Procedure price report · Consultation, evaluation, and preventative care

Preventive checkup, returning patient age 1 to 4

CPT code CPT 99392the billing code this page is about

A routine well-child visit for a child aged 1 through 4 already established with the practice, including an age-appropriate history, examination, and parent counseling.

Hospitals typically charge $129 cash for this outpatient procedure — the median across 1,089 hospitals that filed a usable cash price; the average of the middle 60% is $133. Most fall between $73 and $210 (20th–80th percentile).

Hospitals
1,089
States
50
Filings dated
Aug 2022 – 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 1,089 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
$48$82$129$194$273

The most expensive tenth of hospitals charges at least 5.7× what the cheapest tenth charges ($48 vs $273).

How the prices are spread

$36 – $45: 43 hospitals$36$45 – $55: 45 hospitals$55 – $68: 55 hospitals$55$68 – $84: 87 hospitals$84 – $104: 114 hospitals$84$104 – $129: 151 hospitals$129 – $160: 141 hospitals$129$160 – $198: 142 hospitals$198 – $245: 121 hospitals$198$245 – $303: 82 hospitals$245median $129price bands are equal on a log scale
Hospitals per price band (981 of 1,089 — the bands cover the 5th to 95th percentile)
FromToHospitals
$36$4543
$45$5545
$55$6855
$68$8487
$84$104114
$104$129151
$129$160141
$160$198142
$198$245121
$245$30382

By state

The median cash price in each state, against the national median of $129.

Alaska: median $276 across 12 hospitalsAK$276Maine: median $79 across 17 hospitalsME$79Vermont: median $129 across 10 hospitalsVT$129New Hampshire: median $86 across 10 hospitalsNH$86Washington: median $183 across 30 hospitalsWA$183Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $152 across 22 hospitalsMT$152North Dakota: median $228 across 17 hospitalsND$228Minnesota: median $167 across 39 hospitalsMN$167Illinois: median $139 across 42 hospitalsIL$139Wisconsin: median $147 across 51 hospitalsWI$147Michigan: median $146 across 62 hospitalsMI$146New York: median $177 across 79 hospitalsNY$177Massachusetts: median $180 across 20 hospitalsMA$180Oregon: median $149 across 31 hospitalsOR$149Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $110 across 16 hospitalsSD$110Iowa: median $157 across 59 hospitalsIA$157Indiana: median $63 across 38 hospitalsIN$63Ohio: median $101 across 52 hospitalsOH$101Pennsylvania: median $98 across 37 hospitalsPA$98New 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 $106 across 40 hospitalsCA$106Utah: 5 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $132 across 11 hospitalsCO$132Nebraska: median $202 across 40 hospitalsNE$202Missouri: median $114 across 23 hospitalsMO$114Kentucky: median $88 across 15 hospitalsKY$88West Virginia: median $73 across 26 hospitalsWV$73Virginia: 7 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: 9 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 $148 across 44 hospitalsKS$148Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $89 across 12 hospitalsTN$89North Carolina: median $73 across 18 hospitalsNC$73South Carolina: median $114 across 28 hospitalsSC$114Oklahoma: median $110 across 28 hospitalsOK$110Louisiana: median $55 across 10 hospitalsLA$55Mississippi: median $88 across 16 hospitalsMS$88Alabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $451 across 11 hospitalsGA$451Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $87 across 30 hospitalsTX$87Florida: median $124 across 10 hospitalsFL$124
Cash price by state, most expensive first. National median $129. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA11$451+251%$123 – $451
Alaska AK12$276+115%$193 – $332
North Dakota ND17$228+77%$85 – $302
Nebraska NE40$202+57%$164 – $216
Washington WA30$183+43%$153 – $201
Massachusetts MA20$180+40%$118 – $225
New York NY79$177+38%$100 – $295
Minnesota MN39$167+30%$74 – $238
Iowa IA59$157+22%$99 – $190
Montana MT22$152+18%$86 – $235
Oregon OR31$149+16%$78 – $241
Kansas KS44$148+15%$108 – $205
Wisconsin WI51$147+14%$85 – $220
Michigan MI62$146+14%$72 – $194
Illinois IL42$139+8%$72 – $203
Colorado CO11$132+3%$74 – $200
Vermont VT10$1290%$50 – $313
Florida FL10$124−3%$37 – $155
Missouri MO23$114−11%$31 – $194
South Carolina SC28$114−11%$57 – $114
Oklahoma OK28$110−14%$80 – $111
South Dakota SD16$110−15%$79 – $195
California CA40$106−18%$35 – $187
Ohio OH52$101−22%$99 – $135
Pennsylvania PA37$98−24%$44 – $172
Tennessee TN12$89−31%$54 – $143
Kentucky KY15$88−32%$49 – $92
Mississippi MS16$88−32%$58 – $119
Texas TX30$87−33%$70 – $134
New Hampshire NH10$86−33%$54 – $143
Maine ME17$79−39%$23 – $145
North Carolina NC18$73−43%$73 – $125
West Virginia WV26$73−44%$57 – $139
Indiana IN38$63−51%$44 – $132
Louisiana LA10$55−58%$41 – $68
Arizona AZ9not enough hospitals filed a usable price
New Jersey NJ9not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Virginia VA7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Idaho ID6not 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
Utah UT5not 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 $129.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care581$118$68 – $200
Children’s17fewer than 20 hospitals
Critical access490$143$79 – $215
Ownership
For-profit45$104$44 – $208
Government293$135$81 – $205
Non-profit750$126$68 – $216
System affiliation
Part of a system812$122$68 – $208
Independent277$139$89 – $219

Cash price vs list price

Median list price (chargemaster)$191
Median cash price$129
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

621 hospitals filed a usable inpatient cash price for this code. The median is $121 and the average of the middle 60% is $130; most fall between $74 and $207.

Cash price percentiles, inpatient, across 621 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$83$121$190$259

The most expensive tenth of hospitals charges at least 5.2× what the cheapest tenth charges ($50 vs $259).

Of the 669 hospitals that filed this code inpatient, 621 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 42 a list price only.

How complete is this

1,089 of the 3,956 hospitals with a price file in our corpus (28%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,187 hospitals that filed this code at all gave us
Usable cash price — counted1,089
Cash price carrying a plausibility flag — shown on the compare tool, excluded here25
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 — excluded70
Hospitals that filed this code1,187

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.

Hospitals file this code under descriptions such as Periodic Preventive Med Est Patient 1-4yrs.

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 age 1 to 4 (CPT 99392) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99392-preventive-checkup-returning-patient-age-1-to-4