Annual physical (established patient) Cost

Annual physical (established patient) is a clinic or emergency-department visit. Prices are from 1202 US hospitals across 52 states, from their machine-readable files.

$158median cash price · 1202 hospitals, 52 statestypically $61–$298 depending on the hospital
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Price comparison (median)

Chargemaster (list price)
$239
Cash / self-pay
$158
Insurer-negotiated
$126
$61$298
Median cash $158  ·  bar = typical cash range (10th–90th percentile)
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
University Medical Center of El Paso El Paso, TX $29 $84 ★ 3/5 242 min 15.4%
Wheeling Hospital, Inc Wheeling, WV $30 $70 ★ 2/5 207 min 15.5%
King's Daughters' Medical Center Ashland, KY $30 $60 ★ 3/5 210 min 15.2%
Northern Maine Medical Center Fort Kent, ME $30 $31 — 147 min —
Nicholas H Noyes Memorial Hospital Dansville, NY $30 $101 ★ 3/5 212 min 15.7%
Ochsner LSU Health Monroe Monroe, LA $30 $88 ★ 3/5 155 min 15.2%
Virtua Our Lady of Lourdes Hospital Camden, NJ $31 — ★ 2/5 161 min 15.4%
Virtua Willingboro Hospital Willingboro, NJ $31 — ★ 3/5 181 min 14.8%
Uchealth Highlands Ranch Hospital Highlands Ranch, CO $31 $116 ★ 5/5 161 min 14.2%
Centrastate Medical Center Freehold, NJ $33 $28 ★ 4/5 219 min 15.8%
Twin City Medical Center Dennison, OH $33 $51 — — 15.0%
Benson Hospital Benson, AZ $34 $32 — 155 min —
Adventist Health Tulare Tulare, CA $35 $131 ★ 3/5 195 min 15.0%
Citizens Memorial Hospital Bolivar, MO $36 — ★ 3/5 185 min 14.6%
Longs Peak Hospital Longmont, CO $36 $116 ★ 5/5 130 min 13.9%
Uchealth Broomfield Hospital Broomfield, CO $36 $116 — 105 min 14.7%
Uchealth Grandview Hospital Colorado Springs, CO $36 $72 — 108 min 14.7%
St Joseph Hospital Bangor, ME $37 $71 ★ 3/5 188 min 15.6%
Penn State Health St. Joseph Reading, PA $37 $71 ★ 3/5 216 min 15.6%
Heritage Valley Beaver Beaver, PA $38 $78 ★ 3/5 185 min 14.5%
Heritage Valley Sewickley Sewickley, PA $38 $110 ★ 4/5 132 min 15.1%
Arkansas Children's Hospital Little Rock, AR $39 — — — —
Arkansas Children's Northwest, Inc Springdale, AR $39 — — — —
Aurelia Osborn Fox Memorial Hospital Oneonta, NY $40 $110 ★ 3/5 123 min 15.2%
Ochsner LSU Health Shreveport Shreveport, LA $41 $67 ★ 2/5 247 min 15.8%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated August 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Annual physical (established patient)

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $158.

InsurerHospitalsNegotiated median
Amerigroup 42
$75
$37 – $395
Medicaid 139
$83
$33 – $143
Bright Health 7
$91
$12 – $310
Univera 13
$92
$71 – $141
Centene / Ambetter 228
$96
$25 – $214
Molina Healthcare 198
$96
$43 – $191
UPMC Health Plan 47
$97
$26 – $226
Tricare / VA 122
$104
$70 – $221
Highmark 72
$110
$65 – $328
Humana 372
$111
$51 – $270
UCare 30
$114
$60 – $198
Sanford Health Plan 32
$120
$72 – $304
Priority Health 31
$121
$62 – $205
AvMed 10
$121
$88 – $180
Devoted Health 38
$121
$39 – $130
Medicare 123
$122
$55 – $316
Coventry 51
$123
$17 – $236
Oscar Health 64
$124
$65 – $438
Independent Health 16
$126
$77 – $170
Aetna 499
$127
$53 – $319
UnitedHealthcare 562
$127
$51 – $297
Anthem 206
$133
$44 – $297
AmeriHealth 94
$136
$36 – $467
Health Net 90
$137
$71 – $316
Security Health Plan 13
$138
$13 – $319
Blue Cross Blue Shield 558
$145
$68 – $356
Medica 78
$155
$70 – $364
Cigna 361
$155
$63 – $326
Kaiser Permanente 71
$160
$55 – $305
Healthcare Highways 7
$161
$92 – $180
HealthPartners 108
$161
$68 – $374
MVP Health Care 50
$164
$87 – $367
EmblemHealth 29
$179
$0 – $303
MultiPlan / PHCS network 249
$179
$83 – $362
SelectHealth 19
$182
$116 – $372
Workers' Comp / No-Fault 32
$208
$87 – $548
Harvard Pilgrim 33
$248
$103 – $391
Geisinger 31
$414
$102 – $635

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Kentucky$62
Colorado$84
Arkansas$91
Tennessee$93
West Virginia$93
Utah$94

Prices by city

Chicago, ILAustin, TXHouston, TXCleveland, OHDallas, TXNashville, TNSan Antonio, TXFort Worth, TXNew York, NYRochester, NYArlington, TXBoston, MAColumbus, OHJacksonville, FLKnoxville, TNPhiladelphia, PAPlano, TXBangor, MEBirmingham, ALBronx, NYBrooklyn, NYCharlotte, NCCincinnati, OHColorado Springs, CO

Prices by state

TexasFloridaNew YorkOhioWisconsinPennsylvaniaIllinoisMichiganMinnesotaTennesseeCaliforniaIowaColoradoIndianaNorth CarolinaWest VirginiaMassachusettsMaineLouisianaNebraskaKansasNew JerseySouth DakotaKentuckyMissouriSouth CarolinaVirginiaWashingtonOklahomaArkansasUtahNorth DakotaMontanaGeorgiaAlabamaConnecticutNew HampshireArizonaMississippiOregonNew MexicoIdahoVermontWyomingMarylandNevadaDelawareAlaska

Does Medicare cover Annual physical (established patient)?

We don’t have a standard national Medicare rate for Annual physical (established patient), so we can’t confirm coverage here — it may depend on medical necessity, the setting, or your specific plan. Check Medicare.gov or ask your provider.

About these prices

Based on prices published by 1202 US hospitals across 52 states, the typical (median) cash price is $158, versus a chargemaster (list) price around $239, a median insurer-negotiated rate of $126. Most cash prices fall between $61 and $298 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Annual physical (established patient) cost without insurance?
The median cash (self-pay) price across 1202 US hospitals is $158. Most hospitals fall between $61 and $298. Prices vary widely between hospitals, so it pays to compare before you book.
Why do Annual physical (established patient) prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

Related Office & ER Visits

Emergency department visit (level 3)Emergency department visit (level 4)Emergency department visit (level 2)Emergency department visitEmergency department visit (level 1)Emergency department visit (level 5)Office visit (established patient)Office visit, established patient (level 3)

See more Office & ER Visits.