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
$18
Average
$138
Median
$138
High
$331
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
419 hospitals; the 90th percentile is 1.4× 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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522 hospital rates
iThe hospitals that file a WellCare 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 | 1 | $137 | $137 | — | — | 399–408 | $137 – $137 |
| 2 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $331 | $331 | — | — | 388 | $331 – $331 |
| 3 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $331 | $331 | — | — | 243 | $331 – $331 |
| 4 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 1 | $145 | $145 | — | — | 191 | $145 – $145 |
| 5 | MVHS, Inc. Utica, NY fee schedule · outpatient | 1 | $117 | $117 | — | — | 129–138 | $117 – $117 |
| 6 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $116 | $116 | — | — | 16 | $116 – $116 |
| 7 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $116 | $116 | — | — | 11 | $116 – $116 |
| 8 | ARH Tug Valley Health Services, Inc. Paintsville, KY other · outpatient | 1 | $134 | $134 | — | — | 1–10 | $134 – $134 |
| 9 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 2 | $139 | $135 | $24 | 18% | 1–10 | $99 – $164 |
| 10 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $145 | $145 | — | — | 1–10 | $145 – $145 |
| 11 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $146 | $146 | — | — | 1–10 | $146 – $146 |
| 12 | LEE MEMORIAL HOSPITAL FORT MYERS, FL professional · fee schedule · both | 1 | $149 | $149 | — | — | 1–10 | $149 – $149 |
| 13 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $155 | $155 | $18 | 12% | 1–10 | $136 – $173 |
| 14 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 1 | $100 | $100 | $33 | 33% | 1–10 | $67 – $133 |
| 15 | Morrison Community Hospital District Morrison, IL facility · fee schedule · both | 1 | $89 | $89 | — | — | 1–10 | $89 – $89 |
| 16 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 1 | $107 | $107 | $36 | 33% | 1–10 | $71 – $143 |
| 17 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $144 | $144 | $3 | 2% | — | $140 – $147 |
| 18 | ARH Tug Valley Health Services, Inc. Paintsville, KY fee schedule · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 19 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 20 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 21 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 22 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 23 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 2 | $123 | $112 | $15 | 13% | — | $91 – $123 |
| 24 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 2 | $123 | $112 | $15 | 13% | — | $91 – $123 |
| 25 | AnMed Health Cannon Pickens, SC professional · case rate · outpatient | 1 | $177 | $177 | — | — | — | $177 – $177 |
← Payers reporting HCPCS G0439 · Snapshot 20261111T120946Z-9134e7f7