Doctor visits and therapy CPT 99397 Outpatient

Annual physical, returning 65+ cost in Boston, MA

In Boston-Cambridge-Newton, MA-NH, 16 hospitals list a cash price for preventive checkup, returning patient aged 65 or older: from $28.00 to $371.70, with a median of $81.49. The lowest listed price is at Beth Israel Deaconess Hospital-Milton — $53.49 less than the median here. Across Massachusetts, the median is $119.70 at 22 hospitals.

  • The median here, $81.49, is 46% below the US median of $151.85.
  • 10 of 16 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 16 facilities across 11 cities for code 99397, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Mar 13, 2026 and Apr 1, 2026.

Lowest$28.00Beth Israel Deaconess Hospital-Milton
Median$81.49half of hospitals charge less
Highest$371.70in this market
Difference13.3×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 Boston-Cambridge-Newton, MA-NH.

median
Lowest $28.00Highest $371.70

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Beth Israel Deaconess Hospital-Milton lowest Milton, MA · (617) 696-4600 HC PERIODIC PREVENTIVE MED EST PT AGE 65 YRS OR MORE File of Apr 1, 2026 · source file $28.00 $28.00 — —
Beth Israel Deaconess Hospital - Plymouth Plymouth, MA · (508) 746-2000 HC PERIODIC PREVENTIVE MED EST PT AGE 65 YRS OR MORE File of Apr 1, 2026 · source file $29.00 $29.00 — —
Anna Jaques Hospital Newburyport, MA · (978) 463-1000 HC PERIODIC PREVENTIVE MED EST PT AGE 65 YRS OR MORE File of Apr 1, 2026 · source file $32.00 $32.00 — —
Mount Auburn Hospital Cambridge, MA · (617) 492-3500 HC PERIODIC PREVENTIVE MED EST PT AGE 65 YRS OR MORE File of Apr 1, 2026 · source file $38.00 $38.00 — —
Beth Israel Deaconess Hospital - Needham Needham, MA · (781) 453-3002 HC PERIODIC PREVENTIVE MED EST PT AGE 65 YRS OR MORE File of Apr 1, 2026 · source file $54.00 $54.00 — —
Boston Medical Center South Brockton, MA · (508) 427-3000 HC Periodic Preventive Med Est Patient 65yrs& Older File of Mar 13, 2026 · source file $65.25 $145.00 $32.55–$394.86 55%
Winchester Hospital Winchester, MA · (781) 729-9000 HC PERIODIC PREVENTIVE MED EST PT AGE 65 YRS OR MORE File of Apr 1, 2026 · source file $78.00 $78.00 — —
Boston Medical Center Brighton Boston, MA · (617) 789-3000 HC Periodic Preventive Med Est Patient 65yrs& Older File of Mar 13, 2026 · source file $78.97 $175.49 $33.59–$475.07 55%
New England Baptist Hospital Boston, MA · (617) 754-5800 HC PERIODIC PREVENTIVE MED EST PT AGE 65 YRS OR MORE File of Apr 1, 2026 · source file $84.00 $84.00 — —
Cambridge Health Alliance Cambridge, MA · (617) 665-1000 HC Preventive Est Pt Physical 65+ Yr File of Mar 20, 2026 · source file $105.00 $105.00 $29.70–$235.27 —
Lowell General Hospital Lowell, MA · (978) 937-6000 HC per Pm Reeval Est Pat 65+ Yr File of Apr 1, 2026 · source file $184.80 $264.00 $22.70–$362.47 30%
Melrosewakefield Healthcare Melrose, MA · (781) 979-3000 HC per Pm Reeval Est Pat 65+ Yr File of Apr 1, 2026 · source file $187.60 $268.00 $34.89–$530.75 30%
Lahey Hospital & Medical Center, Burlington Burlington, MA · (781) 744-5100 HC PERIODIC PREVENTIVE MED EST PT AGE 65 YRS OR MORE File of Apr 1, 2026 · source file $225.00 $225.00 — —
Tufts Medical Center Boston, MA · (617) 636-5000 HC per Pm Reeval Est Pat 65+ Yr File of Apr 1, 2026 · source file $271.60 $388.00 $26.45–$388.00 30%
Beth Israel Deaconess Medical Center Boston, MA · (617) 667-7000 HC PERIODIC PREVENTIVE MED EST PT AGE 65 YRS OR MORE File of Apr 1, 2026 · source file $361.00 $361.00 — —
Boston Medical Center Boston, MA · (617) 638-8000 HC Periodic Preventive Med Est Patient 65yrs& Older File of Mar 13, 2026 · source file $371.70 $826.00 $23.27–$516.66 55%
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $28.00, median $81.49, highest $371.70 — a 13.3× difference within the same market.

As an inpatient, the same code is billed by 16 facilities here, median $81.49. 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 7 of 7 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. 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 annual physical, returning 65+ is, what the price covers and why prices differ: Annual physical, returning 65+ explained.