Preventive visit established patient age 40-64
CPT 99396 • Preventive Care
If you're paying cash
$84 – $133
Posted cash price at 2 hospitals in North Carolina. Hospitals must publish these; ask for the self-pay or cash price by name when you call.
See what your plan negotiated
Lowest
$4
Typical
$162
Highest
$1,013
158,252 negotiated rates from NC hospitals. These are what insurers pay, not what you would be billed.
About this procedure
An annual physical (preventive visit) for adults 40-64 — comprehensive check-in including age-appropriate screening discussions.
What to expect
30-60 minutes. Most insurance plans cover this at 100% as preventive. Topics tend to expand at this age: cancer screening, cardiovascular risk, bone density, and family planning if relevant. Don't combine multiple new sick complaints with this visit or it may bill differently.