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Annual Checkup, New Patient (Ages 18-39)

Oregon rates for HCPCS 99385

A comprehensive first-time wellness visit for an adult patient between about 18 and 39 who is new to this provider, focused on preventive care rather than an existing illness. It typically includes a full health history, an age-appropriate physical exam, and counseling on preventive topics such as screenings, immunizations, and healthy lifestyle habits. It's meant to establish a baseline and catch potential health issues early.

Rates data updated July 2026.

How much does Annual Checkup, New Patient (Ages 18-39) cost?

$178

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $174 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$178$117 to $257
FacilityA hospital or hospital-owned outpatient department$174$123 to $245

How much rates vary

Facilitymedian $174 · 10th to 90th $93 to $257Professionalmedian $178 · 10th to 90th $89 to $427
$100$200$500facility $174professional $178

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$234.42
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$151.36
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$190.55
Typical High
$316.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$316.23
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$141.25
Typical High
$239.88
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$204.17
Typical High
$309.03
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$245.47
Typical High
$257.04
Providence
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$138.04
Typical High
$245.47
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$213.80
Typical High
$323.59
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$446.68
Typical High
$660.69
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$234.42
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$194.98
Typical High
$309.03

Where Oregon sits

The same service costs 2.1 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Oregon· 4th of 51

$178

MN $214DE $102

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.