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
$2
Average
$5.5k
Median
$142
High
$5218.8k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
973 hospitals; the 90th percentile is 2.2× 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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1,485 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 2 | $106 | $111 | $40 | 36% | 3,087–3,096 | $64 – $169 |
| 2 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 2 | $133 | $133 | $3 | 2% | 2,846 | $130 – $136 |
| 3 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 3 | $212 | $196 | $37 | 19% | 2,542 | $145 – $230 |
| 4 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $331 | $331 | — | — | 1,756–1,765 | $331 – $331 |
| 5 | Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · bothfrom % of charges | 1 | $129 | $129 | — | — | 1,562 | $129 – $129 |
| 6 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $331 | $331 | — | — | 1,453 | $331 – $331 |
| 7 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 3 | $93 | $101 | $26 | 26% | 1,307 | $93 – $200 |
| 8 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 5 | $137 | $139 | $17 | 12% | 952 | $118 – $161 |
| 9 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $133 | $131 | $4 | 3% | 595 | $122 – $133 |
| 10 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 2 | $145 | $145 | $2 | 1% | 345 | $143 – $147 |
| 11 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 3 | $135 | $135 | $1 | 1% | 288–297 | $133 – $135 |
| 12 | HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | — | — | 217 | $54 – $54 |
| 13 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $285 | $285 | — | — | 163–172 | $285 – $285 |
| 14 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $315 | $274 | $82 | 30% | 146–155 | $109 – $315 |
| 15 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $102 | $104 | $5 | 5% | 114 | $98 – $110 |
| 16 | MVHS, Inc. Utica, NY percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | — | — | 110 | $93 – $93 |
| 17 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $315 | $277 | $76 | 27% | 104 | $126 – $315 |
| 18 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $315 | $274 | $81 | 30% | 99 | $111 – $315 |
| 19 | Hospital Authority of Colquitt County Moultrie, GA percent of total billed charges · bothfrom % of charges | 1 | $122 | $122 | — | — | 90 | $122 – $122 |
| 20 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $194 | $194 | — | — | 88 | $194 – $194 |
| 21 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 4 | $237 | $232 | $51 | 22% | 84 | $169 – $283 |
| 22 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO case rate · outpatient | 1 | $452 | $452 | — | — | 68 | $452 – $452 |
| 23 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 3 | $143 | $142 | $2 | 1% | 64 | $140 – $143 |
| 24 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 3 | $102 | $104 | $5 | 5% | 53 | $98 – $110 |
| 25 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 2 | $103 | $103 | $34 | 33% | 49 | $68 – $140 |
← Payers reporting HCPCS G0439 · Snapshot 20261111T120946Z-9134e7f7