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Procedure price report · Consultation, evaluation, and preventative care

Preventive checkup, returning patient age 18 to 39

CPT 99395the billing code this page is about

A routine wellness visit for an established patient aged 18 through 39, including a history, examination, and counseling on health risks and screening needs.

Hospitals typically charge $139 cash for this outpatient procedure — the median across 1,262 hospitals that filed a usable cash price; the average of the middle 60% is $140. Most fall between $68 and $225 (20th–80th percentile).

Hospitals
1,262
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 1,262 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
$45$79$139$210$294

The most expensive tenth of hospitals charges at least 6.5× what the cheapest tenth charges ($45 vs $294).

How the prices are spread

$33 – $42: 41 hospitals$33$42 – $53: 65 hospitals$53 – $67: 82 hospitals$53$67 – $85: 107 hospitals$85 – $107: 115 hospitals$85$107 – $136: 131 hospitals$136 – $172: 202 hospitals$136$172 – $217: 175 hospitals$217 – $275: 128 hospitals$217$275 – $347: 90 hospitals$275median $139price bands are equal on a log scale
Hospitals per price band (1,136 of 1,262 — the bands cover the 5th to 95th percentile)
FromToHospitals
$33$4241
$42$5365
$53$6782
$67$85107
$85$107115
$107$136131
$136$172202
$172$217175
$217$275128
$275$34790

By state

The median cash price in each state, against the national median of $139.

Alaska: median $318 across 11 hospitalsAK$318Maine: median $92 across 17 hospitalsME$92Vermont: median $161 across 12 hospitalsVT$161New Hampshire: median $100 across 10 hospitalsNH$100Washington: median $160 across 32 hospitalsWA$160Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $165 across 21 hospitalsMT$165North Dakota: median $218 across 18 hospitalsND$218Minnesota: median $136 across 44 hospitalsMN$136Illinois: median $149 across 54 hospitalsIL$149Wisconsin: median $155 across 55 hospitalsWI$155Michigan: median $137 across 65 hospitalsMI$137New York: median $250 across 85 hospitalsNY$250Massachusetts: median $126 across 35 hospitalsMA$126Oregon: median $149 across 33 hospitalsOR$149Nevada: 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 $151 across 23 hospitalsSD$151Iowa: median $172 across 63 hospitalsIA$172Indiana: median $75 across 40 hospitalsIN$75Ohio: median $123 across 72 hospitalsOH$123Pennsylvania: median $97 across 53 hospitalsPA$97New Jersey: median $152 across 13 hospitalsNJ$152Connecticut: 9 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $137 across 42 hospitalsCA$137Utah: 7 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $174 across 13 hospitalsCO$174Nebraska: median $219 across 45 hospitalsNE$219Missouri: median $106 across 27 hospitalsMO$106Kentucky: median $101 across 16 hospitalsKY$101West Virginia: median $68 across 27 hospitalsWV$68Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 7 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 $165 across 46 hospitalsKS$165Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $78 across 17 hospitalsTN$78North Carolina: median $106 across 24 hospitalsNC$106South Carolina: median $141 across 28 hospitalsSC$141Oklahoma: median $124 across 27 hospitalsOK$124Louisiana: median $95 across 20 hospitalsLA$95Mississippi: median $87 across 18 hospitalsMS$87Alabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $193 across 15 hospitalsGA$193Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $113 across 38 hospitalsTX$113Florida: median $191 across 13 hospitalsFL$191
Cash price by state, most expensive first. National median $139. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alaska AK11$318+129%$164 – $403
New York NY85$250+80%$115 – $295
Nebraska NE45$219+57%$144 – $257
North Dakota ND18$218+56%$54 – $336
Georgia GA15$193+38%$95 – $501
Florida FL13$191+37%$75 – $274
Colorado CO13$174+25%$79 – $235
Iowa IA63$172+23%$70 – $213
Montana MT21$165+19%$56 – $263
Kansas KS46$165+19%$108 – $228
Vermont VT12$161+15%$79 – $349
Washington WA32$160+15%$64 – $225
Wisconsin WI55$155+12%$87 – $172
New Jersey NJ13$152+9%$70 – $471
South Dakota SD23$151+9%$79 – $210
Oregon OR33$149+7%$54 – $217
Illinois IL54$149+7%$74 – $230
South Carolina SC28$141+1%$92 – $141
California CA42$137−1%$47 – $262
Michigan MI65$137−2%$56 – $191
Minnesota MN44$136−2%$47 – $296
Massachusetts MA35$126−9%$38 – $209
Oklahoma OK27$124−11%$76 – $141
Ohio OH72$123−12%$80 – $203
Texas TX38$113−19%$70 – $183
Missouri MO27$106−24%$32 – $174
North Carolina NC24$106−24%$66 – $148
Kentucky KY16$101−27%$49 – $119
New Hampshire NH10$100−28%$60 – $150
Pennsylvania PA53$97−30%$58 – $182
Louisiana LA20$95−32%$52 – $213
Maine ME17$92−34%$26 – $163
Mississippi MS18$87−37%$50 – $129
Tennessee TN17$78−44%$62 – $121
Indiana IN40$75−46%$44 – $139
West Virginia WV27$68−51%$54 – $147
Connecticut CT9not enough hospitals filed a usable price
Hawaii HI9not enough hospitals filed a usable price
Virginia VA9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Utah UT7not 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
Maryland MD5not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Rhode Island RI3not 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 $139.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care720$136$66 – $216
Children’s18fewer than 20 hospitals
Critical access519$149$70 – $230
Ownership
For-profit58$119$44 – $228
Government317$139$73 – $225
Non-profit882$141$66 – $225
System affiliation
Part of a system950$137$64 – $220
Independent312$146$80 – $244

Cash price vs list price

Median list price (chargemaster)$212
Median cash price$139
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

751 hospitals filed a usable inpatient cash price for this code. The median is $139 and the average of the middle 60% is $138; most fall between $74 and $213.

Cash price percentiles, inpatient, across 751 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$139$198$288

The most expensive tenth of hospitals charges at least 5.7× what the cheapest tenth charges ($50 vs $288).

Of the 810 hospitals that filed this code inpatient, 751 gave a usable cash price; 9 carried a plausibility flag, 3 filed a number their own filing marks as not a price, 0 gave an estimate, and 47 a list price only.

How complete is this

1,262 of the 3,956 hospitals with a price file in our corpus (32%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,375 hospitals that filed this code at all gave us
Usable cash price — counted1,262
Cash price carrying a plausibility flag — shown on the compare tool, excluded here33
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 — excluded77
Hospitals that filed this code1,375

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 18-39 Yrs.

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 18 to 39 (CPT 99395) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99395-preventive-checkup-returning-patient-age-18-to-39