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Procedure price report · Consultation, evaluation, and preventative care

Preventive checkup, new patient age 40 to 64

CPT 99386the billing code this page is about

A routine wellness visit for a new patient aged 40 through 64, including a full history, examination, and counseling on health risks and screening needs.

Hospitals typically charge $176 cash for this outpatient procedure — the median across 1,216 hospitals that filed a usable cash price; the average of the middle 60% is $185. Most fall between $89 and $300 (20th–80th percentile).

Hospitals
1,216
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 1,216 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
$58$104$176$281$384

The most expensive tenth of hospitals charges at least 6.7× what the cheapest tenth charges ($58 vs $384).

How the prices are spread

$39 – $49: 36 hospitals$39$49 – $63: 45 hospitals$63 – $80: 69 hospitals$63$80 – $102: 74 hospitals$102 – $129: 124 hospitals$102$129 – $165: 150 hospitals$165 – $210: 166 hospitals$165$210 – $268: 150 hospitals$268 – $342: 173 hospitals$268$342 – $435: 110 hospitals$342median $176price bands are equal on a log scale
Hospitals per price band (1,097 of 1,216 — the bands cover the 5th to 95th percentile)
FromToHospitals
$39$4936
$49$6345
$63$8069
$80$10274
$102$129124
$129$165150
$165$210166
$210$268150
$268$342173
$342$435110

By state

The median cash price in each state, against the national median of $176.

Alaska: median $409 across 11 hospitalsAK$409Maine: median $138 across 17 hospitalsME$138Vermont: median $204 across 12 hospitalsVT$204New Hampshire: median $134 across 10 hospitalsNH$134Washington: median $228 across 32 hospitalsWA$228Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $230 across 21 hospitalsMT$230North Dakota: median $323 across 18 hospitalsND$323Minnesota: median $244 across 44 hospitalsMN$244Illinois: median $200 across 51 hospitalsIL$200Wisconsin: median $229 across 51 hospitalsWI$229Michigan: median $172 across 63 hospitalsMI$172New York: median $295 across 83 hospitalsNY$295Massachusetts: median $185 across 29 hospitalsMA$185Oregon: median $206 across 33 hospitalsOR$206Nevada: 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 $244 across 18 hospitalsSD$244Iowa: median $236 across 62 hospitalsIA$236Indiana: median $57 across 40 hospitalsIN$57Ohio: median $155 across 64 hospitalsOH$155Pennsylvania: median $121 across 50 hospitalsPA$121New Jersey: 8 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 7 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 $162 across 44 hospitalsCA$162Utah: 7 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $224 across 15 hospitalsCO$224Nebraska: median $285 across 47 hospitalsNE$285Missouri: median $168 across 25 hospitalsMO$168Kentucky: median $135 across 15 hospitalsKY$135West Virginia: median $96 across 27 hospitalsWV$96Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital 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 $197 across 44 hospitalsKS$197Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $104 across 18 hospitalsTN$104North Carolina: median $148 across 25 hospitalsNC$148South Carolina: median $119 across 27 hospitalsSC$119Oklahoma: median $174 across 26 hospitalsOK$174Louisiana: median $132 across 19 hospitalsLA$132Mississippi: median $123 across 18 hospitalsMS$123Alabama: 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 $145 across 38 hospitalsTX$145Florida: median $207 across 12 hospitalsFL$207
Cash price by state, most expensive first. National median $176. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA13$520+196%$177 – $642
Alaska AK11$409+133%$189 – $510
North Dakota ND18$323+84%$132 – $431
New York NY83$295+68%$130 – $375
Nebraska NE47$285+62%$212 – $323
Minnesota MN44$244+39%$67 – $389
South Dakota SD18$244+39%$79 – $281
Iowa IA62$236+34%$140 – $273
Montana MT21$230+31%$70 – $351
Wisconsin WI51$229+30%$151 – $353
Washington WA32$228+30%$93 – $289
Colorado CO15$224+27%$94 – $294
Florida FL12$207+18%$104 – $384
Oregon OR33$206+18%$79 – $326
Vermont VT12$204+16%$107 – $446
Illinois IL51$200+14%$98 – $312
Kansas KS44$197+12%$129 – $286
Massachusetts MA29$185+5%$122 – $282
Oklahoma OK26$174−1%$100 – $181
Michigan MI63$172−2%$72 – $223
Missouri MO25$168−4%$31 – $207
California CA44$162−8%$100 – $357
Ohio OH64$155−12%$88 – $167
North Carolina NC25$148−16%$88 – $154
Texas TX38$145−18%$92 – $255
Maine ME17$138−22%$37 – $243
Kentucky KY15$135−23%$66 – $140
New Hampshire NH10$134−24%$77 – $212
Louisiana LA19$132−25%$75 – $282
Mississippi MS18$123−30%$61 – $160
Pennsylvania PA50$121−31%$61 – $241
South Carolina SC27$119−32%$114 – $137
Tennessee TN18$104−41%$72 – $179
West Virginia WV27$96−45%$70 – $197
Indiana IN40$57−68%$46 – $176
Wyoming WY9not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
New Jersey NJ8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Utah UT7not enough hospitals filed a usable price
Virginia VA7not 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
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 $176.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care693$163$87 – $293
Children’s7fewer than 20 hospitals
Critical access511$203$95 – $321
Ownership
For-profit60$167$55 – $336
Government310$189$104 – $296
Non-profit841$172$87 – $300
System affiliation
Part of a system917$167$80 – $295
Independent299$203$117 – $321

Cash price vs list price

Median list price (chargemaster)$263
Median cash price$176
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

710 hospitals filed a usable inpatient cash price for this code. The median is $165 and the average of the middle 60% is $178; most fall between $95 and $295.

Cash price percentiles, inpatient, across 710 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
$62$106$165$273$384

The most expensive tenth of hospitals charges at least 6.2× what the cheapest tenth charges ($62 vs $384).

Of the 770 hospitals that filed this code inpatient, 710 gave a usable cash price; 8 carried a plausibility flag, 3 filed a number their own filing marks as not a price, 0 gave an estimate, and 49 a list price only.

How complete is this

1,216 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 1,329 hospitals that filed this code at all gave us
Usable cash price — counted1,216
Cash price carrying a plausibility flag — shown on the compare tool, excluded here31
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 — excluded79
Hospitals that filed this code1,329

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 40-64yrs.

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 40 to 64 (CPT 99386) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99386-preventive-checkup-new-patient-age-40-to-64