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Procedure price report · Consultation, evaluation, and preventative care

Preventive checkup, returning patient age 12 to 17

CPT 99394the billing code this page is about

A routine wellness visit for an adolescent aged 12 through 17 already established with the practice, including an age-appropriate history, examination, and counseling.

Hospitals typically charge $130 cash for this outpatient procedure — the median across 1,180 hospitals that filed a usable cash price; the average of the middle 60% is $138. Most fall between $69 and $224 (20th–80th percentile).

Hospitals
1,180
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 1,180 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$82$130$207$287

The most expensive tenth of hospitals charges at least 6.2× what the cheapest tenth charges ($46 vs $287).

How the prices are spread

$34 – $43: 41 hospitals$34$43 – $54: 65 hospitals$54 – $68: 66 hospitals$54$68 – $86: 90 hospitals$86 – $107: 132 hospitals$86$107 – $135: 156 hospitals$135 – $169: 160 hospitals$135$169 – $213: 152 hospitals$213 – $267: 112 hospitals$213$267 – $335: 89 hospitals$267median $130price bands are equal on a log scale
Hospitals per price band (1,063 of 1,180 — the bands cover the 5th to 95th percentile)
FromToHospitals
$34$4341
$43$5465
$54$6866
$68$8690
$86$107132
$107$135156
$135$169160
$169$213152
$213$267112
$267$33589

By state

The median cash price in each state, against the national median of $130.

Alaska: median $303 across 12 hospitalsAK$303Maine: median $86 across 17 hospitalsME$86Vermont: median $159 across 11 hospitalsVT$159New Hampshire: median $97 across 10 hospitalsNH$97Washington: median $153 across 31 hospitalsWA$153Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $165 across 22 hospitalsMT$165North Dakota: median $243 across 18 hospitalsND$243Minnesota: median $147 across 41 hospitalsMN$147Illinois: median $143 across 44 hospitalsIL$143Wisconsin: median $167 across 53 hospitalsWI$167Michigan: median $137 across 67 hospitalsMI$137New York: median $171 across 81 hospitalsNY$171Massachusetts: median $149 across 29 hospitalsMA$149Oregon: median $120 across 32 hospitalsOR$120Nevada: 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 $147 across 22 hospitalsSD$147Iowa: median $167 across 60 hospitalsIA$167Indiana: median $69 across 40 hospitalsIN$69Ohio: median $123 across 68 hospitalsOH$123Pennsylvania: median $86 across 40 hospitalsPA$86New Jersey: median $163 across 12 hospitalsNJ$163Connecticut: 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 $106 across 42 hospitalsCA$106Utah: 6 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $145 across 12 hospitalsCO$145Nebraska: median $212 across 43 hospitalsNE$212Missouri: median $111 across 25 hospitalsMO$111Kentucky: median $101 across 15 hospitalsKY$101West Virginia: median $71 across 26 hospitalsWV$71Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $124 across 10 hospitalsAZ$124New Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $159 across 45 hospitalsKS$159Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $61 across 16 hospitalsTN$61North Carolina: median $103 across 22 hospitalsNC$103South Carolina: median $124 across 28 hospitalsSC$124Oklahoma: median $122 across 24 hospitalsOK$122Louisiana: median $90 across 14 hospitalsLA$90Mississippi: median $108 across 17 hospitalsMS$108Alabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $490 across 11 hospitalsGA$490Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $95 across 34 hospitalsTX$95Florida: median $172 across 11 hospitalsFL$172
Cash price by state, most expensive first. National median $130. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA11$490+277%$134 – $490
Alaska AK12$303+133%$216 – $372
North Dakota ND18$243+87%$52 – $324
Nebraska NE43$212+63%$169 – $238
Florida FL11$172+32%$94 – $176
New York NY81$171+32%$111 – $303
Iowa IA60$167+28%$95 – $207
Wisconsin WI53$167+28%$84 – $242
Montana MT22$165+27%$58 – $258
New Jersey NJ12$163+25%$113 – $500
Vermont VT11$159+22%$120 – $341
Kansas KS45$159+22%$82 – $210
Washington WA31$153+18%$68 – $218
Massachusetts MA29$149+14%$90 – $225
Minnesota MN41$147+13%$50 – $268
South Dakota SD22$147+13%$83 – $202
Colorado CO12$145+11%$84 – $230
Illinois IL44$143+10%$71 – $221
Michigan MI67$137+5%$72 – $194
Arizona AZ10$124−5%$71 – $251
South Carolina SC28$124−5%$89 – $150
Ohio OH68$123−5%$88 – $167
Oklahoma OK24$122−6%$88 – $122
Oregon OR32$120−8%$53 – $208
Missouri MO25$111−14%$31 – $173
Mississippi MS17$108−17%$54 – $129
California CA42$106−19%$39 – $215
North Carolina NC22$103−21%$77 – $135
Kentucky KY15$101−22%$49 – $102
New Hampshire NH10$97−25%$58 – $150
Texas TX34$95−27%$66 – $190
Louisiana LA14$90−31%$60 – $213
Pennsylvania PA40$86−34%$53 – $233
Maine ME17$86−34%$25 – $163
West Virginia WV26$71−46%$55 – $153
Indiana IN40$69−47%$44 – $132
Tennessee TN16$61−53%$59 – $117
Hawaii HI9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
Virginia VA8not enough hospitals filed a usable price
Connecticut CT7not 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
Utah UT6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Rhode Island RI2not 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 $130.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care651$124$68 – $210
Children’s17fewer than 20 hospitals
Critical access508$143$70 – $226
Ownership
For-profit56$116$44 – $227
Government304$133$70 – $215
Non-profit816$130$70 – $225
System affiliation
Part of a system891$126$68 – $223
Independent289$142$79 – $226

Cash price vs list price

Median list price (chargemaster)$204
Median cash price$130
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

687 hospitals filed a usable inpatient cash price for this code. The median is $124 and the average of the middle 60% is $133; most fall between $76 and $214.

Cash price percentiles, inpatient, across 687 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$124$198$284

The most expensive tenth of hospitals charges at least 5.7× what the cheapest tenth charges ($50 vs $284).

Of the 736 hospitals that filed this code inpatient, 687 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

1,180 of the 3,956 hospitals with a price file in our corpus (30%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,282 hospitals that filed this code at all gave us
Usable cash price — counted1,180
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 — excluded73
Hospitals that filed this code1,282

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 12-17yrs.

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 12 to 17 (CPT 99394) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99394-preventive-checkup-returning-patient-age-12-to-17