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Procedure price report · Consultation, evaluation, and preventative care

Preventive checkup, returning patient age 40 to 64

CPT 99396the billing code this page is about

A routine wellness visit for an established patient aged 40 through 64, including a history, examination, and counseling on health risks and screening needs.

Hospitals typically charge $150 cash for this outpatient procedure — the median across 1,262 hospitals that filed a usable cash price; the average of the middle 60% is $153. Most fall between $78 and $246 (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
$53$89$150$226$311

The most expensive tenth of hospitals charges at least 5.9× what the cheapest tenth charges ($53 vs $311).

How the prices are spread

$38 – $47: 27 hospitals$38$47 – $59: 64 hospitals$59 – $74: 77 hospitals$59$74 – $93: 102 hospitals$93 – $117: 123 hospitals$93$117 – $147: 148 hospitals$147 – $184: 174 hospitals$147$184 – $231: 195 hospitals$231 – $290: 112 hospitals$231$290 – $365: 115 hospitals$290median $150price bands are equal on a log scale
Hospitals per price band (1,137 of 1,262 — the bands cover the 5th to 95th percentile)
FromToHospitals
$38$4727
$47$5964
$59$7477
$74$93102
$93$117123
$117$147148
$147$184174
$184$231195
$231$290112
$290$365115

By state

The median cash price in each state, against the national median of $150.

Alaska: median $318 across 11 hospitalsAK$318Maine: median $103 across 18 hospitalsME$103Vermont: median $177 across 11 hospitalsVT$177New Hampshire: median $109 across 10 hospitalsNH$109Washington: median $200 across 33 hospitalsWA$200Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $139 across 24 hospitalsMT$139North Dakota: median $298 across 20 hospitalsND$298Minnesota: median $203 across 43 hospitalsMN$203Illinois: median $164 across 50 hospitalsIL$164Wisconsin: median $168 across 53 hospitalsWI$168Michigan: median $147 across 63 hospitalsMI$147New York: median $258 across 86 hospitalsNY$258Massachusetts: median $168 across 32 hospitalsMA$168Oregon: median $173 across 33 hospitalsOR$173Nevada: 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 $157 across 23 hospitalsSD$157Iowa: median $191 across 63 hospitalsIA$191Indiana: median $81 across 40 hospitalsIN$81Ohio: median $141 across 69 hospitalsOH$141Pennsylvania: median $98 across 50 hospitalsPA$98New Jersey: median $113 across 13 hospitalsNJ$113Connecticut: 5 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 $145 across 39 hospitalsCA$145Utah: 7 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $130 across 19 hospitalsCO$130Nebraska: median $234 across 47 hospitalsNE$234Missouri: median $112 across 27 hospitalsMO$112Kentucky: median $112 across 17 hospitalsKY$112West Virginia: median $78 across 27 hospitalsWV$78Virginia: median $84 across 10 hospitalsVA$84Maryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital 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 $188 across 45 hospitalsKS$188Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $89 across 17 hospitalsTN$89North Carolina: median $118 across 24 hospitalsNC$118South Carolina: median $135 across 27 hospitalsSC$135Oklahoma: median $128 across 29 hospitalsOK$128Louisiana: median $94 across 18 hospitalsLA$94Mississippi: median $112 across 20 hospitalsMS$112Alabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $215 across 14 hospitalsGA$215Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $182 across 51 hospitalsTX$182Florida: median $187 across 11 hospitalsFL$187
Cash price by state, most expensive first. National median $150. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alaska AK11$318+113%$178 – $433
North Dakota ND20$298+99%$108 – $354
New York NY86$258+72%$122 – $317
Nebraska NE47$234+56%$192 – $278
Georgia GA14$215+44%$106 – $532
Minnesota MN43$203+36%$56 – $316
Washington WA33$200+33%$93 – $250
Iowa IA63$191+28%$88 – $226
Kansas KS45$188+25%$92 – $246
Florida FL11$187+25%$84 – $299
Texas TX51$182+22%$82 – $213
Vermont VT11$177+18%$128 – $370
Oregon OR33$173+16%$64 – $267
Wisconsin WI53$168+13%$124 – $280
Massachusetts MA32$168+12%$124 – $270
Illinois IL50$164+9%$81 – $245
South Dakota SD23$157+5%$79 – $223
Michigan MI63$147−2%$72 – $194
California CA39$145−3%$67 – $285
Ohio OH69$141−6%$83 – $167
Montana MT24$139−7%$58 – $280
South Carolina SC27$135−10%$106 – $135
Colorado CO19$130−13%$36 – $254
Oklahoma OK29$128−15%$97 – $151
North Carolina NC24$118−21%$77 – $151
New Jersey NJ13$113−24%$71 – $512
Kentucky KY17$112−25%$53 – $121
Mississippi MS20$112−25%$54 – $128
Missouri MO27$112−25%$32 – $181
New Hampshire NH10$109−27%$64 – $174
Maine ME18$103−31%$28 – $205
Pennsylvania PA50$98−34%$63 – $198
Louisiana LA18$94−37%$68 – $275
Tennessee TN17$89−41%$65 – $131
Virginia VA10$84−44%$65 – $214
Indiana IN40$81−46%$47 – $137
West Virginia WV27$78−48%$61 – $160
Hawaii HI9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Utah UT7not 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 MD5not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Delaware DE1not 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 $150.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care726$141$77 – $228
Children’s8fewer than 20 hospitals
Critical access522$168$79 – $258
Ownership
For-profit60$126$47 – $249
Government316$157$85 – $248
Non-profit880$150$77 – $245
System affiliation
Part of a system954$150$75 – $239
Independent308$159$89 – $275

Cash price vs list price

Median list price (chargemaster)$230
Median cash price$150
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

760 hospitals filed a usable inpatient cash price for this code. The median is $145 and the average of the middle 60% is $147; most fall between $84 and $227.

Cash price percentiles, inpatient, across 760 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
$59$94$145$213$310

The most expensive tenth of hospitals charges at least 5.3× what the cheapest tenth charges ($59 vs $310).

Of the 818 hospitals that filed this code inpatient, 760 gave a usable cash price; 10 carried a plausibility flag, 3 filed a number their own filing marks as not a price, 0 gave an estimate, and 45 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 here34
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 — excluded76
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 40-64yrs.

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 40 to 64 (CPT 99396) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99396-preventive-checkup-returning-patient-age-40-to-64