Preventive visit, new patient age 40 to 64 in Appleton, WI costs $107 to $291. Here's every hospital's price.
2 hospitals in the Appleton, WI metro area publish a cash price for preventive visit, new patient age 40 to 64 (CPT 99386). We read their files every month so you don't have to.
Across the Appleton, WI metro area, 2 hospitals list a cash price for preventive visit, new patient age 40 to 64 (CPT 99386). The lowest is $107 at Ascension Calumet Hospital, the median is $107 and the highest is $291 at Thedacare Regional Medical Center - Appleton INC. The most expensive hospital lists 2.7 times the cheapest for the same code.
The Appleton, WI median of $107 is 35% below the national median of $165 across 466 US hospitals with a cash price for this code.
2 of these hospitals also publish the rates they negotiated with insurers, from $121 to $336. With insurance you pay a share of the negotiated rate, which is sometimes higher than the cash price; you may ask for the cash price instead.
The files behind these prices are dated between January 2026 and August 2026.
Sorted by cash price
Hospital facility fee onlyChilton · 21 mi · File Jan 2026
Appleton · 1 mi · File Aug 2026
Appleton · 3 mi · File Jan 2026
What's in the price
The hospital facility fee for CPT 99386. The doctor, anesthesia and lab work usually bill separately.
Cash vs. insured
Cash is what you pay without insurance. With insurance you pay a share of the negotiated rate, which can be higher than cash. You may ask for the cash price.
What to say on the phone
"I'd like the self-pay price for CPT 99386, in writing, and whether it covers facility, physician and anesthesia."
About preventive visit, new patient age 40 to 64
CPT 99386 is an annual preventive exam for a new patient aged 40 to 64: history, examination, risk counseling and ordering of screening tests such as cholesterol, colon cancer screening and mammography. Insured patients usually pay nothing for the visit itself under preventive-care rules; the cash price applies to everyone else.
What the price covers
The visit only. Laboratory tests, an ECG, vaccines and any imaging are separate codes. A problem raised during the visit may be billed as a second, problem-oriented visit on top of the preventive one.
Why prices vary
Ownership decides most of it: hospital-owned practices add facility fees, independent practices generally do not. Cash prices for a physical at this age typically run from around $150 to several hundred dollars.
Questions to ask
- What is the self-pay price for 99386, and is there a facility fee?
- Which screening tests will be ordered, and what will each cost?
- Will discussing an existing condition add a second visit charge?