Preventive visit, new patient age 40 to 64 in Madison, WI costs $31 to $370. Here's every hospital's price.
4 hospitals in the Madison, 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 Madison, WI metro area, 4 hospitals list a cash price for preventive visit, new patient age 40 to 64 (CPT 99386). The lowest is $31 at Ssm Health St Mary's Hospital - Madison, the median is $157 and the highest is $370 at Unitypoint Health - Meriter. The most expensive hospital lists 12 times the cheapest for the same code.
The Madison, WI median of $157 is in line with the national median of $165 across 466 US hospitals with a cash price for this code.
3 of these hospitals also publish the rates they negotiated with insurers, from $79 to $472. 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 April 2026. 4 other hospitals in the metro area have no readable price for this code: some publish no file, some block automated reading, some leave the code out. They are listed below so you can call them.
Sorted by cash price
Hospital facility fee onlyMadison · 10 mi · File Apr 2026
Madison · 9 mi · File Apr 2026
Portage · 34 mi · File Apr 2026
Madison · 10 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?
Hospitals in Madison, WI without a price for this procedure
Listed so you know who to call. The reason is what we found on their website.
- Columbus Community HospitalNo website on record
- Stoughton HospitalNo website on record
- The Monroe Cliniccode not in file
- Upland Hills HealthNo website on record