Yearly preventive checkup for patients 65 and older at Enumclaw Regional Hospital Association

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC DOT EST PT PHYS 65Y&UP FAC

Enumclaw, WA

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Pricing by billing methodology

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How this price compares nationally

Enumclaw Regional Hospital Association’s median price of $137 is 6% below the median hospital's median price ($147), higher than 44% of the 1,258 hospitals reporting CPT 99397. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99397 at Enumclaw Regional Hospital Association

Negotiated rates from the hospital’s own file: 10 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Kaiser medicare\|all plans fee schedule · outpatient	$92	$92	$37	41%	—	$55 – $130
2	UnitedHealthcare medicaid\|all plans fee schedule · outpatient	$92	$92	$37	41%	—	$55 – $130
3	Molina medicaid\|all plans fee schedule · outpatient	$93	$93	$38	41%	—	$55 – $130
4	Optum medicare\|all plans fee schedule · outpatient	$93	$93	$38	41%	—	$55 – $131
5	Premera medicare\|all plans fee schedule · outpatient	$95	$95	$39	41%	—	$56 – $133
6	Regence medicare\|all plans fee schedule · outpatient	$95	$95	$39	41%	—	$56 – $133
7	Humana medicare\|all plans fee schedule · outpatient	$99	$99	$40	41%	—	$59 – $139
8	Molina medicare\|all plans fee schedule · outpatient	$100	$100	$40	41%	—	$59 – $140
9	UnitedHealthcare medicare\|all plans fee schedule · outpatient	$100	$100	$40	41%	—	$59 – $140
10	Aetna medicare\|all plans fee schedule · outpatient	$113	$113	$46	41%	—	$67 – $158
11	UnitedHealthcare medicaid\|all plans fee schedule · inpatient	$152	$152	$62	41%	—	$90 – $214
12	Molina medicaid\|all plans fee schedule · inpatient	$153	$153	$62	41%	—	$91 – $215
13	Regence commercial\|all plans fee schedule · outpatient	$166	$166	—	—	—	$166 – $166
14	Molina commercial\|marketplace exchange fee schedule · outpatient	$177	$177	$72	41%	—	$105 – $249
15	Aetna commercial\|awh fee schedule · inpatient	$205	$205	$83	41%	—	$122 – $288
16	Cigna commercial\|all plans case rate · outpatient	$221	$221	—	—	—	$221 – $221
17	Aetna commercial\|all other plans fee schedule · inpatient	$246	$246	$100	41%	—	$146 – $345
18	Aetna commercial\|rental fee schedule · inpatient	$369	$369	$150	41%	—	$219 – $518
19	Aetna commercial\|rental fee schedule · outpatient	$369	$369	$150	41%	—	$219 – $518
20	MultiPlan commercial\|all plans fee schedule · inpatient	$461	$461	$187	41%	—	$274 – $648
21	MultiPlan commercial\|all plans fee schedule · outpatient	$461	$461	$187	41%	—	$274 – $648
22	Aetna commercial\|wea fee schedule · outpatient	$976	$976	—	—	—	$976 – $976

Last updated: Feb 28, 2026

Compare to other hospitals

See Yearly preventive checkup for patients 65 and older pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.