Doctor visits and therapy CPT 99397 Outpatient

Annual physical, returning 65+ cost in Worcester, MA

In Worcester, MA, 2 hospitals list a cash price for preventive checkup, returning patient aged 65 or older: from $169.00 to $178.00, with a median of $173.50. The lowest listed price is at HealthAlliance - Clinton Hospital — $4.50 less than the median here. Across Massachusetts, the median is $169.00 at 13 hospitals.

Cash prices at 2 facilities across 2 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 Mar 26, 2026 and Mar 26, 2026.

Lowest$169.00HealthAlliance - Clinton Hospital
Median$173.50half pay less
Highest$178.00in this market
Difference1.1×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 Worcester, MA.

median
Lowest $169.00Highest $178.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
HealthAlliance - Clinton Hospital lowest Leominster, MA · (978) 466-2000 HC Periodic Preventive Medicine Exam, Established Patient; Age 65+ Yrs $169.00 $169.00 — — Mar 26, 2026
source file
UMass Memorial Medical Center Worcester, MA · (508) 334-1000 HC Periodic Preventive Medicine Exam, Established Patient; Age 65+ Yrs $178.00 $178.00 — — Mar 26, 2026
source file

Outpatient: lowest $169.00, median $173.50, highest $178.00 — a 1.1× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $173.50. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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.