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
ANNUAL WELLNESS VISIT, INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS), SUBSEQUENT VISIT
Glendale, CA
See all hospitals reporting HCPCS G0439 →Price type
Glendale Adventist Medical Center’s median price of $169 is 18% above the median hospital's median price ($144), higher than 69% of the 1,330 hospitals reporting HCPCS G0439. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 24 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 | Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 2 | Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 3 | Aetna aetna - all plans fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 4 | UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 5 | UnitedHealthcare uhc hmo fee schedule · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 6 | UnitedHealthcare uhc jll csp fee schedule · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 7 | Blue Cross Blue Shield blue shield mcr adv fee schedule · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 8 | Blue Cross Blue Shield tricare blue shield - all plans fee schedule · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 9 | Molina molina mcr fee schedule · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 10 | UnitedHealthcare uhc mcr adv fee schedule · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 11 | Optum optum health - all other plans fee schedule · outpatient | $156 | $156 | — | — | — | $156 – $156 |
| 12 | Optum optum health mcr adv fee schedule · outpatient | $156 | $156 | — | — | — | $156 – $156 |
| 13 | Blue Cross Blue Shield blue cross mcr adv fee schedule · outpatient | $157 | $157 | — | — | — | $157 – $157 |
| 14 | Blue Cross Blue Shield blue shield epn - all other plans fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 15 | Blue Cross Blue Shield blue shield non epn fee schedule · outpatient | $169 | $169 | — | — | — | $169 – $169 |
| 16 | Cigna cigna all other - all other plans percent of total billed charges · outpatientfrom % of charges | $175 | $175 | — | — | — | $175 – $175 |
| 17 | Cigna cigna hmo percent of total billed charges · outpatientfrom % of charges | $175 | $175 | — | — | — | $175 – $175 |
| 18 | First Health first health- all plans percent of total billed charges · outpatientfrom % of charges | $202 | $202 | — | — | — | $202 – $202 |
| 19 | Molina molina exchange - all other plans fee schedule · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 20 | Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges | $227 | $227 | — | — | — | $227 – $227 |
| 21 | Kaiser kaiser - all plans percent of total billed charges · outpatientfrom % of charges | $297 | $297 | — | — | — | $297 – $297 |
| 22 | Blue Cross Blue Shield blue shield medi-cal fee schedule · outpatient | $349 | $349 | — | — | — | $349 – $349 |
| 23 | Medicaid medi-cal fee schedule · outpatient | $349 | $349 | — | — | — | $349 – $349 |
| 24 | Molina molina mcal fee schedule · outpatient | $349 | $349 | — | — | — | $349 – $349 |
Last updated: Jul 30, 2026
See Yearly wellness visit with prevention plan follow-up pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.