Doctor visits and therapy CPT 99387 277 markets

Annual physical, age 65+ cost without insurance

Across 277 US markets, hospitals list an outpatient cash price for preventive checkup, new patient aged 65 or older from $18.00 to $794.51. The median market price is $178.60. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.

Collected Sep 25, 2026 Each price links to its source file All Annual physical costs

Lowest$18.00any market
Median market$178.60middle of market medians
Highest$794.51any market
Listings460hospital prices

What it is

This is a yearly preventive checkup for a new patient aged 65 or older. It includes a full 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.

Why prices differ

Prices depend on setting and specialty, and on how much each practice includes in its preventive exam.

What to ask

Ask whether the self-pay price for CPT 99387 includes any lab work, and whether discussing a specific problem during the visit would add a separate charge.

Prices by state

Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.

Prices by market

Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.

MarketHospitalsLowest MedianHighest×
Anaconda, MT single city 1 $335.55 $335.55 $335.55 1.0×
Anna, IL single city 1 $108.15 $108.15 $108.15 1.0×
Antigo, WI single city 1 $360.10 $360.10 $360.10 1.0×
Akron, OH 3 $91.50 $167.25 $189.15 2.1×
Albany, OR 2 $75.20 $150.40 $225.60 3.0×
Albany-Schenectady-Troy, NY 2 $130.00 $130.00 $130.00 1.0×
Albemarle, NC 1 $161.00 $161.00 $161.00 1.0×
Alexandria, LA 1 $102.25 $102.25 $102.25 1.0×
Altoona, PA 1 $103.00 $103.00 $103.00 1.0×
Anchorage, AK 1 $587.00 $587.00 $587.00 1.0×
Ann Arbor, MI 1 $29.20 $29.20 $29.20 1.0×
Appleton, WI 3 $122.55 $315.28 $315.28 2.6×
Ardmore, OK 1 $204.00 $204.00 $204.00 1.0×
Ashland, OH 1 $148.50 $148.50 $148.50 1.0×
Astoria, OR 1 $349.50 $349.50 $349.50 1.0×
Athens, OH 1 $61.10 $61.10 $61.10 1.0×
Atlanta-Sandy Springs-Roswell, GA 8 $698.00 $698.00 $698.00 1.0×
Bad Axe, MI single city 1 $248.50 $248.50 $248.50 1.0×
Berlin, WI single city 1 $315.28 $315.28 $315.28 1.0×
Bernie, MO single city 1 $109.50 $109.50 $109.50 1.0×
Big Stone Gap, VA single city 1 $76.50 $76.50 $76.50 1.0×
Blue Hill, ME single city 1 $36.63 $36.63 $36.63 1.0×
Brookville, PA single city 1 $103.00 $103.00 $103.00 1.0×
Buckhannon, WV single city 1 $118.00 $118.00 $118.00 1.0×
Bakersfield-Delano, CA 1 $105.67 $105.67 $105.67 1.0×
Baltimore-Columbia-Towson, MD 1 $359.00 $359.00 $359.00 1.0×
Bangor, ME 1 $34.23 $34.23 $34.23 1.0×
Barre, VT 1 $628.39 $628.39 $628.39 1.0×
Batavia, NY 1 $406.48 $406.48 $406.48 1.0×
Bay City, MI 1 $143.50 $143.50 $143.50 1.0×
Beaver Dam, WI 1 $178.60 $178.60 $178.60 1.0×
Bennington, VT 1 $249.90 $249.90 $249.90 1.0×
Big Rapids, MI 1 $311.00 $311.00 $311.00 1.0×
Bluefield, WV-VA 1 $122.50 $122.50 $122.50 1.0×
Boise City, ID 2 $100.75 $100.75 $100.75 1.0×
Boston-Cambridge-Newton, MA-NH 6 $108.35 $186.20 $465.75 4.3×
Bozeman, MT 1 $408.00 $408.00 $408.00 1.0×
Brattleboro, VT 1 $220.64 $220.64 $220.64 1.0×
Bremerton-Silverdale-Port Orchard, WA 1 $134.24 $134.24 $134.24 1.0×
Buffalo-Cheektowaga, NY 6 $178.93 $241.00 $794.51 4.4×
Burlington-South Burlington, VT 1 $484.00 $484.00 $484.00 1.0×
Caro, MI single city 1 $248.50 $248.50 $248.50 1.0×
Cassville, MO single city 1 $176.15 $176.15 $176.15 1.0×
Cedar Rapids, IA single city 1 $296.00 $296.00 $296.00 1.0×
Concord, NC single city 1 $154.58 $154.58 $154.58 1.0×
Coudersport, PA single city 1 $192.60 $192.60 $192.60 1.0×
Cadillac, MI 1 $261.80 $261.80 $261.80 1.0×
Cambridge, OH 1 $115.70 $115.70 $115.70 1.0×
Canton-Massillon, OH 1 $189.15 $189.15 $189.15 1.0×
Cape Coral-Fort Myers, FL 3 $229.00 $229.00 $229.00 1.0×
Cape Girardeau, MO-IL 1 $225.00 $225.00 $225.00 1.0×
Cedar Rapids, IA 1 $296.00 $296.00 $296.00 1.0×
Charleston, WV 1 $90.00 $90.00 $90.00 1.0×
Charlotte-Concord-Gastonia, NC-SC 8 $154.58 $154.58 $154.58 1.0×
Chattanooga, TN-GA 1 $163.68 $163.68 $163.68 1.0×
Cheyenne, WY 1 $333.88 $333.88 $333.88 1.0×
Chicago-Naperville-Elgin, IL-IN 5 $117.30 $155.72 $344.00 2.9×
Cincinnati, OH-KY-IN 2 $156.60 $156.60 $156.60 1.0×
Cleveland, OH 18 $68.60 $189.15 $384.00 5.6×
Columbia, MO 1 $172.20 $172.20 $172.20 1.0×
Columbus, OH 11 $81.90 $102.70 $260.00 3.2×
Coos Bay-North Bend, OR 1 $120.00 $120.00 $120.00 1.0×
Corning, NY 2 $79.72 $167.75 $255.78 3.2×
Cortland, NY 1 $255.78 $255.78 $255.78 1.0×
Corvallis, OR 1 $225.60 $225.60 $225.60 1.0×
Cumberland, MD-WV 1 $76.00 $76.00 $76.00 1.0×
Decorah, IA single city 1 $75.60 $75.60 $75.60 1.0×
Dexter, MO single city 1 $109.50 $109.50 $109.50 1.0×
Dillon, MT single city 1 $253.65 $253.65 $253.65 1.0×
Dover Foxcroft, ME single city 1 $146.85 $146.85 $146.85 1.0×
Dallas-Fort Worth-Arlington, TX 2 $154.65 $291.08 $427.50 2.8×
Davenport-Moline-Rock Island, IA-IL 2 $296.00 $296.00 $296.00 1.0×
Decatur, IN 1 $329.00 $329.00 $329.00 1.0×
Defiance, OH 1 $129.00 $129.00 $129.00 1.0×
Denver-Aurora-Centennial, CO 1 $119.56 $119.56 $119.56 1.0×
Des Moines-West Des Moines, IA 1 $296.00 $296.00 $296.00 1.0×
Detroit-Warren-Dearborn, MI 15 $144.50 $182.00 $328.50 2.3×
DuBois, PA 1 $57.00 $57.00 $57.00 1.0×
Dubuque, IA 1 $296.00 $296.00 $296.00 1.0×
Duluth, MN-WI 1 $301.38 $301.38 $301.38 1.0×
Eagle River, WI single city 1 $360.10 $360.10 $360.10 1.0×
East Amery, WI single city 1 $138.69 $138.69 $138.69 1.0×
Edenton, NC single city 1 $168.56 $168.56 $168.56 1.0×
Elizabethtown, NY single city 1 $585.00 $585.00 $585.00 1.0×
Ellsworth, ME single city 1 $189.00 $189.00 $189.00 1.0×
Eau Claire, WI 2 $178.60 $269.35 $360.10 2.0×
El Paso, TX 2 $25.04 $25.04 $25.04 1.0×
Elmira, NY 2 $79.72 $79.72 $79.72 1.0×
Eugene-Springfield, OR 2 $321.75 $321.75 $321.75 1.0×
Eureka-Arcata, CA 1 $109.65 $109.65 $109.65 1.0×
Evansville, IN 1 $47.25 $47.25 $47.25 1.0×
Fremont, MI single city 1 $311.00 $311.00 $311.00 1.0×
Friday Harbor, WA single city 1 $261.30 $261.30 $261.30 1.0×
Fairbanks-College, AK 1 $318.25 $318.25 $318.25 1.0×
Fayetteville-Springdale-Rogers, AR 2 $38.70 $69.35 $100.00 2.6×
Flint, MI 1 $144.50 $144.50 $144.50 1.0×
Fond du Lac, WI 1 $315.28 $315.28 $315.28 1.0×
Fort Dodge, IA 1 $296.00 $296.00 $296.00 1.0×
Fort Wayne, IN 4 $53.76 $67.35 $67.50 1.3×
Fremont, NE 1 $90.28 $90.28 $90.28 1.0×
Gassaway, WV single city 1 $94.50 $94.50 $94.50 1.0×
Greenville, ME single city 1 $56.00 $56.00 $56.00 1.0×
Grinnell, IA single city 1 $296.00 $296.00 $296.00 1.0×
Grand Rapids-Wyoming-Kentwood, MI 4 $311.00 $311.00 $311.00 1.0×
Greeneville, TN 1 $76.50 $76.50 $76.50 1.0×
Greenville, NC 1 $287.79 $287.79 $287.79 1.0×
Hartford, CT single city 2 $309.65 $329.83 $350.00 1.1×
Hagerstown-Martinsburg, MD-WV 1 $98.50 $98.50 $98.50 1.0×
Hammond, LA 1 $133.81 $133.81 $133.81 1.0×
Harrisburg-Carlisle, PA 3 $67.35 $70.90 $154.80 2.3×
Henderson, KY 1 $108.15 $108.15 $108.15 1.0×
Holland, MI 1 $207.00 $207.00 $207.00 1.0×
Hood River, OR 1 $349.50 $349.50 $349.50 1.0×
Houghton, MI 1 $360.10 $360.10 $360.10 1.0×
Houston-Pasadena-The Woodlands, TX 2 $163.95 $163.95 $163.95 1.0×
Huntingdon, PA 1 $103.00 $103.00 $103.00 1.0×
Huntington-Ashland, WV-KY-OH 1 $213.34 $213.34 $213.34 1.0×
Hutchinson, MN 1 $265.88 $265.88 $265.88 1.0×
Iron River, MI single city 1 $360.10 $360.10 $360.10 1.0×
Ironwood, MI single city 1 $360.10 $360.10 $360.10 1.0×
Indianapolis-Carmel-Greenwood, IN 2 $132.30 $174.71 $217.12 1.6×
John Day, OR single city 1 $310.50 $310.50 $310.50 1.0×
Jackson, MI 1 $182.00 $182.00 $182.00 1.0×
Jackson, MS 1 $77.07 $77.07 $77.07 1.0×
Jamestown-Dunkirk, NY 1 $79.20 $79.20 $79.20 1.0×
Jasper, IN 1 $108.15 $108.15 $108.15 1.0×
Joplin, MO-KS 1 $127.26 $127.26 $127.26 1.0×
Kenton, OH single city 1 $185.90 $185.90 $185.90 1.0×
Kingsport-Bristol, TN-VA 3 $76.50 $76.50 $76.50 1.0×
Ladysmith, WI single city 1 $178.60 $178.60 $178.60 1.0×
Lakeview, OR single city 1 $370.60 $370.60 $370.60 1.0×
La Crosse-Onalaska, WI-MN 1 $104.67 $104.67 $104.67 1.0×
Lansing-East Lansing, MI 1 $144.50 $144.50 $144.50 1.0×
Las Vegas-Henderson-North Las Vegas, NV 1 $21.00 $21.00 $21.00 1.0×
Lebanon-Claremont, NH-VT 2 $190.85 $217.06 $243.27 1.3×
Lima, OH 1 $18.00 $18.00 $18.00 1.0×
Little Rock-North Little Rock-Conway, AR 1 $38.70 $38.70 $38.70 1.0×
Los Angeles-Long Beach-Anaheim, CA 1 $143.20 $143.20 $143.20 1.0×
Louisville/Jefferson County, KY-IN 1 $142.80 $142.80 $142.80 1.0×
Lubbock, TX 1 $131.88 $131.88 $131.88 1.0×
Ludington, MI 1 $311.00 $311.00 $311.00 1.0×
Magazine, AR single city 1 $30.00 $30.00 $30.00 1.0×
Malone, NY single city 1 $603.00 $603.00 $603.00 1.0×
Mansfield, AR single city 1 $206.25 $206.25 $206.25 1.0×
Marietta, OK single city 1 $179.00 $179.00 $179.00 1.0×
Medford, WI single city 1 $360.10 $360.10 $360.10 1.0×
Merrill, WI single city 1 $360.10 $360.10 $360.10 1.0×
Middlebury, VT single city 1 $369.00 $369.00 $369.00 1.0×
Minocqua, WI single city 1 $178.60 $178.60 $178.60 1.0×
Monroeville, AL single city 1 $46.00 $46.00 $46.00 1.0×
Montour Falls, NY single city 1 $29.82 $29.82 $29.82 1.0×
Morganfield, KY single city 1 $108.15 $108.15 $108.15 1.0×
Macon-Bibb County, GA 1 $208.00 $208.00 $208.00 1.0×
Madison, WI 2 $360.10 $381.25 $402.40 1.1×
Manchester-Nashua, NH 1 $37.20 $37.20 $37.20 1.0×
Mansfield, OH 2 $88.40 $88.40 $88.40 1.0×
Marietta, OH 1 $173.67 $173.67 $173.67 1.0×
Marion, OH 1 $88.40 $88.40 $88.40 1.0×
Marion-Herrin, IL 1 $47.25 $47.25 $47.25 1.0×
Marshalltown, IA 1 $296.00 $296.00 $296.00 1.0×
Mason City, IA 1 $309.00 $309.00 $309.00 1.0×
Massena-Ogdensburg, NY 1 $76.83 $76.83 $76.83 1.0×
Memphis, TN-MS-AR 5 $165.44 $165.44 $165.44 1.0×
Meridian, MS 2 $80.74 $113.77 $146.80 1.8×
Miami-Fort Lauderdale-West Palm Beach, FL 2 $236.60 $309.80 $383.00 1.6×
Michigan City-La Porte, IN 1 $156.42 $156.42 $156.42 1.0×
Milwaukee-Waukesha, WI 1 $75.00 $75.00 $75.00 1.0×
Minneapolis-St. Paul-Bloomington, MN-WI 3 $25.48 $115.72 $471.00 18.5×
Morgantown, WV 1 $112.00 $112.00 $112.00 1.0×
Mount Pleasant, MI 1 $145.00 $145.00 $145.00 1.0×
Mount Vernon, IL 1 $108.15 $108.15 $108.15 1.0×
Muscatine, IA 1 $296.00 $296.00 $296.00 1.0×
Neillsville, WI single city 1 $178.60 $178.60 $178.60 1.0×
New Britain, CT single city 1 $350.00 $350.00 $350.00 1.0×
New London, WI single city 1 $315.28 $315.28 $315.28 1.0×
New Martinsville, WV single city 1 $108.00 $108.00 $108.00 1.0×
Newberry, MI single city 1 $298.62 $298.62 $298.62 1.0×
Newport, VT single city 1 $218.40 $218.40 $218.40 1.0×
Nashville-Davidson--Murfreesboro--Franklin, TN 2 $104.40 $149.40 $194.40 1.9×
Natchitoches, LA 1 $119.20 $119.20 $119.20 1.0×
New Castle, IN 1 $263.76 $263.76 $263.76 1.0×
New Orleans-Metairie, LA 1 $161.04 $161.04 $161.04 1.0×
New Philadelphia-Dover, OH 1 $189.15 $189.15 $189.15 1.0×
New York-Newark-Jersey City, NY-NJ 21 $42.75 $391.50 $660.00 15.4×
Newport, OR 2 $75.20 $75.20 $75.20 1.0×
Olivia, MN single city 1 $201.30 $201.30 $201.30 1.0×
Olla, LA single city 1 $197.60 $197.60 $197.60 1.0×
Ocean Pines, MD 1 $385.00 $385.00 $385.00 1.0×
Oklahoma City, OK 4 $56.90 $114.82 $204.00 3.6×
Omaha, NE-IA 3 $84.96 $247.00 $247.00 2.9×
Ontario, OR-ID 1 $100.75 $100.75 $100.75 1.0×
Oshkosh-Neenah, WI 2 $315.28 $315.28 $315.28 1.0×
Paris, AR single city 1 $206.25 $206.25 $206.25 1.0×
Park Falls, WI single city 1 $178.60 $178.60 $178.60 1.0×
Perryville, MO single city 1 $180.00 $180.00 $180.00 1.0×
Petersburg, WV single city 1 $138.40 $138.40 $138.40 1.0×
Pikeville, TN single city 1 $89.59 $89.59 $89.59 1.0×
Pittsfield, ME single city 1 $26.86 $26.86 $26.86 1.0×
Polson, MT single city 1 $183.20 $183.20 $183.20 1.0×
Presque Isle, ME single city 1 $39.27 $39.27 $39.27 1.0×
Princeton, IN single city 1 $47.25 $47.25 $47.25 1.0×
Parkersburg-Vienna, WV 1 $98.50 $98.50 $98.50 1.0×
Peru, IN 1 $112.00 $112.00 $112.00 1.0×
Petoskey, MI 1 $248.50 $248.50 $248.50 1.0×
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 4 $51.20 $51.20 $51.20 1.0×
Pittsfield, MA 3 $153.90 $153.90 $153.90 1.0×
Plainview, TX 1 $131.88 $131.88 $131.88 1.0×
Plattsburgh, NY 1 $341.00 $341.00 $341.00 1.0×
Port St. Lucie, FL 1 $236.60 $236.60 $236.60 1.0×
Port Townsend, WA 1 $57.60 $57.60 $57.60 1.0×
Portland-South Portland, ME 3 $48.62 $234.00 $309.95 6.4×
Portland-Vancouver-Hillsboro, OR-WA 7 $156.00 $296.40 $296.40 1.9×
Providence-Warwick, RI-MA 2 $378.00 $378.00 $378.00 1.0×
Reed City, MI single city 1 $311.00 $311.00 $311.00 1.0×
Rhinelander, WI single city 1 $360.10 $360.10 $360.10 1.0×
Ripley, WV single city 1 $104.00 $104.00 $104.00 1.0×
Reno, NV 1 $232.00 $232.00 $232.00 1.0×
Rice Lake, WI 1 $178.60 $178.60 $178.60 1.0×
Richmond, VA 1 $224.40 $224.40 $224.40 1.0×
Rochester, NY 7 $122.00 $406.48 $500.29 4.1×
Rome, GA 1 $239.50 $239.50 $239.50 1.0×
Sistersville, WV single city 1 $195.28 $195.28 $195.28 1.0×
Sneedville, TN single city 1 $75.21 $75.21 $75.21 1.0×
St. Johnsbury, VT single city 1 $187.50 $187.50 $187.50 1.0×
Summersville, WV single city 1 $118.00 $118.00 $118.00 1.0×
Salem, OR 2 $296.40 $358.20 $420.00 1.4×
Salinas, CA 1 $632.00 $632.00 $632.00 1.0×
Salisbury, MD 1 $69.13 $69.13 $69.13 1.0×
San Diego-Chula Vista-Carlsbad, CA 2 $191.95 $242.53 $293.11 1.5×
San Jose-Sunnyvale-Santa Clara, CA 1 $406.00 $406.00 $406.00 1.0×
Santa Rosa-Petaluma, CA 1 $132.60 $132.60 $132.60 1.0×
Sayre, PA 3 $255.78 $255.78 $255.78 1.0×
Seattle-Tacoma-Bellevue, WA 7 $87.67 $92.88 $107.48 1.2×
Sebastian-Vero Beach-West Vero Corridor, FL 1 $236.60 $236.60 $236.60 1.0×
Shawano, WI 1 $315.28 $315.28 $315.28 1.0×
Shelby-Kings Mountain, NC 1 $154.58 $154.58 $154.58 1.0×
Shelbyville, TN 1 $104.40 $104.40 $104.40 1.0×
Sheridan, WY 1 $321.60 $321.60 $321.60 1.0×
Sierra Vista-Douglas, AZ 1 $48.00 $48.00 $48.00 1.0×
Sioux City, IA-NE-SD 1 $296.00 $296.00 $296.00 1.0×
Somerset, PA 1 $154.80 $154.80 $154.80 1.0×
South Bend-Mishawaka, IN-MI 1 $260.00 $260.00 $260.00 1.0×
Springfield, MA 1 $374.00 $374.00 $374.00 1.0×
St. Louis, MO-IL 5 $165.10 $172.80 $188.25 1.1×
St. Marys, PA 1 $103.00 $103.00 $103.00 1.0×
Stevens Point-Plover, WI 3 $178.60 $360.10 $360.10 2.0×
Syracuse, NY 2 $148.00 $202.50 $257.00 1.7×
Tomahawk, WI single city 1 $360.10 $360.10 $360.10 1.0×
Torrington, CT single city 1 $350.00 $350.00 $350.00 1.0×
Two Harbors, MN single city 1 $455.94 $455.94 $455.94 1.0×
Tampa-St. Petersburg-Clearwater, FL 1 $101.15 $101.15 $101.15 1.0×
Terre Haute, IN 1 $226.50 $226.50 $226.50 1.0×
Toledo, OH 1 $83.40 $83.40 $83.40 1.0×
Truckee-Grass Valley, CA 1 $232.00 $232.00 $232.00 1.0×
Tullahoma-Manchester, TN 1 $104.40 $104.40 $104.40 1.0×
Valdez, AK single city 1 $163.80 $163.80 $163.80 1.0×
Vallejo, CA 1 $409.80 $409.80 $409.80 1.0×
Van Wert, OH 1 $157.30 $157.30 $157.30 1.0×
Wallingford, CT single city 1 $126.05 $126.05 $126.05 1.0×
Waupaca, WI single city 1 $315.28 $315.28 $315.28 1.0×
Wellsboro, PA single city 1 $216.00 $216.00 $216.00 1.0×
Wellsville, NY single city 1 $118.00 $118.00 $118.00 1.0×
Wild Rose, WI single city 1 $315.28 $315.28 $315.28 1.0×
Willimantic, CT single city 1 $350.00 $350.00 $350.00 1.0×
Windsor, NC single city 1 $88.48 $88.48 $88.48 1.0×
Woodruff, WI single city 1 $360.10 $360.10 $360.10 1.0×
Washington, NC 1 $287.79 $287.79 $287.79 1.0×
Washington-Arlington-Alexandria, DC-VA-MD-WV 1 $68.00 $68.00 $68.00 1.0×
Waterloo-Cedar Falls, IA 2 $187.20 $241.60 $296.00 1.6×
Wausau, WI 2 $178.60 $269.35 $360.10 2.0×
Weirton-Steubenville, WV-OH 1 $129.50 $129.50 $129.50 1.0×
Wheeling, WV-OH 3 $41.00 $121.50 $145.00 3.5×
Williston, ND 1 $68.44 $68.44 $68.44 1.0×
Winston-Salem, NC 2 $105.50 $109.00 $112.50 1.1×
Wisconsin Rapids-Marshfield, WI 2 $178.60 $269.35 $360.10 2.0×
Worcester, MA 2 $168.00 $168.50 $169.00 1.0×
York, NE single city 1 $388.50 $388.50 $388.50 1.0×

Common questions

Can I bring up a health problem during my checkup?

Yes, but if the clinician evaluates a new or ongoing problem, a separate problem-focused visit code may be added to the bill.

What if I have been to this practice before?

Returning patients aged 65 or older use a different code (99397). Medicare does not cover a routine physical under either code, but covers a separate Annual Wellness Visit.

Other annual physical prices

Median hospital cash price, one per hospital.