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Procedure price report · Consultation, evaluation, and preventative care

Preventive checkup, returning patient under age 1

CPT 99391the billing code this page is about

A routine well-baby visit for an infant under one year of age already established with the practice, including an age-appropriate history, examination, and parent counseling.

Hospitals typically charge $123 cash for this outpatient procedure — the median across 1,087 hospitals that filed a usable cash price; the average of the middle 60% is $126. Most fall between $67 and $200 (20th–80th percentile).

Hospitals
1,087
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 1,087 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
$46$78$123$185$256

The most expensive tenth of hospitals charges at least 5.6× what the cheapest tenth charges ($46 vs $256).

How the prices are spread

$34 – $42: 29 hospitals$34$42 – $52: 56 hospitals$52 – $65: 70 hospitals$52$65 – $81: 91 hospitals$81 – $100: 101 hospitals$81$100 – $125: 155 hospitals$125 – $155: 157 hospitals$125$155 – $193: 143 hospitals$193 – $240: 102 hospitals$193$240 – $299: 75 hospitals$240median $123price bands are equal on a log scale
Hospitals per price band (979 of 1,087 — the bands cover the 5th to 95th percentile)
FromToHospitals
$34$4229
$42$5256
$52$6570
$65$8191
$81$100101
$100$125155
$125$155157
$155$193143
$193$240102
$240$29975

By state

The median cash price in each state, against the national median of $123.

Alaska: median $247 across 12 hospitalsAK$247Maine: median $72 across 17 hospitalsME$72Vermont: median $115 across 10 hospitalsVT$115New Hampshire: median $79 across 10 hospitalsNH$79Washington: median $169 across 30 hospitalsWA$169Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $153 across 22 hospitalsMT$153North Dakota: median $221 across 17 hospitalsND$221Minnesota: median $159 across 37 hospitalsMN$159Illinois: median $127 across 42 hospitalsIL$127Wisconsin: median $134 across 51 hospitalsWI$134Michigan: median $138 across 62 hospitalsMI$138New York: median $147 across 78 hospitalsNY$147Massachusetts: median $168 across 20 hospitalsMA$168Oregon: median $139 across 31 hospitalsOR$139Nevada: 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 $114 across 16 hospitalsSD$114Iowa: median $144 across 59 hospitalsIA$144Indiana: median $57 across 37 hospitalsIN$57Ohio: median $103 across 52 hospitalsOH$103Pennsylvania: median $83 across 39 hospitalsPA$83New Jersey: 9 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $105 across 40 hospitalsCA$105Utah: median $137 across 13 hospitalsUT$137Colorado: median $118 across 11 hospitalsCO$118Nebraska: median $185 across 40 hospitalsNE$185Missouri: median $108 across 21 hospitalsMO$108Kentucky: median $86 across 12 hospitalsKY$86West Virginia: median $67 across 26 hospitalsWV$67Virginia: 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: 8 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $141 across 42 hospitalsKS$141Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $84 across 15 hospitalsTN$84North Carolina: median $59 across 16 hospitalsNC$59South Carolina: median $110 across 28 hospitalsSC$110Oklahoma: median $104 across 27 hospitalsOK$104Louisiana: median $55 across 10 hospitalsLA$55Mississippi: median $85 across 14 hospitalsMS$85Alabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $422 across 11 hospitalsGA$422Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $84 across 31 hospitalsTX$84Florida: median $117 across 10 hospitalsFL$117
Cash price by state, most expensive first. National median $123. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA11$422+243%$115 – $422
Alaska AK12$247+101%$172 – $317
North Dakota ND17$221+80%$78 – $289
Nebraska NE40$185+50%$150 – $203
Washington WA30$169+37%$146 – $189
Massachusetts MA20$168+37%$104 – $225
Minnesota MN37$159+29%$90 – $209
Montana MT22$153+24%$100 – $221
New York NY78$147+20%$96 – $295
Iowa IA59$144+17%$91 – $178
Kansas KS42$141+15%$107 – $180
Oregon OR31$139+13%$77 – $227
Michigan MI62$138+12%$70 – $191
Utah UT13$137+11%$70 – $295
Wisconsin WI51$134+9%$79 – $205
Illinois IL42$127+3%$72 – $187
Colorado CO11$118−4%$63 – $188
Florida FL10$117−5%$22 – $256
Vermont VT10$115−7%$45 – $286
South Dakota SD16$114−7%$79 – $181
South Carolina SC28$110−11%$59 – $110
Missouri MO21$108−12%$31 – $158
California CA40$105−15%$32 – $170
Oklahoma OK27$104−15%$75 – $104
Ohio OH52$103−17%$94 – $135
Kentucky KY12$86−30%$49 – $90
Mississippi MS14$85−31%$53 – $114
Texas TX31$84−32%$63 – $159
Tennessee TN15$84−32%$53 – $97
Pennsylvania PA39$83−33%$44 – $187
New Hampshire NH10$79−36%$50 – $125
Maine ME17$72−41%$20 – $134
West Virginia WV26$67−46%$49 – $149
North Carolina NC16$59−52%$59 – $105
Indiana IN37$57−54%$44 – $114
Louisiana LA10$55−56%$37 – $132
New Jersey NJ9not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Virginia VA8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
New Mexico NM6not 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
Maryland MD2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Rhode Island RI1not 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 $123.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care586$110$59 – $194
Children’s18fewer than 20 hospitals
Critical access482$134$73 – $201
Ownership
For-profit47$93$44 – $190
Government288$126$78 – $188
Non-profit751$122$65 – $205
System affiliation
Part of a system817$116$60 – $199
Independent270$132$86 – $200

Cash price vs list price

Median list price (chargemaster)$182
Median cash price$123
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

625 hospitals filed a usable inpatient cash price for this code. The median is $115 and the average of the middle 60% is $124; most fall between $69 and $194.

Cash price percentiles, inpatient, across 625 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$79$115$179$247

The most expensive tenth of hospitals charges at least 5.0× what the cheapest tenth charges ($50 vs $247).

Of the 671 hospitals that filed this code inpatient, 625 gave a usable cash price; 3 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 42 a list price only.

How complete is this

1,087 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 1,183 hospitals that filed this code at all gave us
Usable cash price — counted1,087
Cash price carrying a plausibility flag — shown on the compare tool, excluded here24
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded70
Hospitals that filed this code1,183

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 Periodic Preventive Med Established Patient <1y.

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, returning patient under age 1 (CPT 99391) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99391-preventive-checkup-returning-patient-under-age-1