Doctor visits and therapy CPT 99396 Inpatient — admitted to hospital

Annual physical, returning 40–64 cost in Janesville, WI — inpatient

In Janesville-Beloit, WI, 2 hospitals list a cash price for preventive checkup, returning patient aged 40–64 as an inpatient: from $21.36 to $91.25, with a median of $56.31. The lowest listed price is at Mercyhealth Hospital & Trauma Center — $34.95 less than the median here. Across Wisconsin, the median is $168.35 at 47 hospitals.

Cash prices at 2 facilities across 2 cities for code 99396, as an inpatient (admitted to hospital) . Collected Sep 29, 2026; the hospital files themselves were last updated between Mar 1, 2026 and Mar 1, 2026.

Lowest$21.36Mercyhealth Hospital & Trauma Center
Median$56.31half pay less
Highest$91.25in this market
Difference4.3×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Janesville-Beloit, WI.

median
Lowest $21.36Highest $226.18

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mercyhealth Hospital & Trauma Center lowest Janesville, WI · (608) 756-6161 HC PBB PREVENTIVE VISIT $21.36 $28.48 — 25% Mar 1, 2026
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Edgerton Hospital and Health Services Edgerton, WI · (608) 884-3441 HC PHYSCN PREVENT ESTAB PT 40-64YRS $91.25 $125.00 $55.00–$164.74 27% —
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Edgerton Hospital and Health Services Edgerton, WI · (608) 884-3441 HP PHYSCN PREVENT ESTAB PT 40-64YRS $226.18 $309.83 $55.00–$164.74 27% —
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Inpatient: lowest $21.36, median $56.31, highest $91.25 — a 4.3× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $56.31 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This is a yearly preventive checkup for a returning patient aged 40 to 64. It includes a review of health history, a physical exam, counseling and ordering age-appropriate screenings, such as for cholesterol, diabetes or cancer.

What the price covers

The price covers the preventive visit itself. Lab tests, vaccines and screening tests ordered during the visit are billed separately, and treating a new problem at the same visit may add a separate office visit charge.