Doctor visits and therapy CPT 99397 513 markets

Annual physical, returning 65+ cost without insurance

The median hospital cash price for preventive checkup, returning patient aged 65 or older is $151.85 across 823 US hospitals; most list between $56.45 and $333.30. The lowest outpatient cash price in any of 513 markets is $18.45. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.

Collected Nov 11, 2026 Each price links to its source file All Annual physical costs

Lowest$18.45any market
Median market$153.75middle of market medians
Most below$333.309 in 10 hospitals
Listings803hospital prices

Cash or insurance?

If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for annual physical, returning 65+, the highest negotiated rate in a hospital's file has a median of $253.28 and the lowest a median of $76.16. At 549 of 648 hospitals that publish both, the cash price is below the highest negotiated rate.

With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.

What is CPT 99397?

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.

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 99397 includes any lab work, and whether discussing a specific problem during the visit would add a separate charge.

Prices by state

Among 36 states with at least 5 hospitals listing a cash price, the median is lowest in New Jersey ($62.43), West Virginia ($67.25) and Oklahoma ($103.60), and highest in Georgia ($574.00), Nebraska ($238.00) and Idaho ($228.42).

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.

MarketHospitalsLowestMedianHighest×
Aberdeen, MS single city 1 $100.00 $100.00 $100.00 1.0×
Aberdeen, WA 1 $198.72 $198.72 $198.72 1.0×
Abilene, KS single city 1 $293.20 $293.20 $293.20 1.0×
Ackerman, MS single city 1 $122.50 $122.50 $122.50 1.0×
Afton, WY single city 1 $30.10 $30.10 $30.10 1.0×
Aitkin, MN single city 1 $43.96 $43.96 $43.96 1.0×
Akron, OH 5 $63.00 $167.25 $429.00 6.8×
Alamosa, CO 1 $52.80 $52.80 $52.80 1.0×
Albany, OR 2 $62.40 $124.80 $187.20 3.0×
Albany-Schenectady-Troy, NY 3 $49.96 $98.80 $198.90 4.0×
Albemarle, NC 1 $133.50 $133.50 $133.50 1.0×
Albuquerque, NM 1 $51.21 $51.21 $51.21 1.0×
Alexandria, LA 2 $83.88 $148.39 $212.89 2.5×
Allentown-Bethlehem-Easton, PA-NJ 8 $85.26 $285.52 $285.52 3.3×
Altoona, PA 1 $84.00 $84.00 $84.00 1.0×
American Falls, ID single city 1 $267.90 $267.90 $267.90 1.0×
Ames, IA 1 $224.00 $224.00 $224.00 1.0×
Anchorage, AK 1 $495.00 $495.00 $495.00 1.0×
Ann Arbor, MI 1 $29.20 $29.20 $29.20 1.0×
Appleton, MN single city 1 $279.65 $279.65 $279.65 1.0×
Appleton, WI 3 $102.60 $259.73 $259.73 2.5×
Arkansas City-Winfield, KS 1 $245.00 $245.00 $245.00 1.0×
Armour, SD single city 1 $171.90 $171.90 $171.90 1.0×
Ashland, OH 1 $75.75 $75.75 $75.75 1.0×
Ashley, ND single city 1 $403.50 $403.50 $403.50 1.0×
Astoria, OR 2 $138.40 $209.45 $280.50 2.0×
Atchison, KS 1 $298.00 $298.00 $298.00 1.0×
Athens, OH 1 $61.10 $61.10 $61.10 1.0×
Atkinson, NE single city 1 $238.00 $238.00 $238.00 1.0×
Atlanta-Sandy Springs-Roswell, GA 7 $574.00 $574.00 $574.00 1.0×
Atoka, OK single city 1 $81.00 $81.00 $81.00 1.0×
Austin-Round Rock-San Marcos, TX 7 $176.03 $176.03 $183.07 1.0×
Bakersfield-Delano, CA 2 $96.10 $126.33 $156.56 1.6×
Baltimore-Columbia-Towson, MD 1 $252.74 $252.74 $252.74 1.0×
Bangor, ME 3 $28.56 $184.33 $257.40 9.0×
Bar Harbor, ME single city 1 $296.10 $296.10 $296.10 1.0×
Baraboo, WI 1 $205.40 $205.40 $205.40 1.0×
Batavia, NY 1 $333.37 $333.37 $333.37 1.0×
Baton Rouge, LA 2 $58.80 $229.40 $400.00 6.8×
Baudette, MN single city 1 $41.61 $41.61 $41.61 1.0×
Bay City, MI 1 $119.50 $119.50 $119.50 1.0×
Beatrice, NE 1 $312.00 $312.00 $312.00 1.0×
Beaumont-Port Arthur, TX 1 $38.74 $38.74 $38.74 1.0×
Beaver Dam, WI 1 $149.15 $149.15 $149.15 1.0×
Beckley, WV 1 $146.00 $146.00 $146.00 1.0×
Belmond, IA single city 1 $134.40 $134.40 $134.40 1.0×
Bend, OR 1 $358.19 $358.19 $358.19 1.0×
Berlin, WI single city 1 $259.73 $259.73 $259.73 1.0×
Big Rapids, MI 1 $194.00 $194.00 $194.00 1.0×
Big Sandy, MT single city 1 $243.00 $243.00 $243.00 1.0×
Big Stone Gap, VA single city 1 $66.60 $66.60 $66.60 1.0×
Billings, MT 1 $325.00 $325.00 $325.00 1.0×
Birmingham, AL 1 $94.34 $94.34 $94.34 1.0×
Bishop, CA 1 $418.00 $418.00 $418.00 1.0×
Black River Falls, WI single city 1 $183.60 $183.60 $183.60 1.0×
Blackfoot, ID 1 $28.00 $28.00 $28.00 1.0×
Blountstown, FL single city 1 $209.00 $209.00 $209.00 1.0×
Blue Hill, ME single city 1 $29.60 $29.60 $29.60 1.0×
Bluefield, WV-VA 1 $63.00 $63.00 $63.00 1.0×
Boise City, ID 1 $72.15 $72.15 $72.15 1.0×
Boston-Cambridge-Newton, MA-NH 16 $28.00 $81.49 $371.70 13.3×
Bowman, ND single city 1 $248.40 $248.40 $248.40 1.0×
Bozeman, MT 2 $54.40 $67.60 $80.80 1.5×
Brainerd, MN 1 $44.20 $44.20 $44.20 1.0×
Brattleboro, VT 1 $426.00 $426.00 $426.00 1.0×
Bremerton-Silverdale-Port Orchard, WA 1 $134.24 $134.24 $134.24 1.0×
Brenham, TX 1 $183.07 $183.07 $183.07 1.0×
Bridgeport, CT single city 1 $290.00 $290.00 $290.00 1.0×
Brookings, SD 1 $87.00 $87.00 $87.00 1.0×
Brookville, PA single city 1 $84.00 $84.00 $84.00 1.0×
Buckhannon, WV single city 1 $83.00 $83.00 $83.00 1.0×
Buffalo-Cheektowaga, NY 5 $45.05 $410.67 $628.84 14.0×
Cadillac, MI 1 $215.90 $215.90 $215.90 1.0×
Cadiz, OH single city 1 $73.50 $73.50 $73.50 1.0×
Calais, ME single city 1 $184.00 $184.00 $184.00 1.0×
Callaway, NE single city 1 $264.00 $264.00 $264.00 1.0×
Cambridge, NE single city 1 $295.20 $295.20 $295.20 1.0×
Cambridge, OH 1 $115.70 $115.70 $115.70 1.0×
Cando, ND single city 1 $378.00 $378.00 $378.00 1.0×
Canton-Massillon, OH 1 $157.95 $157.95 $157.95 1.0×
Cape Girardeau, MO-IL 1 $325.00 $325.00 $325.00 1.0×
Carlsbad-Artesia, NM 1 $205.20 $205.20 $205.20 1.0×
Caro, MI single city 1 $103.00 $103.00 $103.00 1.0×
Carrington, ND single city 1 $57.23 $57.23 $57.23 1.0×
Carroll, IA 2 $134.34 $211.67 $289.00 2.2×
Carrollton, IL single city 1 $64.00 $64.00 $64.00 1.0×
Chadron, NE single city 1 $207.00 $207.00 $207.00 1.0×
Champaign-Urbana, IL 2 $316.00 $365.50 $415.00 1.3×
Chanute, KS single city 1 $191.41 $191.41 $191.41 1.0×
Charles City, IA single city 1 $108.80 $108.80 $108.80 1.0×
Charleston, MS single city 1 $226.80 $226.80 $226.80 1.0×
Charleston, WV 2 $58.00 $62.75 $67.50 1.2×
Charleston-Mattoon, IL 1 $83.00 $83.00 $83.00 1.0×
Charlevoix, MI single city 1 $225.25 $225.25 $225.25 1.0×
Charlotte-Concord-Gastonia, NC-SC 8 $133.50 $133.50 $133.50 1.0×
Cheraw, SC single city 1 $127.80 $127.80 $127.80 1.0×
Chester, MT single city 1 $187.20 $187.20 $187.20 1.0×
Chicago-Naperville-Elgin, IL-IN 13 $49.44 $201.50 $435.00 8.8×
Chico, CA 1 $113.22 $113.22 $113.22 1.0×
Cincinnati, OH-KY-IN 2 $125.40 $125.40 $125.40 1.0×
Clarinda, IA single city 1 $67.50 $67.50 $67.50 1.0×
Clarion, IA single city 1 $139.80 $139.80 $139.80 1.0×
Clarksville, TN-KY 1 $71.30 $71.30 $71.30 1.0×
Clay Center, KS single city 1 $294.00 $294.00 $294.00 1.0×
Clayton, GA single city 1 $111.20 $111.20 $111.20 1.0×
Cleveland, OH 20 $66.15 $157.95 $167.25 2.5×
Clinton, MO single city 1 $162.23 $162.23 $162.23 1.0×
College Station-Bryan, TX 4 $27.36 $29.45 $176.03 6.4×
Columbia, KY single city 1 $90.35 $90.35 $90.35 1.0×
Columbus, OH 11 $81.90 $102.70 $180.00 2.2×
Coos Bay-North Bend, OR 2 $147.75 $276.46 $405.17 2.7×
Cordova, AK single city 1 $153.00 $153.00 $153.00 1.0×
Corning, NY 2 $98.75 $153.75 $208.74 2.1×
Cortland, NY 1 $208.74 $208.74 $208.74 1.0×
Corvallis, OR 1 $187.20 $187.20 $187.20 1.0×
Corydon, IA single city 1 $491.00 $491.00 $491.00 1.0×
Coudersport, PA single city 1 $70.20 $70.20 $70.20 1.0×
Crosby, ND single city 1 $573.98 $573.98 $573.98 1.0×
Cumberland, MD-WV 1 $59.50 $59.50 $59.50 1.0×
Cut Bank, MT single city 1 $214.99 $214.99 $214.99 1.0×
Dallas-Fort Worth-Arlington, TX 2 $90.80 $115.00 $139.20 1.5×
Davenport-Moline-Rock Island, IA-IL 4 $232.20 $258.60 $329.40 1.4×
Dawson, MN single city 1 $306.60 $306.60 $306.60 1.0×
Dayton, TN single city 1 $183.60 $183.60 $183.60 1.0×
Decorah, IA single city 1 $67.20 $67.20 $67.20 1.0×
Defiance, OH 1 $129.00 $129.00 $129.00 1.0×
DeKalb, MS single city 1 $131.67 $131.67 $131.67 1.0×
Delhi, NY single city 1 $49.96 $49.96 $49.96 1.0×
Denison, IA single city 1 $228.00 $228.00 $228.00 1.0×
Denver-Aurora-Centennial, CO 1 $99.50 $99.50 $99.50 1.0×
Des Moines-West Des Moines, IA 3 $193.00 $212.80 $267.00 1.4×
Detroit-Warren-Dearborn, MI 15 $52.00 $191.00 $546.75 10.5×
Devils Lake, ND single city 1 $160.43 $160.43 $160.43 1.0×
Dickinson, ND 1 $57.23 $57.23 $57.23 1.0×
Dillon, SC single city 1 $127.80 $127.80 $127.80 1.0×
Dodge City, KS 1 $154.70 $154.70 $154.70 1.0×
DuBois, PA 2 $84.00 $84.00 $84.00 1.0×
Duluth, MN-WI 1 $60.00 $60.00 $60.00 1.0×
East Amery, WI single city 1 $113.67 $113.67 $113.67 1.0×
East Stroudsburg, PA 1 $285.52 $285.52 $285.52 1.0×
Eau Claire, WI 1 $149.15 $149.15 $149.15 1.0×
Edenton, NC single city 1 $160.72 $160.72 $160.72 1.0×
Edwards, CO 1 $319.50 $319.50 $319.50 1.0×
El Centro, CA 2 $79.85 $115.53 $151.20 1.9×
El Paso, TX 2 $29.68 $29.68 $29.68 1.0×
Elkader, IA single city 1 $201.50 $201.50 $201.50 1.0×
Elkhart, KS single city 1 $203.00 $203.00 $203.00 1.0×
Ellensburg, WA 1 $263.50 $263.50 $263.50 1.0×
Ellsworth, ME single city 1 $120.25 $120.25 $120.25 1.0×
Elmira, NY 2 $98.75 $98.75 $98.75 1.0×
Erie, PA 1 $130.43 $130.43 $130.43 1.0×
Estherville, IA single city 1 $130.95 $130.95 $130.95 1.0×
Eugene-Springfield, OR 2 $265.20 $265.20 $265.20 1.0×
Eureka-Arcata, CA 1 $164.73 $164.73 $164.73 1.0×
Evansville, IN 1 $53.46 $53.46 $53.46 1.0×
Fairbanks-College, AK 1 $318.25 $318.25 $318.25 1.0×
Farmington, NM 1 $143.50 $143.50 $143.50 1.0×
Faulkton, SD single city 1 $217.85 $217.85 $217.85 1.0×
Fayetteville-Springdale-Rogers, AR 2 $18.45 $59.23 $100.00 5.4×
Fergus Falls, MN 1 $107.25 $107.25 $107.25 1.0×
Flint, MI 1 $120.00 $120.00 $120.00 1.0×
Flora, IL single city 1 $311.00 $311.00 $311.00 1.0×
Florence, SC 1 $127.80 $127.80 $127.80 1.0×
Fond du Lac, WI 1 $259.73 $259.73 $259.73 1.0×
Fort Scott, KS single city 1 $127.26 $127.26 $127.26 1.0×
Fredericktown, MO single city 1 $297.00 $297.00 $297.00 1.0×
Freeport, IL 1 $234.40 $234.40 $234.40 1.0×
Fremont, MI single city 1 $194.00 $194.00 $194.00 1.0×
Fremont, NE 1 $90.28 $90.28 $90.28 1.0×
Friday Harbor, WA single city 1 $215.15 $215.15 $215.15 1.0×
Gaffney, SC 1 $100.80 $100.80 $100.80 1.0×
Gainesville, FL 1 $398.56 $398.56 $398.56 1.0×
Gainesville, TX 1 $169.00 $169.00 $169.00 1.0×
Galena, IL single city 1 $255.07 $255.07 $255.07 1.0×
Gassaway, WV single city 1 $23.00 $23.00 $23.00 1.0×
Glasgow, KY 1 $90.35 $90.35 $90.35 1.0×
Glenwood, MN single city 1 $303.48 $303.48 $303.48 1.0×
Gordon, NE single city 1 $261.00 $261.00 $261.00 1.0×
Graften, ND single city 1 $363.00 $363.00 $363.00 1.0×
Grand Forks, ND-MN 3 $160.43 $283.00 $585.00 3.6×
Grand Rapids-Wyoming-Kentwood, MI 10 $37.25 $194.00 $271.00 7.3×
Grants, NM single city 1 $126.90 $126.90 $126.90 1.0×
Grantsburg, WI single city 1 $289.60 $289.60 $289.60 1.0×
Grayling, MI single city 1 $229.50 $229.50 $229.50 1.0×
Great Bend, KS 1 $85.00 $85.00 $85.00 1.0×
Greeneville, TN 1 $66.60 $66.60 $66.60 1.0×
Greenfield, IA single city 1 $303.75 $303.75 $303.75 1.0×
Greensburg, KS single city 1 $149.60 $149.60 $149.60 1.0×
Greenville, ME single city 1 $44.50 $44.50 $44.50 1.0×
Greenville, NC 1 $283.02 $283.02 $283.02 1.0×
Greenville-Anderson-Greer, SC 1 $100.80 $100.80 $100.80 1.0×
Greenwood, SC 2 $264.00 $286.00 $308.00 1.2×
Grenada, MS 1 $123.75 $123.75 $123.75 1.0×
Hagerstown-Martinsburg, MD-WV 1 $67.00 $67.00 $67.00 1.0×
Hammond, LA 2 $125.95 $178.54 $231.12 1.8×
Hampton, IA single city 1 $292.50 $292.50 $292.50 1.0×
Harrisburg-Carlisle, PA 2 $58.64 $117.52 $176.40 3.0×
Hartford, CT single city 1 $191.95 $191.95 $191.95 1.0×
Harvey, ND single city 1 $363.00 $363.00 $363.00 1.0×
Harwarden, IA single city 1 $227.76 $227.76 $227.76 1.0×
Haxtun, CO single city 1 $294.00 $294.00 $294.00 1.0×
Hazard, KY single city 1 $131.40 $131.40 $131.40 1.0×
Helena, MT 2 $63.00 $76.85 $90.69 1.4×
Henderson, KY 1 $48.60 $48.60 $48.60 1.0×
Hermann, MO single city 1 $211.50 $211.50 $211.50 1.0×
Hilo-Kailua, HI 1 $100.10 $100.10 $100.10 1.0×
Holdrege, NE single city 1 $263.70 $263.70 $263.70 1.0×
Holland, MI 1 $171.00 $171.00 $171.00 1.0×
Hood River, OR 1 $280.50 $280.50 $280.50 1.0×
Hope, AR single city 1 $140.00 $140.00 $140.00 1.0×
Hot Springs, VA single city 1 $131.67 $131.67 $131.67 1.0×
Houlton, ME single city 1 $198.55 $198.55 $198.55 1.0×
Houston-Pasadena-The Woodlands, TX 5 $127.92 $129.24 $451.32 3.5×
Huntingdon, PA 1 $84.00 $84.00 $84.00 1.0×
Idaho Falls, ID 1 $143.20 $143.20 $143.20 1.0×
Imperial, NE single city 1 $571.00 $571.00 $571.00 1.0×
Indianapolis-Carmel-Greenwood, IN 2 $132.30 $158.55 $184.80 1.4×
International Falls, MN single city 1 $94.82 $94.82 $94.82 1.0×
Iowa City, IA 2 $403.20 $403.20 $403.20 1.0×
Jackson, MS 3 $47.04 $49.20 $49.20 1.0×
Janesville-Beloit, WI 2 $24.44 $57.85 $91.25 3.7×
Jena, LA single city 1 $87.00 $87.00 $87.00 1.0×
John Day, OR single city 1 $273.75 $273.75 $273.75 1.0×
Johnson, KS single city 1 $254.00 $254.00 $254.00 1.0×
Johnstown, PA 1 $210.80 $210.80 $210.80 1.0×
Jonesboro, LA single city 1 $303.00 $303.00 $303.00 1.0×
Joplin, MO-KS 3 $127.26 $127.26 $127.26 1.0×
Kansas City, MO-KS 1 $136.00 $136.00 $136.00 1.0×
Kearney, NE 1 $286.00 $286.00 $286.00 1.0×
Kennewick-Richland, WA 1 $116.60 $116.60 $116.60 1.0×
Kenton, OH single city 1 $185.90 $185.90 $185.90 1.0×
Killeen-Temple, TX 3 $176.03 $183.07 $183.07 1.0×
Kimball, NE single city 1 $287.00 $287.00 $287.00 1.0×
Kingsport-Bristol, TN-VA 3 $66.60 $66.60 $66.60 1.0×
Kinsley, KS single city 1 $72.00 $72.00 $72.00 1.0×
Kiryas Joel-Poughkeepsie-Newburgh, NY 1 $524.00 $524.00 $524.00 1.0×
Klamath Falls, OR 1 $119.63 $119.63 $119.63 1.0×
La Crosse-Onalaska, WI-MN 1 $85.21 $85.21 $85.21 1.0×
La Grande, OR 1 $197.52 $197.52 $197.52 1.0×
Ladysmith, WI single city 1 $149.15 $149.15 $149.15 1.0×
Lafayette, LA 2 $66.15 $78.33 $90.50 1.4×
Lake Charles, LA 2 $121.80 $182.10 $242.40 2.0×
Lake Havasu City-Kingman, AZ 1 $89.40 $89.40 $89.40 1.0×
Lake Village, AR single city 1 $253.34 $253.34 $253.34 1.0×
Lakeview, OR single city 1 $305.15 $305.15 $305.15 1.0×
Lancaster, PA 1 $51.31 $51.31 $51.31 1.0×
Lansing-East Lansing, MI 5 $37.25 $37.25 $120.00 3.2×
Las Vegas-Henderson-North Las Vegas, NV 1 $387.60 $387.60 $387.60 1.0×
Lebanon-Claremont, NH-VT 3 $78.50 $131.00 $158.40 2.0×
Lexington, NE 1 $221.00 $221.00 $221.00 1.0×
Lisbon, ND single city 1 $53.35 $53.35 $53.35 1.0×
Litchfield, MN single city 1 $227.20 $227.20 $227.20 1.0×
Little Falls, MN single city 1 $51.62 $51.62 $51.62 1.0×
Little Rock-North Little Rock-Conway, AR 1 $18.45 $18.45 $18.45 1.0×
Littlefield, TX single city 1 $100.00 $100.00 $100.00 1.0×
Livingston, MT single city 1 $264.10 $264.10 $264.10 1.0×
Los Angeles-Long Beach-Anaheim, CA 4 $90.30 $139.93 $314.30 3.5×
Louisville, MS single city 1 $160.31 $160.31 $160.31 1.0×
Lousiana, MO single city 1 $104.00 $104.00 $104.00 1.0×
Lovelock, NV single city 1 $187.00 $187.00 $187.00 1.0×
Lubbock, TX 2 $72.00 $87.45 $102.90 1.4×
Ludington, MI 1 $194.00 $194.00 $194.00 1.0×
Luther Eads, CO single city 1 $145.20 $145.20 $145.20 1.0×
Lyons, KS single city 1 $45.00 $45.00 $45.00 1.0×
Machias, ME single city 1 $265.00 $265.00 $265.00 1.0×
Macon-Bibb County, GA 1 $251.50 $251.50 $251.50 1.0×
Madison, MN single city 1 $275.40 $275.40 $275.40 1.0×
Madisonville, TX single city 1 $31.10 $31.10 $31.10 1.0×
Malta, MT single city 1 $411.00 $411.00 $411.00 1.0×
Manchester-Nashua, NH 1 $27.00 $27.00 $27.00 1.0×
Mangum, OK single city 1 $221.40 $221.40 $221.40 1.0×
Manistee, MI single city 1 $211.65 $211.65 $211.65 1.0×
Mankato, KS single city 1 $150.00 $150.00 $150.00 1.0×
Manning, SC single city 1 $127.80 $127.80 $127.80 1.0×
Mansfield, OH 2 $88.40 $88.40 $88.40 1.0×
Marble Falls, TX single city 1 $176.03 $176.03 $176.03 1.0×
Marietta, OH 2 $37.20 $37.20 $37.20 1.0×
Marion, OH 1 $88.40 $88.40 $88.40 1.0×
Massena-Ogdensburg, NY 3 $141.30 $143.32 $310.12 2.2×
McAlester, OK 1 $91.20 $91.20 $91.20 1.0×
McAllen-Edinburg-Mission, TX 1 $232.05 $232.05 $232.05 1.0×
McCook, NE single city 1 $253.13 $253.13 $253.13 1.0×
McPherson, KS 2 $205.24 $227.68 $250.12 1.2×
McVille, ND single city 1 $287.00 $287.00 $287.00 1.0×
Meadville, MS single city 1 $195.00 $195.00 $195.00 1.0×
Medicine Lodge, KS single city 1 $150.00 $150.00 $150.00 1.0×
Memphis, MO single city 1 $87.50 $87.50 $87.50 1.0×
Memphis, TN-MS-AR 5 $133.32 $133.32 $377.34 2.8×
Merced, CA 1 $252.44 $252.44 $252.44 1.0×
Meridian, MS 2 $66.79 $97.32 $127.85 1.9×
Miami-Fort Lauderdale-West Palm Beach, FL 3 $73.00 $197.60 $299.00 4.1×
Milwaukee-Waukesha, WI 2 $50.88 $122.96 $195.04 3.8×
Minneapolis-St. Paul-Bloomington, MN-WI 1 $95.73 $95.73 $95.73 1.0×
Minocqua, WI single city 1 $149.15 $149.15 $149.15 1.0×
Minot, ND 2 $113.60 $113.60 $113.60 1.0×
Moab, UT single city 1 $139.45 $139.45 $139.45 1.0×
Mobridge, SD single city 1 $313.00 $313.00 $313.00 1.0×
Modesto, CA 1 $105.75 $105.75 $105.75 1.0×
Monroeville, AL single city 1 $48.00 $48.00 $48.00 1.0×
Montour Falls, NY single city 1 $74.50 $74.50 $74.50 1.0×
Morehead, KY single city 1 $120.00 $120.00 $120.00 1.0×
Morgan City, LA 1 $202.30 $202.30 $202.30 1.0×
Morgantown, WV 1 $87.50 $87.50 $87.50 1.0×
Morrilton, AR single city 1 $54.24 $54.24 $54.24 1.0×
Morris, MN single city 1 $215.25 $215.25 $215.25 1.0×
Moscow, ID 1 $274.00 $274.00 $274.00 1.0×
Moses Lake, WA 1 $281.00 $281.00 $281.00 1.0×
Moultrie, GA 1 $239.00 $239.00 $239.00 1.0×
Mount Airy, NC 1 $156.40 $156.40 $156.40 1.0×
Mount Pleasant, MI 1 $120.50 $120.50 $120.50 1.0×
Mount Vernon, OH 1 $213.60 $213.60 $213.60 1.0×
Mountain Home, AR 1 $129.78 $129.78 $129.78 1.0×
Muskegon-Norton Shores, MI 1 $104.65 $104.65 $104.65 1.0×
Muskogee, OK 1 $103.60 $103.60 $103.60 1.0×
Myrtle Beach-Conway-North Myrtle Beach, SC 3 $127.80 $127.80 $127.80 1.0×
Nacogdoches, TX 1 $219.00 $219.00 $219.00 1.0×
Napoleon, OH single city 1 $30.75 $30.75 $30.75 1.0×
Nashville, IL single city 1 $224.80 $224.80 $224.80 1.0×
Nashville-Davidson--Murfreesboro--Franklin, TN 2 $91.35 $108.03 $124.70 1.4×
Natchitoches, LA 2 $59.20 $107.60 $156.00 2.6×
Navasota, TX single city 1 $23.10 $23.10 $23.10 1.0×
Neillsville, WI single city 1 $149.15 $149.15 $149.15 1.0×
Neodesha, KS single city 1 $187.50 $187.50 $187.50 1.0×
Nevada, MO single city 1 $174.15 $174.15 $174.15 1.0×
New Castle, IN 1 $221.27 $221.27 $221.27 1.0×
New Hampton, IA single city 1 $201.50 $201.50 $201.50 1.0×
New London, WI single city 1 $259.73 $259.73 $259.73 1.0×
New Martinsville, WV single city 1 $71.00 $71.00 $71.00 1.0×
New Orleans-Metairie, LA 1 $93.94 $93.94 $93.94 1.0×
New Philadelphia-Dover, OH 2 $29.76 $93.86 $157.95 5.3×
New York-Newark-Jersey City, NY-NJ 31 $51.33 $334.90 $15,052.00 293.2×
Newport, OR 2 $62.40 $62.40 $62.40 1.0×
Norfolk, NE 1 $219.27 $219.27 $219.27 1.0×
Norton, KS single city 1 $175.00 $175.00 $175.00 1.0×
Oberlin, KS single city 1 $276.30 $276.30 $276.30 1.0×
Ocean Pines, MD 1 $333.00 $333.00 $333.00 1.0×
Okeene, OK single city 1 $123.20 $123.20 $123.20 1.0×
Oklahoma City, OK 3 $46.20 $104.64 $104.64 2.3×
Olla, LA single city 1 $253.94 $253.94 $253.94 1.0×
Omaha, NE-IA 2 $84.24 $154.62 $225.00 2.7×
Oneonta, NY 2 $49.96 $49.96 $49.96 1.0×
Ord, NE single city 1 $129.60 $129.60 $129.60 1.0×
Oshkosh, NE single city 1 $213.00 $213.00 $213.00 1.0×
Oshkosh-Neenah, WI 2 $259.73 $259.73 $259.73 1.0×
Owosso, MI 1 $112.00 $112.00 $112.00 1.0×
Paducah, KY-IL 1 $160.95 $160.95 $160.95 1.0×
Pagosa Springs, CO single city 1 $185.36 $185.36 $185.36 1.0×
Paintsville, KY single city 1 $131.40 $131.40 $131.40 1.0×
Panama City-Panama City Beach, FL 1 $59.20 $59.20 $59.20 1.0×
Park Falls, WI single city 1 $149.15 $149.15 $149.15 1.0×
Park Rapids, MN single city 1 $41.61 $41.61 $41.61 1.0×
Parkersburg-Vienna, WV 1 $67.00 $67.00 $67.00 1.0×
Paulidng, OH single city 1 $86.02 $86.02 $86.02 1.0×
Pawnee City, NE single city 1 $216.00 $216.00 $216.00 1.0×
Pearsall, TX single city 1 $176.00 $176.00 $176.00 1.0×
Peoria, IL 1 $170.80 $170.80 $170.80 1.0×
Perryton, TX single city 1 $150.00 $150.00 $150.00 1.0×
Petersburg, WV single city 1 $177.60 $177.60 $177.60 1.0×
Philadelphia, MS single city 1 $133.00 $133.00 $133.00 1.0×
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 5 $43.50 $43.50 $43.50 1.0×
Philippi, WV single city 1 $122.43 $122.43 $122.43 1.0×
Phillipsburg, KS single city 1 $204.00 $204.00 $204.00 1.0×
Pikeville, KY 2 $131.40 $131.40 $131.40 1.0×
Pinckneyville, IL single city 1 $323.00 $323.00 $323.00 1.0×
Pine Bluff, AR 1 $352.00 $352.00 $352.00 1.0×
Pittsfield, MA 3 $119.70 $119.70 $119.70 1.0×
Pittsfield, ME single city 1 $21.76 $21.76 $21.76 1.0×
Plainview, TX 1 $102.90 $102.90 $102.90 1.0×
Plainville, KS single city 1 $217.50 $217.50 $217.50 1.0×
Polson, MT single city 1 $146.40 $146.40 $146.40 1.0×
Port St. Lucie, FL 1 $197.60 $197.60 $197.60 1.0×
Port Townsend, WA 2 $58.40 $259.60 $460.80 7.9×
Portland-South Portland, ME 1 $35.36 $35.36 $35.36 1.0×
Portland-Vancouver-Hillsboro, OR-WA 2 $130.65 $130.65 $130.65 1.0×
Pottsville, PA 2 $309.60 $309.60 $309.60 1.0×
Presque Isle, ME single city 1 $28.56 $28.56 $28.56 1.0×
Providence-Warwick, RI-MA 2 $302.00 $302.00 $302.00 1.0×
Quincy, CA single city 1 $136.00 $136.00 $136.00 1.0×
Rangely, CO single city 1 $182.38 $182.38 $182.38 1.0×
Rawlins, WY single city 1 $225.75 $225.75 $225.75 1.0×
Reed City, MI single city 1 $194.00 $194.00 $194.00 1.0×
Refugio, TX single city 1 $389.20 $389.20 $389.20 1.0×
Reno, NV 1 $200.00 $200.00 $200.00 1.0×
Republic, WA single city 1 $237.65 $237.65 $237.65 1.0×
Rice Lake, WI 1 $149.15 $149.15 $149.15 1.0×
Richmond-Berea, KY 1 $213.56 $213.56 $213.56 1.0×
Ripley, WV single city 1 $68.00 $68.00 $68.00 1.0×
Riverside-San Bernardino-Ontario, CA 3 $79.25 $104.00 $461.75 5.8×
Rochester, NY 8 $33.00 $333.37 $410.30 12.4×
Rockford, IL 1 $122.66 $122.66 $122.66 1.0×
Rolla, MO 1 $204.23 $204.23 $204.23 1.0×
Rome, GA 1 $105.50 $105.50 $105.50 1.0×
Roseau, MN single city 1 $305.36 $305.36 $305.36 1.0×
Roseburg, OR 1 $143.65 $143.65 $143.65 1.0×
Rosiclare, IL single city 1 $109.80 $109.80 $109.80 1.0×
Rotan, TX single city 1 $127.00 $127.00 $127.00 1.0×
Roundup, MT single city 1 $518.00 $518.00 $518.00 1.0×
Rugby, ND single city 1 $360.75 $360.75 $360.75 1.0×
Ruleville, MS single city 1 $87.50 $87.50 $87.50 1.0×
Rushville, IL single city 1 $370.80 $370.80 $370.80 1.0×
Rushville, IN single city 1 $146.66 $146.66 $146.66 1.0×
Saint Francis, KS single city 1 $208.25 $208.25 $208.25 1.0×
Salem, OR 1 $353.00 $353.00 $353.00 1.0×
Salinas, CA 1 $187.50 $187.50 $187.50 1.0×
Salisbury, MD 1 $69.13 $69.13 $69.13 1.0×
Salmon, ID single city 1 $189.75 $189.75 $189.75 1.0×
San Antonio-New Braunfels, TX 2 $61.00 $62.84 $64.67 1.1×
San Diego-Chula Vista-Carlsbad, CA 1 $84.15 $84.15 $84.15 1.0×
Sandusky, MI single city 1 $168.00 $168.00 $168.00 1.0×
Santa Rosa-Petaluma, CA 1 $132.60 $132.60 $132.60 1.0×
Satanta, KS single city 1 $153.00 $153.00 $153.00 1.0×
Sayre, PA 3 $208.74 $208.74 $208.74 1.0×
Scobey, MT single city 1 $407.15 $407.15 $407.15 1.0×
Seattle-Tacoma-Bellevue, WA 7 $72.96 $92.59 $111.69 1.5×
Sebastian-Vero Beach-West Vero Corridor, FL 1 $197.60 $197.60 $197.60 1.0×
Seminole, TX single city 1 $196.80 $196.80 $196.80 1.0×
Seneca, KS single city 1 $281.70 $281.70 $281.70 1.0×
Shawano, WI 1 $259.73 $259.73 $259.73 1.0×
Shelby-Kings Mountain, NC 1 $133.50 $133.50 $133.50 1.0×
Shelbyville, TN 1 $124.70 $124.70 $124.70 1.0×
Shell Lake, WI single city 1 $400.00 $400.00 $400.00 1.0×
Shelton, WA 1 $281.40 $281.40 $281.40 1.0×
Sidney, MT single city 1 $61.92 $61.92 $61.92 1.0×
Sierra Vista-Douglas, AZ 2 $35.52 $227.76 $420.00 11.8×
Sioux Center, IA single city 1 $125.13 $125.13 $125.13 1.0×
Sioux Falls, SD-MN 1 $401.00 $401.00 $401.00 1.0×
Sistersville, WV single city 1 $159.58 $159.58 $159.58 1.0×
Skowhegan, ME single city 1 $203.25 $203.25 $203.25 1.0×
Slayton, MN single city 1 $267.15 $267.15 $267.15 1.0×
Smith Center, KS single city 1 $323.00 $323.00 $323.00 1.0×
Snyder, TX 1 $245.00 $245.00 $245.00 1.0×
Soda Springs, ID single city 1 $290.18 $290.18 $290.18 1.0×
Somerset, PA 2 $176.40 $177.45 $178.50 1.0×
Spartanburg, SC 3 $100.80 $100.80 $100.80 1.0×
Spencer, IA 1 $62.25 $62.25 $62.25 1.0×
Spirit Lake, IA 1 $106.40 $106.40 $106.40 1.0×
Springfield, MA 1 $307.00 $307.00 $307.00 1.0×
St. Johnsbury, VT single city 1 $142.50 $142.50 $142.50 1.0×
St. Joseph, MO-KS 2 $106.25 $106.25 $106.25 1.0×
St. Louis, MO-IL 4 $141.60 $159.90 $166.60 1.2×
St. Marys, PA 1 $84.00 $84.00 $84.00 1.0×
Staples, MN single city 1 $156.24 $156.24 $156.24 1.0×
Starkville, MS 1 $106.24 $106.24 $106.24 1.0×
Ste. Genevieve, MO single city 1 $156.50 $156.50 $156.50 1.0×
Sterling, IL 1 $156.50 $156.50 $156.50 1.0×
Stevens Point-Plover, WI 1 $149.15 $149.15 $149.15 1.0×
Stigler, OK single city 1 $100.00 $100.00 $100.00 1.0×
Sulphur, OK single city 1 $148.00 $148.00 $148.00 1.0×
Summersville, WV single city 1 $48.00 $48.00 $48.00 1.0×
Sweetwater, TX 1 $164.00 $164.00 $164.00 1.0×
Syracuse, NY 2 $148.00 $205.63 $263.25 1.8×
Tampa-St. Petersburg-Clearwater, FL 1 $98.35 $98.35 $98.35 1.0×
Taylorville, IL 1 $248.85 $248.85 $248.85 1.0×
Temple, TX single city 1 $183.07 $183.07 $183.07 1.0×
Throckmorton, TX single city 1 $120.00 $120.00 $120.00 1.0×
Toledo, OH 1 $109.20 $109.20 $109.20 1.0×
Topeka, KS 1 $192.00 $192.00 $192.00 1.0×
Traverse City, MI 2 $203.15 $215.05 $226.95 1.1×
Tribune, KS single city 1 $140.00 $140.00 $140.00 1.0×
Truckee-Grass Valley, CA 1 $200.00 $200.00 $200.00 1.0×
Truth Or Consequences, NM single city 1 $238.13 $238.13 $238.13 1.0×
Tulia, TX single city 1 $76.00 $76.00 $76.00 1.0×
Tullahoma-Manchester, TN 1 $124.70 $124.70 $124.70 1.0×
Tulsa, OK 3 $103.60 $103.60 $205.83 2.0×
Upper Sandusky, OH single city 1 $246.47 $246.47 $246.47 1.0×
Urban Honolulu, HI 3 $106.40 $106.40 $106.40 1.0×
Utah Hiawatha, KS single city 1 $298.00 $298.00 $298.00 1.0×
Utica-Rome, NY 3 $49.96 $161.22 $171.98 3.4×
Valdez, AK single city 1 $163.80 $163.80 $163.80 1.0×
Valley City, ND single city 1 $56.26 $56.26 $56.26 1.0×
Van Wert, OH 1 $157.30 $157.30 $157.30 1.0×
Vinita, OK single city 1 $103.60 $103.60 $103.60 1.0×
Virginia Beach-Chesapeake-Norfolk, VA-NC 2 $83.40 $127.95 $172.49 2.1×
Visalia, CA 2 $180.25 $228.13 $276.00 1.5×
Waco, TX 1 $176.03 $176.03 $176.03 1.0×
Wahpeton, ND-MN 1 $45.32 $45.32 $45.32 1.0×
Wakeeney, KS single city 1 $148.75 $148.75 $148.75 1.0×
Wallingford, CT single city 1 $369.91 $369.91 $369.91 1.0×
Warren, PA 1 $175.00 $175.00 $175.00 1.0×
Washington, NC 1 $283.02 $283.02 $283.02 1.0×
Washington-Arlington-Alexandria, DC-VA-MD-WV 2 $59.50 $148.42 $237.34 4.0×
Waterloo-Cedar Falls, IA 1 $148.20 $148.20 $148.20 1.0×
Watertown-Fort Drum, NY 1 $195.00 $195.00 $195.00 1.0×
Watford City, ND single city 1 $148.20 $148.20 $148.20 1.0×
Waupaca, WI single city 1 $259.73 $259.73 $259.73 1.0×
Wausau, WI 1 $149.15 $149.15 $149.15 1.0×
Waynesboro, MS single city 1 $155.00 $155.00 $155.00 1.0×
Weatherford, OK 2 $21.36 $72.68 $124.00 5.8×
Weaverville, CA single city 1 $143.00 $143.00 $143.00 1.0×
Weirton-Steubenville, WV-OH 1 $140.00 $140.00 $140.00 1.0×
Weiser, ID single city 1 $267.08 $267.08 $267.08 1.0×
Wellsville, NY single city 1 $118.00 $118.00 $118.00 1.0×
Wenatchee-East Wenatchee, WA 2 $250.00 $339.80 $429.60 1.7×
Wheeling, WV-OH 3 $30.00 $62.00 $103.50 3.4×
White Sulphur Springs, MT single city 1 $142.62 $142.62 $142.62 1.0×
Wichita Falls, TX 1 $224.70 $224.70 $224.70 1.0×
Wild Rose, WI single city 1 $259.73 $259.73 $259.73 1.0×
Williamsport, PA 1 $103.20 $103.20 $103.20 1.0×
Willimantic, CT single city 1 $290.00 $290.00 $290.00 1.0×
Williston, ND 2 $53.35 $256.18 $459.00 8.6×
Willows, CA single city 1 $162.54 $162.54 $162.54 1.0×
Windom, MN single city 1 $53.72 $53.72 $53.72 1.0×
Windsor, NC single city 1 $85.12 $85.12 $85.12 1.0×
Winner, SD single city 1 $150.00 $150.00 $150.00 1.0×
Winnsboro, LA single city 1 $120.60 $120.60 $120.60 1.0×
Winston-Salem, NC 3 $105.50 $111.50 $117.00 1.1×
Winters, TX single city 1 $77.70 $77.70 $77.70 1.0×
Wisconsin Rapids-Marshfield, WI 1 $149.15 $149.15 $149.15 1.0×
Wolfeboro, NH single city 1 $68.50 $68.50 $68.50 1.0×
Worcester, MA 2 $169.00 $173.50 $178.00 1.1×
Yakima, WA 1 $186.55 $186.55 $186.55 1.0×
Ypsilanti, MI single city 1 $130.00 $130.00 $130.00 1.0×
Yreka, CA single city 1 $290.00 $290.00 $290.00 1.0×
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
Highest The highest cash price among those hospitals. A single very high price can be an error in the file; check the median too.
Highest ÷ lowest How many times the highest cash price is above the lowest in the same market.

Common questions

What is CPT code 99397?

CPT 99397 is the billing code for preventive checkup, returning patient aged 65 or older. 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.

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.

Does Medicare pay for this checkup?

Medicare does not cover a routine physical under this code; it covers a separate Annual Wellness Visit, which is a planning visit rather than a full physical exam.

Is it cheaper to pay cash or use insurance for annual physical, returning 65+?

It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for annual physical, returning 65+ has a median of $253.28 and the lowest a median of $76.16; at 549 of 648 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.

Which states have the cheapest annual physical, returning 65+?

Among 36 states with at least 5 hospitals listing a cash price, the median is lowest in New Jersey ($62.43), West Virginia ($67.25) and Oklahoma ($103.60), and highest in Georgia ($574.00), Nebraska ($238.00) and Idaho ($228.42). Prices vary as much between hospitals in the same state, so compare hospitals near you.

Other annual physical prices

Median hospital cash price, one per hospital.