US Health Care Costs

Yearly checkup, established patient, age 40 to 64

CPT 99396 · Doctor and ER visits · hospital facility charge

At the 74 hospitals whose price files we have read so far, the typical cash price is $105, and most charge between $64 and $273 (the middle 80%; price files contain errors, so the extremes are left out). Pick a state to compare its hospitals.

Estimate what you would pay

$105typical cash price
$229typical commercial insurer rate
$242typical list price
74hospitals in 24 states so far
Typical cash price by state
AKMEWIVTNHWAIDMTNDMN$82IL$260MI$191NY$311MA$230ORNVWYSDIAIN$53OH$103PA$64NJ$101CTRICA$164UT$70CONE$74MOKYWVVAMDDEAZNMKSARTN$127NC$135SCDCOK$97LAMSALGA$532HITXFL$132PR

Every state

StateHospitalsTypical cash priceLowest cashHighest cashTypical insurer price
Arizona1–––$306
California2$164$164$164$110
Florida4$132$76$187$88
Georgia1$532$532$532–
Illinois4$260$105$415$549
Indiana1$53$53$53$97
Massachusetts3$230$109$230$189
Michigan3$191$191$191$170
Minnesota1$82$82$82$248
Missouri1–––$155
North Carolina4$135$135$265$147
Nebraska1$74$74$74$127
New Jersey8$101$33$103$65
Nevada1–––$252
New York1$311$311$311$255
Ohio4$103$90$150$170
Oklahoma1$97$97$97–
Pennsylvania7$64$52$273$152
South Carolina1––––
Tennessee1$127$127$127$179
Texas19–––$308
Utah2$70$70$70$196
Virginia2–––$62
Washington1–––$159
74 hospitals so far: only hospitals whose price files we've read are listed, and more are added every night. The price is the hospital's part; the doctor usually bills separately.

Common questions

How much does yearly checkup cost at a hospital?

At 31 hospitals that publish a cash price, the typical price for yearly checkup is $105, and most charge between $64 and $273. The typical rate commercial insurers have negotiated is $229. These are hospital prices; independent clinics, imaging centers and labs often charge less.

Is it cheaper to pay cash or use insurance for yearly checkup?

At 9 of the 21 hospitals that publish both, the cash price is lower than the typical insurer rate. Remember that with insurance you pay only your share of that rate once your deductible is met, and that cash payments usually don't count toward your deductible.

Does the price include the doctor?

No. These are the hospital's own charges, often called the facility fee. The doctors involved, such as the surgeon, the anesthesiologist or the radiologist who reads a scan, usually send a separate bill.

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