PR E&M Preventive Medicine Periodic Comprehensive Established Pt 40-64 Yrs at Holy Cross Hospital-Silver Spring

Silver Spring, MD

Pricing by billing methodology

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How this price compares nationally

Holy Cross Hospital-Silver Spring’s median price of $198 is 44% above the median hospital's median price ($137), higher than 70% of the 1,283 hospitals reporting CPT 99396. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99396 at Holy Cross Hospital-Silver Spring

Negotiated rates from the hospital’s own file: 34 payers, 37 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	Aetna aetna medicare advantage professional · fee schedule · both	$86	$86	—	—	—	$86 – $86
2	Humana tricare professional · fee schedule · both	$95	$95	—	—	1–10	$95 – $95
3	Tricare tricare professional · fee schedule · both	$95	$95	—	—	—	$95 – $95
4	Aetna aetna professional · fee schedule · both	$138	$138	—	—	117–126	$138 – $138
5	Aetna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$198	$198	—	—	15	$198 – $198
6	Ambetter pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$198	$198	—	—	—	$198 – $198
7	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$198	$198	—	—	—	$198 – $198
8	Anthem pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$198	$198	—	—	8–80	$198 – $198
9	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$198	$198	—	—	131–230	$198 – $198
10	Carefirst pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$198	$198	—	—	333–342	$198 – $198
11	Caresource pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$198	$198	—	—	—	$198 – $198
12	Cigna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$198	$198	—	—	144	$198 – $198
13	Clover pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$198	$198	—	—	—	$198 – $198
14	Devoted pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$198	$198	—	—	—	$198 – $198
15	Excellus pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$198	$198	—	—	1–10	$198 – $198
16	First Health pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$198	$198	—	—	—	$198 – $198
17	Highmark pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$198	$198	—	—	2–20	$198 – $198
18	Humana pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$198	$198	—	—	—	$198 – $198
19	Kaiser pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$198	$198	—	—	—	$198 – $198
20	Magellan pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$198	$198	—	—	—	$198 – $198
21	Medcost pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$198	$198	—	—	—	$198 – $198
22	Medica pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$198	$198	—	—	—	$198 – $198
23	Medicaid pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$198	$198	—	—	—	$198 – $198
24	Medical Mutual pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$198	$198	—	—	—	$198 – $198
25	Medicare pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$198	$198	—	—	—	$198 – $198

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Last updated: Mar 31, 2026

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See PR E&M Preventive Medicine Periodic Comprehensive Established Pt 40-64 Yrs pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.