Price Checker / CPT G0402
How much does Initial Preventive Exam cost?
CPT G0402 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is a bit above the fair range. It may be worth asking for the cash/self-pay rate.
Fair price
$240
What this should cost
With insurance
~$1,350
Typical out-of-pocket
Overcharged if over
$300
Push back above this
The average hospital charge of $285 is $45 over the fair price.
What hospitals charge for Initial Preventive Exam
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| EHHS Milton Clinic Medicare , WI | $348 | $254 | 99% |
| Houlton Regional Hospital HOULTON, ME | $262 | $262 | 50% |
| Barnes-Kasson County Hospital SUSQUEHANNA, PA | $245 | $172 | 40% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Initial Preventive Exam
CPT code G0402 refers to initial preventive exam (billing description: "Initial preventive exam"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $114 in a facility (hospital or surgery center) and $175 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.