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Procedure price report · Consultation, evaluation, and preventative care

Preventive check-up for a new patient under age 1

CPT 99381the billing code this page is about

A complete wellness examination, including age-appropriate history, exam, and counseling, for an infant younger than one year who is new to the practice.

Hospitals typically charge $141 cash for this outpatient procedure — the median across 1,057 hospitals that filed a usable cash price; the average of the middle 60% is $144. Most fall between $74 and $227 (20th–80th percentile).

Hospitals
1,057
States
50
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,057 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$51$85$141$213$284

The most expensive tenth of hospitals charges at least 5.5× what the cheapest tenth charges ($51 vs $284).

How the prices are spread

$35 – $44: 38 hospitals$35$44 – $55: 34 hospitals$55 – $69: 65 hospitals$55$69 – $87: 86 hospitals$87 – $108: 96 hospitals$87$108 – $136: 138 hospitals$136 – $170: 143 hospitals$136$170 – $213: 144 hospitals$213 – $267: 136 hospitals$213$267 – $335: 74 hospitals$267median $141price bands are equal on a log scale
Hospitals per price band (954 of 1,057 — the bands cover the 5th to 95th percentile)
FromToHospitals
$35$4438
$44$5534
$55$6965
$69$8786
$87$10896
$108$136138
$136$170143
$170$213144
$213$267136
$267$33574

By state

The median cash price in each state, against the national median of $141.

Alaska: median $296 across 12 hospitalsAK$296Maine: median $71 across 16 hospitalsME$71Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $86 across 10 hospitalsNH$86Washington: median $190 across 30 hospitalsWA$190Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $170 across 21 hospitalsMT$170North Dakota: median $253 across 17 hospitalsND$253Minnesota: median $178 across 36 hospitalsMN$178Illinois: median $147 across 44 hospitalsIL$147Wisconsin: median $147 across 49 hospitalsWI$147Michigan: median $165 across 62 hospitalsMI$165New York: median $190 across 78 hospitalsNY$190Massachusetts: median $180 across 20 hospitalsMA$180Oregon: median $154 across 31 hospitalsOR$154Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $184 across 11 hospitalsSD$184Iowa: median $183 across 57 hospitalsIA$183Indiana: median $71 across 37 hospitalsIN$71Ohio: median $107 across 47 hospitalsOH$107Pennsylvania: median $79 across 36 hospitalsPA$79New Jersey: 8 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $108 across 38 hospitalsCA$108Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $145 across 12 hospitalsCO$145Nebraska: median $204 across 43 hospitalsNE$204Missouri: median $121 across 21 hospitalsMO$121Kentucky: median $95 across 12 hospitalsKY$95West Virginia: median $78 across 27 hospitalsWV$78Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $150 across 40 hospitalsKS$150Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $78 across 15 hospitalsTN$78North Carolina: median $82 across 16 hospitalsNC$82South Carolina: median $119 across 28 hospitalsSC$119Oklahoma: median $116 across 25 hospitalsOK$116Louisiana: median $41 across 10 hospitalsLA$41Mississippi: median $110 across 15 hospitalsMS$110Alabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $153 across 13 hospitalsGA$153Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $99 across 30 hospitalsTX$99Florida: median $181 across 10 hospitalsFL$181
Cash price by state, most expensive first. National median $141. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alaska AK12$296+110%$214 – $372
North Dakota ND17$253+80%$85 – $317
Nebraska NE43$204+45%$172 – $227
Washington WA30$190+35%$152 – $219
New York NY78$190+35%$110 – $300
South Dakota SD11$184+30%$100 – $260
Iowa IA57$183+30%$119 – $198
Florida FL10$181+29%$35 – $390
Massachusetts MA20$180+28%$100 – $271
Minnesota MN36$178+27%$100 – $252
Montana MT21$170+21%$109 – $245
Michigan MI62$165+17%$72 – $218
Oregon OR31$154+9%$79 – $250
Georgia GA13$153+8%$123 – $469
Kansas KS40$150+7%$112 – $200
Illinois IL44$147+5%$88 – $219
Wisconsin WI49$147+4%$87 – $228
Colorado CO12$145+3%$74 – $209
Missouri MO21$121−14%$31 – $170
South Carolina SC28$119−16%$57 – $119
Oklahoma OK25$116−18%$84 – $116
Mississippi MS15$110−22%$58 – $121
California CA38$108−23%$38 – $238
Ohio OH47$107−24%$64 – $135
Texas TX30$99−30%$66 – $164
Kentucky KY12$95−33%$51 – $116
New Hampshire NH10$86−39%$56 – $153
North Carolina NC16$82−42%$82 – $136
Pennsylvania PA36$79−44%$25 – $169
Tennessee TN15$78−45%$57 – $104
West Virginia WV27$78−45%$68 – $165
Indiana IN37$71−49%$44 – $141
Maine ME16$71−50%$24 – $149
Louisiana LA10$41−71%$37 – $77
Vermont VT9not enough hospitals filed a usable price
New Jersey NJ8not enough hospitals filed a usable price
Virginia VA8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $141.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care568$129$64 – $223
Children’s17fewer than 20 hospitals
Critical access471$155$87 – $228
Ownership
For-profit43$116$44 – $223
Government288$149$90 – $215
Non-profit725$139$68 – $228
System affiliation
Part of a system788$138$68 – $224
Independent269$147$97 – $238

Cash price vs list price

Median list price (chargemaster)$209
Median cash price$141
Cash as a share of list, median hospital70%

At the typical hospital, asking for the cash price cuts the list price by about 30%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

595 hospitals filed a usable inpatient cash price for this code. The median is $133 and the average of the middle 60% is $139; most fall between $78 and $223.

Cash price percentiles, inpatient, across 595 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$52$84$133$200$265

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($52 vs $265).

Of the 640 hospitals that filed this code inpatient, 595 gave a usable cash price; 4 carried a plausibility flag, 2 filed a number their own filing marks as not a price, 0 gave an estimate, and 39 a list price only.

How complete is this

1,057 of the 3,956 hospitals with a price file in our corpus (27%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,156 hospitals that filed this code at all gave us
Usable cash price — counted1,057
Cash price carrying a plausibility flag — shown on the compare tool, excluded here27
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded3
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded69
Hospitals that filed this code1,156

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Consultation, evaluation, and preventative care family.

Hospitals file this code under descriptions such as Initial Preventive Medicine New Patient <1year.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Preventive check-up for a new patient under age 1 (CPT 99381) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99381-preventive-check-up-for-a-new-patient-under-age-1