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Procedure price report · Consultation, evaluation, and preventative care

Preventive checkup, new patient age 18 to 39

CPT 99385the billing code this page is about

A routine wellness visit for a new patient aged 18 through 39, including a full history, examination, and counseling on health risks and screening needs.

Hospitals typically charge $157 cash for this outpatient procedure — the median across 1,243 hospitals that filed a usable cash price; the average of the middle 60% is $163. Most fall between $81 and $270 (20th–80th percentile).

Hospitals
1,243
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 1,243 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
$50$93$157$245$342

The most expensive tenth of hospitals charges at least 6.9× what the cheapest tenth charges ($50 vs $342).

How the prices are spread

$37 – $47: 54 hospitals$37$47 – $60: 49 hospitals$60 – $77: 74 hospitals$60$77 – $98: 89 hospitals$98 – $124: 151 hospitals$98$124 – $158: 167 hospitals$158 – $201: 155 hospitals$158$201 – $256: 166 hospitals$256 – $326: 144 hospitals$256$326 – $415: 74 hospitals$326median $157price bands are equal on a log scale
Hospitals per price band (1,123 of 1,243 — the bands cover the 5th to 95th percentile)
FromToHospitals
$37$4754
$47$6049
$60$7774
$77$9889
$98$124151
$124$158167
$158$201155
$201$256166
$256$326144
$326$41574

By state

The median cash price in each state, against the national median of $157.

Alaska: median $352 across 11 hospitalsAK$352Maine: median $104 across 18 hospitalsME$104Vermont: median $196 across 11 hospitalsVT$196New Hampshire: median $110 across 11 hospitalsNH$110Washington: median $203 across 31 hospitalsWA$203Idaho: median $237 across 12 hospitalsID$237Montana: median $199 across 21 hospitalsMT$199North Dakota: median $279 across 18 hospitalsND$279Minnesota: median $200 across 40 hospitalsMN$200Illinois: median $169 across 53 hospitalsIL$169Wisconsin: median $189 across 52 hospitalsWI$189Michigan: median $154 across 64 hospitalsMI$154New York: median $269 across 84 hospitalsNY$269Massachusetts: median $180 across 31 hospitalsMA$180Oregon: median $136 across 32 hospitalsOR$136Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $181 across 12 hospitalsSD$181Iowa: median $204 across 63 hospitalsIA$204Indiana: median $57 across 40 hospitalsIN$57Ohio: median $120 across 67 hospitalsOH$120Pennsylvania: median $120 across 50 hospitalsPA$120New Jersey: median $166 across 14 hospitalsNJ$166Connecticut: 9 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $156 across 47 hospitalsCA$156Utah: median $197 across 16 hospitalsUT$197Colorado: median $194 across 15 hospitalsCO$194Nebraska: median $251 across 47 hospitalsNE$251Missouri: median $137 across 25 hospitalsMO$137Kentucky: median $116 across 15 hospitalsKY$116West Virginia: median $90 across 27 hospitalsWV$90Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 8 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 $189 across 42 hospitalsKS$189Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $86 across 18 hospitalsTN$86North Carolina: median $130 across 24 hospitalsNC$130South Carolina: median $116 across 28 hospitalsSC$116Oklahoma: median $158 across 27 hospitalsOK$158Louisiana: median $140 across 18 hospitalsLA$140Mississippi: median $116 across 18 hospitalsMS$116Alabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $520 across 13 hospitalsGA$520Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $135 across 39 hospitalsTX$135Florida: median $150 across 11 hospitalsFL$150
Cash price by state, most expensive first. National median $157. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA13$520+231%$153 – $557
Alaska AK11$352+124%$165 – $443
North Dakota ND18$279+77%$61 – $374
New York NY84$269+71%$112 – $324
Nebraska NE47$251+60%$195 – $298
Idaho ID12$237+50%$85 – $428
Iowa IA63$204+30%$114 – $235
Washington WA31$203+29%$93 – $249
Minnesota MN40$200+27%$56 – $370
Montana MT21$199+26%$62 – $319
Utah UT16$197+25%$128 – $197
Vermont VT11$196+24%$143 – $387
Colorado CO15$194+23%$85 – $253
Kansas KS42$189+20%$120 – $262
Wisconsin WI52$189+20%$140 – $277
South Dakota SD12$181+15%$79 – $253
Massachusetts MA31$180+14%$122 – $272
Illinois IL53$169+8%$72 – $286
New Jersey NJ14$166+6%$78 – $430
Oklahoma OK27$1580%$94 – $158
California CA47$156−1%$67 – $397
Michigan MI64$154−2%$72 – $223
Florida FL11$150−5%$84 – $296
Louisiana LA18$140−11%$62 – $233
Missouri MO25$137−13%$31 – $201
Oregon OR32$136−14%$76 – $269
Texas TX39$135−14%$76 – $239
North Carolina NC24$130−18%$75 – $164
Pennsylvania PA50$120−24%$50 – $202
Ohio OH67$120−24%$88 – $167
Mississippi MS18$116−26%$52 – $153
Kentucky KY15$116−26%$69 – $117
South Carolina SC28$116−26%$98 – $137
New Hampshire NH11$110−30%$74 – $188
Maine ME18$104−34%$30 – $217
West Virginia WV27$90−43%$63 – $176
Tennessee TN18$86−45%$69 – $144
Indiana IN40$57−64%$42 – $149
Connecticut CT9not enough hospitals filed a usable price
Virginia VA9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Rhode Island RI3not 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 $157.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care711$143$78 – $255
Children’s19fewer than 20 hospitals
Critical access508$180$83 – $277
Ownership
For-profit65$121$50 – $277
Government306$163$98 – $266
Non-profit867$155$78 – $275
System affiliation
Part of a system936$150$72 – $269
Independent307$169$106 – $285

Cash price vs list price

Median list price (chargemaster)$235
Median cash price$157
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

739 hospitals filed a usable inpatient cash price for this code. The median is $150 and the average of the middle 60% is $159; most fall between $86 and $263.

Cash price percentiles, inpatient, across 739 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
$56$95$150$235$340

The most expensive tenth of hospitals charges at least 6.1× what the cheapest tenth charges ($56 vs $340).

Of the 792 hospitals that filed this code inpatient, 739 gave a usable cash price; 3 carried a plausibility flag, 3 filed a number their own filing marks as not a price, 0 gave an estimate, and 47 a list price only.

How complete is this

1,243 of the 3,956 hospitals with a price file in our corpus (31%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,350 hospitals that filed this code at all gave us
Usable cash price — counted1,243
Cash price carrying a plausibility flag — shown on the compare tool, excluded here26
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 — excluded78
Hospitals that filed this code1,350

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 Pt Age 18-39yrs.

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 checkup, new patient age 18 to 39 (CPT 99385) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99385-preventive-checkup-new-patient-age-18-to-39