HRHospitalRates.comCompare prices

Procedure price report · Consultation, evaluation, and preventative care

Preventive checkup, returning patient age 65 and older

CPT 99397the billing code this page is about

A routine wellness visit for an established patient aged 65 or older, including a history, examination, and counseling on health risks and screening needs.

Hospitals typically charge $162 cash for this outpatient procedure — the median across 1,203 hospitals that filed a usable cash price; the average of the middle 60% is $165. Most fall between $86 and $270 (20th–80th percentile).

Hospitals
1,203
States
49
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 1,203 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
$58$100$162$244$337

The most expensive tenth of hospitals charges at least 5.8× what the cheapest tenth charges ($58 vs $337).

How the prices are spread

$41 – $51: 36 hospitals$41$51 – $64: 56 hospitals$64 – $81: 62 hospitals$64$81 – $102: 105 hospitals$102 – $128: 130 hospitals$102$128 – $161: 149 hospitals$161 – $203: 185 hospitals$161$203 – $255: 149 hospitals$255 – $321: 128 hospitals$255$321 – $403: 83 hospitals$321median $162price bands are equal on a log scale
Hospitals per price band (1,083 of 1,203 — the bands cover the 5th to 95th percentile)
FromToHospitals
$41$5136
$51$6456
$64$8162
$81$102105
$102$128130
$128$161149
$161$203185
$203$255149
$255$321128
$321$40383

By state

The median cash price in each state, against the national median of $162.

Alaska: median $318 across 11 hospitalsAK$318Maine: median $112 across 17 hospitalsME$112Vermont: median $195 across 11 hospitalsVT$195New Hampshire: median $98 across 10 hospitalsNH$98Washington: median $225 across 34 hospitalsWA$225Idaho: 5 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $187 across 22 hospitalsMT$187North Dakota: median $308 across 20 hospitalsND$308Minnesota: median $217 across 42 hospitalsMN$217Illinois: median $167 across 48 hospitalsIL$167Wisconsin: median $197 across 53 hospitalsWI$197Michigan: median $162 across 65 hospitalsMI$162New York: median $199 across 72 hospitalsNY$199Massachusetts: median $147 across 34 hospitalsMA$147Oregon: median $187 across 33 hospitalsOR$187Nevada: 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 $172 across 23 hospitalsSD$172Iowa: median $212 across 60 hospitalsIA$212Indiana: median $92 across 36 hospitalsIN$92Ohio: median $129 across 68 hospitalsOH$129Pennsylvania: median $98 across 44 hospitalsPA$98New Jersey: median $138 across 13 hospitalsNJ$138Connecticut: median $192 across 10 hospitalsCT$192Rhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $141 across 39 hospitalsCA$141Utah: 5 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $159 across 14 hospitalsCO$159Nebraska: median $251 across 45 hospitalsNE$251Missouri: median $141 across 21 hospitalsMO$141Kentucky: median $121 across 15 hospitalsKY$121West Virginia: median $68 across 26 hospitalsWV$68Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 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 $198 across 45 hospitalsKS$198Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $95 across 15 hospitalsTN$95North Carolina: median $128 across 24 hospitalsNC$128South Carolina: median $125 across 27 hospitalsSC$125Oklahoma: median $148 across 27 hospitalsOK$148Louisiana: median $94 across 18 hospitalsLA$94Mississippi: median $120 across 17 hospitalsMS$120Alabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $239 across 14 hospitalsGA$239Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $176 across 48 hospitalsTX$176Florida: median $194 across 12 hospitalsFL$194
Cash price by state, most expensive first. National median $162. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alaska AK11$318+97%$181 – $439
North Dakota ND20$308+91%$114 – $378
Nebraska NE45$251+55%$207 – $295
Georgia GA14$239+48%$111 – $574
Washington WA34$225+39%$93 – $281
Minnesota MN42$217+34%$60 – $400
Iowa IA60$212+31%$122 – $243
New York NY72$199+23%$122 – $365
Kansas KS45$198+23%$116 – $261
Wisconsin WI53$197+22%$149 – $287
Vermont VT11$195+21%$143 – $399
Florida FL12$194+20%$98 – $299
Connecticut CT10$192+19%$133 – $280
Montana MT22$187+16%$68 – $302
Oregon OR33$187+16%$71 – $281
Texas TX48$176+9%$103 – $185
South Dakota SD23$172+6%$79 – $235
Illinois IL48$167+3%$99 – $281
Michigan MI65$1620%$105 – $203
Colorado CO14$159−2%$88 – $320
Oklahoma OK27$148−8%$104 – $162
Massachusetts MA34$147−9%$40 – $257
Missouri MO21$141−13%$106 – $182
California CA39$141−13%$64 – $280
New Jersey NJ13$138−15%$85 – $500
Ohio OH68$129−20%$88 – $167
North Carolina NC24$128−21%$85 – $161
South Carolina SC27$125−23%$117 – $128
Kentucky KY15$121−25%$61 – $131
Mississippi MS17$120−26%$55 – $155
Maine ME17$112−31%$30 – $199
New Hampshire NH10$98−39%$69 – $184
Pennsylvania PA44$98−39%$47 – $250
Tennessee TN15$95−41%$67 – $178
Louisiana LA18$94−42%$66 – $288
Indiana IN36$92−43%$56 – $180
West Virginia WV26$68−58%$58 – $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
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
Virginia VA6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
Utah UT5not enough hospitals filed a usable price
Maryland MD4not 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 $162.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care676$149$85 – $245
Children’s6fewer than 20 hospitals
Critical access516$180$88 – $285
Ownership
For-profit58$160$56 – $285
Government309$172$99 – $276
Non-profit831$158$84 – $264
System affiliation
Part of a system909$158$81 – $261
Independent294$176$101 – $287

Cash price vs list price

Median list price (chargemaster)$244
Median cash price$162
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

713 hospitals filed a usable inpatient cash price for this code. The median is $158 and the average of the middle 60% is $160; most fall between $91 and $257.

Cash price percentiles, inpatient, across 713 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
$66$101$158$237$341

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($66 vs $341).

Of the 768 hospitals that filed this code inpatient, 713 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 43 a list price only.

How complete is this

1,203 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 1,309 hospitals that filed this code at all gave us
Usable cash price — counted1,203
Cash price carrying a plausibility flag — shown on the compare tool, excluded here32
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 code1,309

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 65yrs& Older.

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 65 and older (CPT 99397) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99397-preventive-checkup-returning-patient-age-65-and-older