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Procedure price report · Consultation, evaluation, and preventative care

Preventive checkup, returning patient age 5 to 11

CPT 99393the billing code this page is about

A routine well-child visit for a child aged 5 through 11 already established with the practice, including an age-appropriate history, examination, and counseling.

Hospitals typically charge $123 cash for this outpatient procedure — the median across 1,107 hospitals that filed a usable cash price; the average of the middle 60% is $130. Most fall between $65 and $210 (20th–80th percentile).

Hospitals
1,107
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 1,107 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
$44$78$123$194$263

The most expensive tenth of hospitals charges at least 6.0× what the cheapest tenth charges ($44 vs $263).

How the prices are spread

$32 – $40: 39 hospitals$32$40 – $50: 50 hospitals$50 – $63: 63 hospitals$50$63 – $79: 84 hospitals$79 – $99: 111 hospitals$79$99 – $124: 166 hospitals$124 – $156: 131 hospitals$124$156 – $195: 134 hospitals$195 – $245: 130 hospitals$195$245 – $306: 89 hospitals$245median $123price bands are equal on a log scale
Hospitals per price band (997 of 1,107 — the bands cover the 5th to 95th percentile)
FromToHospitals
$32$4039
$40$5050
$50$6363
$63$7984
$79$99111
$99$124166
$124$156131
$156$195134
$195$245130
$245$30689

By state

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

Alaska: median $276 across 12 hospitalsAK$276Maine: median $79 across 17 hospitalsME$79Vermont: median $144 across 11 hospitalsVT$144New Hampshire: median $86 across 10 hospitalsNH$86Washington: median $169 across 30 hospitalsWA$169Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $152 across 22 hospitalsMT$152North Dakota: median $224 across 17 hospitalsND$224Minnesota: median $147 across 40 hospitalsMN$147Illinois: median $141 across 44 hospitalsIL$141Wisconsin: median $147 across 52 hospitalsWI$147Michigan: median $126 across 62 hospitalsMI$126New York: median $190 across 80 hospitalsNY$190Massachusetts: median $183 across 20 hospitalsMA$183Oregon: median $144 across 30 hospitalsOR$144Nevada: 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 $116 across 16 hospitalsSD$116Iowa: median $143 across 60 hospitalsIA$143Indiana: median $66 across 38 hospitalsIN$66Ohio: median $111 across 53 hospitalsOH$111Pennsylvania: median $83 across 37 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 $110 across 41 hospitalsCA$110Utah: 5 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $139 across 11 hospitalsCO$139Nebraska: median $200 across 41 hospitalsNE$200Missouri: median $113 across 22 hospitalsMO$113Kentucky: median $91 across 15 hospitalsKY$91West Virginia: median $65 across 26 hospitalsWV$65Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 9 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $150 across 44 hospitalsKS$150Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $60 across 16 hospitalsTN$60North Carolina: median $80 across 18 hospitalsNC$80South Carolina: median $123 across 28 hospitalsSC$123Oklahoma: median $111 across 26 hospitalsOK$111Louisiana: median $65 across 11 hospitalsLA$65Mississippi: median $88 across 17 hospitalsMS$88Alabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $156 across 12 hospitalsGA$156Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $86 across 30 hospitalsTX$86Florida: median $94 across 10 hospitalsFL$94
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
Alaska AK12$276+124%$200 – $340
North Dakota ND17$224+82%$51 – $294
Nebraska NE41$200+63%$168 – $215
New York NY80$190+55%$105 – $295
Massachusetts MA20$183+49%$85 – $225
Washington WA30$169+37%$68 – $201
Georgia GA12$156+27%$118 – $451
Montana MT22$152+24%$58 – $244
Kansas KS44$150+22%$113 – $208
Minnesota MN40$147+20%$47 – $246
Wisconsin WI52$147+20%$88 – $220
Vermont VT11$144+17%$105 – $312
Oregon OR30$144+17%$48 – $252
Iowa IA60$143+16%$84 – $189
Illinois IL44$141+15%$73 – $231
Colorado CO11$139+13%$74 – $200
Michigan MI62$126+2%$72 – $191
South Carolina SC28$1230%$60 – $123
South Dakota SD16$116−5%$79 – $204
Missouri MO22$113−8%$31 – $200
Ohio OH53$111−10%$100 – $120
Oklahoma OK26$111−10%$80 – $111
California CA41$110−11%$36 – $208
Florida FL10$94−24%$44 – $155
Kentucky KY15$91−26%$53 – $92
Mississippi MS17$88−29%$49 – $120
Texas TX30$86−30%$63 – $127
New Hampshire NH10$86−30%$54 – $143
Pennsylvania PA37$83−33%$27 – $161
North Carolina NC18$80−35%$80 – $129
Maine ME17$79−36%$23 – $125
Indiana IN38$66−46%$44 – $134
West Virginia WV26$65−47%$50 – $138
Louisiana LA11$65−47%$54 – $173
Tennessee TN16$60−51%$57 – $104
Arizona AZ9not enough hospitals filed a usable price
New Jersey NJ9not enough hospitals filed a usable price
Virginia VA9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Arkansas AR7not 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
New Mexico NM5not enough hospitals filed a usable price
Utah UT5not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD2not 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 care599$118$63 – $206
Children’s17fewer than 20 hospitals
Critical access490$139$72 – $213
Ownership
For-profit48$93$44 – $208
Government293$129$74 – $207
Non-profit765$123$63 – $215
System affiliation
Part of a system825$120$63 – $206
Independent282$134$82 – $219

Cash price vs list price

Median list price (chargemaster)$189
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

638 hospitals filed a usable inpatient cash price for this code. The median is $120 and the average of the middle 60% is $126; most fall between $71 and $205.

Cash price percentiles, inpatient, across 638 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$79$120$190$254

The most expensive tenth of hospitals charges at least 5.6× what the cheapest tenth charges ($46 vs $254).

Of the 687 hospitals that filed this code inpatient, 638 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 43 a list price only.

How complete is this

1,107 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 1,206 hospitals that filed this code at all gave us
Usable cash price — counted1,107
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 — excluded71
Hospitals that filed this code1,206

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 Est Patient 5-11yrs.

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 5 to 11 (CPT 99393) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99393-preventive-checkup-returning-patient-age-5-to-11