Well-child visit Cost by Hospital

Well-child visit is a clinic or emergency-department visit. Prices are from 1111 US hospitals across 51 states, from their machine-readable files.

$128median cash price · 1111 hospitals, 51 statestypically $57–$262 depending on the hospital
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Price comparison (median)

Chargemaster (list price)
$195
Cash / self-pay
$128
Insurer-negotiated
$107
$57$262
Median cash $128  ·  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 of Colorado Hospital Authority Aurora, CO $20 $35 ★ 5/5 102 min —
Childrens Hospital of the Kings Daughters Inc Norfolk, VA $21 $107 — — —
Benson Hospital Benson, AZ $21 $21 — 155 min —
University Medical Center Las Vegas, NV $22 $111 ★ 2/5 238 min —
Trinity Health Grand Haven Hospital Grand Haven, MI $22 $65 ★ 4/5 76 min —
Adventist Health Tulare Tulare, CA $22 $99 ★ 3/5 198 min —
University Medical Center of El Paso El Paso, TX $23 $75 ★ 3/5 240 min —
Regions Hospital Saint Paul, MN $29 $129 ★ 3/5 231 min —
Northern Maine Medical Center Fort Kent, ME $30 $111 — 140 min —
Ochsner LSU Health Monroe Monroe, LA $30 $79 ★ 3/5 152 min —
Aurelia Osborn Fox Memorial Hospital Oneonta, NY $32 $82 ★ 3/5 132 min —
Twin City Medical Center Dennison, OH $33 $51 — — —
CHI St Vincent Morrilton Morrilton, AR $33 $133 — 98 min —
Heritage Valley Beaver Beaver, PA $33 $55 ★ 3/5 185 min —
Heritage Valley Sewickley Sewickley, PA $33 $55 ★ 4/5 135 min —
King's Daughters Medical Center-Brookhaven Brookhaven, MS $37 $820 ★ 3/5 140 min —
Milton S Hershey Medical Center Hershey, PA $38 $73 ★ 4/5 261 min —
Arkansas Children's Hospital Little Rock, AR $39 — — — —
Arkansas Children's Northwest, Inc Springdale, AR $39 — — — —
Saint Vincent Hospital Erie, PA $39 $92 ★ 4/5 219 min —
Ochsner LSU Health Shreveport Shreveport, LA $41 $67 ★ 2/5 247 min —
Jefferson Hospital Louisville, GA $41 $92 — 99 min —
Jefferson Hospital Jefferson Hills, PA $41 $92 ★ 4/5 170 min —
Unity Health-Jacksonville Jacksonville, AR $42 — — 130 min —
Unity Health-Newport Newport, AR $42 — — 103 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 Well-child visit

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: $128.

InsurerHospitalsNegotiated median
Amerigroup 39
$59
$29 – $365
Medicaid 115
$74
$29 – $200
AmeriHealth 74
$75
$22 – $250
Molina Healthcare 171
$77
$38 – $147
Univera 13
$81
$56 – $126
Centene / Ambetter 212
$85
$24 – $223
UPMC Health Plan 44
$86
$22 – $143
Tricare / VA 102
$90
$61 – $169
Highmark 62
$92
$57 – $267
Coventry 37
$94
$13 – $206
Security Health Plan 11
$95
$24 – $267
Humana 339
$97
$39 – $250
Medicare 104
$99
$53 – $267
UCare 26
$99
$52 – $185
Sanford Health Plan 29
$102
$59 – $266
Devoted Health 33
$104
$62 – $110
Priority Health 28
$104
$53 – $179
UnitedHealthcare 517
$105
$41 – $250
Independent Health 15
$106
$69 – $147
Healthcare Highways 5
$107
$49 – $160
Anthem 195
$109
$39 – $310
Aetna 444
$109
$45 – $264
Oscar Health 60
$113
$43 – $542
Health Net 79
$113
$52 – $267
Geisinger 15
$114
$59 – $202
AvMed 7
$121
$54 – $161
Blue Cross Blue Shield 520
$124
$51 – $331
Medica 70
$129
$58 – $302
Cigna 335
$130
$46 – $283
Kaiser Permanente 57
$133
$52 – $253
HealthPartners 91
$137
$55 – $303
MVP Health Care 45
$144
$74 – $315
MultiPlan / PHCS network 214
$146
$69 – $356
EmblemHealth 41
$157
$10 – $332
SelectHealth 18
$199
$101 – $308
Harvard Pilgrim 30
$216
$81 – $341
Workers' Comp / No-Fault 27
$221
$67 – $442

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
Arkansas$60
Virginia$70
West Virginia$73
Tennessee$73
North Carolina$80
Kentucky$88

Prices by city

Chicago, ILAustin, TXNew York, NYBronx, NYCleveland, OHDallas, TXHouston, TXBrooklyn, NYFort Worth, TXNashville, TNRochester, NYSan Antonio, TXArlington, TXJacksonville, FLKnoxville, TNPlano, TXAkron, OHBoston, MACharlotte, NCCincinnati, OHColorado Springs, COLake Charles, LALas Vegas, NVMilwaukee, WI

Prices by state

TexasNew YorkFloridaPennsylvaniaOhioIllinoisWisconsinMichiganMinnesotaTennesseeCaliforniaIowaColoradoIndianaMaineNebraskaNorth CarolinaWest VirginiaLouisianaKansasWashingtonSouth CarolinaMissouriMassachusettsSouth DakotaVirginiaOklahomaArkansasUtahNew JerseyKentuckyNorth DakotaMontanaGeorgiaAlabamaNew HampshireArizonaMississippiConnecticutWyomingIdahoOregonNew MexicoVermontNevadaDelaware

Does Medicare cover Well-child visit?

We don’t have a standard national Medicare rate for Well-child visit, 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 1111 US hospitals across 51 states, the typical (median) cash price is $128, versus a chargemaster (list) price around $195, a median insurer-negotiated rate of $107. Most cash prices fall between $57 and $262 — 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 Well-child visit cost without insurance?
The median cash (self-pay) price across 1111 US hospitals is $128. Most hospitals fall between $57 and $262. Prices vary widely between hospitals, so it pays to compare before you book.
Why do Well-child visit 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.

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