	$119	$18	15%	1–10	$101 – $137
5	Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient	2	$138	$138	$6	4%	1–10	$132 – $143
6	AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient	1	$55	$55	—	—	—	$55 – $55
7	AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges	1	$107	$107	—	—	—	$107 – $107
8	AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient	1	$132	$132	—	—	—	$132 – $132
9	AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges	1	$448	$448	—	—	—	$448 – $448
10	ARH Tug Valley Health Services, Inc. Paintsville, KY fee schedule · outpatient	1	$130	$130	—	—	—	$130 – $130
11	Acadia Hospital Bangor, ME facility · fee schedule · outpatient	1	$122	$122	—	—	—	$122 – $122
12	Acadia Hospital Bangor, ME professional · fee schedule · outpatient	1	$122	$122	—	—	—	$122 – $122
13	Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient	2	$132	$132	$1	1%	—	$131 – $134
14	Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges	1	$32	$32	—	—	—	$32 – $32
15	Appalachian Regional Healthcare, Inc. Whitesburg, KY fee schedule · outpatient	1	$130	$130	—	—	—	$130 – $130
16	Appalachian Regional Healthcare, Inc. Williamson, KY fee schedule · outpatient	1	$130	$130	—	—	—	$130 – $130
17	Appalachian Regional Healthcare, Inc. Hazard, KY fee schedule · outpatient	1	$130	$130	—	—	—	$130 – $130
18	Bluffton Health System LLC Bluffton, IN facility · per diem · outpatient	1	$131	$131	—	—	—	$131 – $131
19	CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
20	CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
21	CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
22	CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
23	CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
24	CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
25	CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127