Annual physical (new patient) Cost by Hospital

Annual physical (new patient) is a clinic or emergency-department visit. Prices are from 1226 US hospitals across 52 states, from their machine-readable files.

$175median cash price · 1226 hospitals, 52 statestypically $72–$380 depending on the hospital
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Price comparison (median)

Chargemaster (list price)
$277
Cash / self-pay
$175
Insurer-negotiated
$149
$72$380
Median cash $175  ·  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
Saint Joseph London London, KY $26 $139 ★ 3/5 185 min —
CHI Saint Joseph Flaget Memorial Hospital Bardstown, KY $26 $139 ★ 3/5 149 min —
Saint Joseph Mount Sterling Mount Sterling, KY $26 $139 ★ 4/5 134 min —
Saint Joseph East Lexington, KY $26 $139 ★ 2/5 131 min —
CHI Saint Joseph Berea Nf Berea, KY $26 $139 ★ 4/5 126 min —
Burleson St Joseph Health Center Caldwell, TX $26 $90 — 80 min —
Madison St Joseph Health Center Madisonville, TX $26 $83 — 108 min —
Grimes St Joseph Health Center Navasota, TX $26 $92 — 92 min —
University Medical Center of El Paso El Paso, TX $27 $88 ★ 3/5 240 min —
Northern Maine Medical Center Fort Kent, ME $30 $69 — 140 min —
Ochsner LSU Health Monroe Monroe, LA $30 $92 ★ 3/5 152 min —
Aurelia Osborn Fox Memorial Hospital Oneonta, NY $32 $82 ★ 3/5 132 min —
Centrastate Medical Center Freehold, NJ $33 $28 ★ 4/5 219 min —
O'connor Hospital Delhi, NY $33 $48 — 95 min —
Cobleskill Regional Hospital Cobleskill, NY $34 $47 ★ 4/5 111 min —
Twin City Medical Center Dennison, OH $35 $54 — — —
Nicholas H Noyes Memorial Hospital Dansville, NY $35 $115 ★ 3/5 202 min —
Elite Hospital Kingwood Kingwood, TX $38 — — 112 min —
Adventist Health Tulare Tulare, CA $38 $153 ★ 3/5 198 min —
Arkansas Children's Hospital Little Rock, AR $39 — — — —
Arkansas Children's Northwest, Inc Springdale, AR $39 — — — —
Valley Hospital Paramus, NJ $39 $50 ★ 4/5 227 min —
Wheeling Hospital, Inc Wheeling, WV $40 $85 ★ 2/5 203 min —
Ochsner LSU Health Shreveport Shreveport, LA $41 $67 ★ 2/5 247 min —
Virtua Our Lady of Lourdes Hospital Camden, NJ $42 — ★ 2/5 168 min —

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 October 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 (new 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: $175.

InsurerHospitalsNegotiated median
Amerigroup 43
$89
$46 – $520
Medicaid 140
$102
$46 – $164
Univera 13
$112
$78 – $156
Molina Healthcare 201
$113
$47 – $199
Centene / Ambetter 238
$117
$28 – $313
Tricare / VA 116
$118
$73 – $260
AvMed 10
$121
$73 – $216
Humana 370
$125
$56 – $312
UCare 30
$126
$67 – $230
UPMC Health Plan 48
$127
$31 – $311
Highmark 76
$129
$85 – $381
Sanford Health Plan 35
$135
$86 – $349
Medicare 128
$139
$60 – $381
AmeriHealth 91
$142
$43 – $467
Security Health Plan 13
$146
$54 – $381
Priority Health 29
$148
$69 – $234
Independent Health 16
$148
$99 – $190
UnitedHealthcare 564
$148
$54 – $381
Devoted Health 39
$148
$89 – $160
Aetna 511
$154
$62 – $370
Kaiser Permanente 68
$160
$44 – $345
Coventry 50
$160
$26 – $283
Anthem 214
$161
$69 – $601
Health Net 90
$162
$80 – $331
Blue Cross Blue Shield 557
$165
$74 – $409
HealthPartners 100
$177
$78 – $438
Healthcare Highways 6
$178
$99 – $319
Oscar Health 75
$179
$52 – $645
MVP Health Care 51
$182
$104 – $412
Cigna 377
$182
$61 – $385
Medica 73
$196
$83 – $445
MultiPlan / PHCS network 261
$207
$98 – $481
Bright Health 7
$220
$50 – $381
SelectHealth 22
$277
$129 – $390
Harvard Pilgrim 31
$291
$108 – $461
EmblemHealth 41
$332
$0 – $735
Workers' Comp / No-Fault 32
$341
$91 – $827
Geisinger 32
$414
$107 – $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$69
Virginia$78
Tennessee$97
Nevada$101
Arkansas$105
West Virginia$108

Prices by city

Chicago, ILAustin, TXNew York, NYHouston, TXBronx, NYBrooklyn, NYCleveland, OHDallas, TXNashville, TNSan Antonio, TXFort Worth, TXRochester, NYArlington, TXColumbus, OHJacksonville, FLKnoxville, TNLong Beach, CAPhiladelphia, PAPlano, TXAlexandria, LABoston, MACharlotte, NCCincinnati, OHColorado Springs, CO

Prices by state

TexasNew YorkFloridaOhioWisconsinPennsylvaniaIllinoisMichiganMinnesotaTennesseeCaliforniaIowaColoradoIndianaNorth CarolinaMaineNew JerseyNebraskaMassachusettsLouisianaWest VirginiaKansasSouth CarolinaWashingtonMissouriKentuckyVirginiaIdahoUtahSouth DakotaArkansasOklahomaNorth DakotaGeorgiaMontanaAlabamaConnecticutNew HampshireMississippiArizonaOregonNew MexicoVermontWyomingMarylandNevadaDelawareAlaska

Does Medicare cover Annual physical (new patient)?

We don’t have a standard national Medicare rate for Annual physical (new 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 1226 US hospitals across 52 states, the typical (median) cash price is $175, versus a chargemaster (list) price around $277, a median insurer-negotiated rate of $149. Most cash prices fall between $72 and $380 — 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 (new patient) cost without insurance?
The median cash (self-pay) price across 1226 US hospitals is $175. Most hospitals fall between $72 and $380. Prices vary widely between hospitals, so it pays to compare before you book.
Why do Annual physical (new 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

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