Annual physical, returning 65+ cost in St. Louis, MO
In St. Louis, MO-IL, 5 hospitals list a cash price for preventive checkup, returning patient aged 65 or older: from $141.60 to $174.75, with a median of $159.90. The lowest listed price is at Gateway Regional Medical Center — $18.30 less than the median here. Across Missouri, the median is $150.00 at 11 hospitals.
Cash prices at 5 facilities across 4 cities for code 99397, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Jun 12, 2026 and Jun 12, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in St. Louis, MO-IL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Gateway Regional Medical Center lowest Granite City, IL · (618) 798-3000 EST.PREV.65+ | $141.60 | $236.00 | $236.00 | 40% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Prevent Visit Est 65+ Yrs | $159.90 | $246.00 | $15.99–$246.00 | 35% | — source file |
| Mercy Hospital Washington Washington, MO Comp Preventive Med E/M 65 and Older | $159.90 | $246.00 | $15.99–$221.40 | 35% | — source file |
| Mercy Hospital Washington Washington, MO Prevent Visit Est 65+ Yrs | $159.90 | $246.00 | $15.99–$221.40 | 35% | — source file |
| Mercy Hospitals East Communities Washington, MO Periodic Preventive Med Est Patient 65yrs& Older | $174.75 | $233.00 | $97.86–$209.70 | 25% | Jun 12, 2026 source file |
| Mercy Hospitals East Communities Washington, MO Well Woman Exam Est 65 & Over | $174.75 | $233.00 | $116.50–$198.05 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Periodic Preventive Med Est Patient 65yrs& Older | $174.75 | $233.00 | $97.86–$209.70 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Well Woman Exam Est 65 & Over | $174.75 | $233.00 | $116.50–$209.70 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Periodic Preventive Med Est Patient 65yrs& Older | $174.75 | $233.00 | $97.86–$209.70 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Well Woman Exam Est 65 & Over | $174.75 | $233.00 | $116.50–$209.70 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Periodic Preventive Med Est Patient 65yrs& Older | $174.75 | $233.00 | $97.86–$209.70 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Well Woman Exam Est 65 & Over | $174.75 | $233.00 | $116.50–$209.70 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Periodic Preventive Med Est Patient 65yrs& Older | $174.75 | $233.00 | $97.86–$209.70 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Well Woman Exam Est 65 & Over | $174.75 | $233.00 | $116.50–$209.70 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Periodic Preventive Med Est Patient 65yrs& Older | $174.75 | $233.00 | $97.86–$209.70 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Well Woman Exam Est 65 & Over | $174.75 | $233.00 | $116.50–$209.70 | 25% | Jun 12, 2026 source file |
Outpatient: lowest $141.60, median $159.90, highest $174.75 — a 1.2× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $174.75. 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 5 of 5 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is 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 it is
This is a yearly preventive checkup for a returning patient aged 65 or older. It includes a review of health history and medicines, a physical exam, counseling and ordering age-appropriate screenings.
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.