Doctor visits and therapy CPT 99396 Outpatient

Annual physical, returning 40–64 cost in Syracuse, NY

In Syracuse, NY, 2 hospitals list a cash price for preventive checkup, returning patient aged 40–64: from $142.00 to $195.00, with a median of $168.50. The lowest listed price is at Crouse Hospital — $26.50 less than the median here. Across New York, the median is $265.37 at 53 hospitals.

Cash prices at 2 facilities for code 99396, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Mar 31, 2026 and Mar 31, 2026.

Lowest$142.00Crouse Hospital
Median$168.50half pay less
Highest$195.00in this market
Difference1.4×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 Syracuse, NY.

median
Lowest $142.00Highest $245.70

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Crouse Hospital lowest Syracuse, NY · (315) 470-7449 CH 99396 PREV VISIT EST AGE 40-64 $142.00 $142.00 — — —
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St Josephs Hospital Health Center Syracuse, NY · (315) 448-5111 PR E&M Preventive Medicine Periodic Comprehensive Established Pt 40-64 Yrs $195.00 $195.00 $37.20–$147.88 — Mar 31, 2026
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St Josephs Hospital Health Center Syracuse, NY · (315) 448-5111 HC E&M Preventive Medicine Periodic Comprehensive Established Patient 40-64 Years $245.70 $378.00 $87.56–$378.00 35% Mar 31, 2026
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Outpatient: lowest $142.00, median $168.50, highest $195.00 — a 1.4× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $168.50. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is not 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.