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Preventive Visit, Established Patient, Age 65+

Oregon rates for HCPCS 99397

This is a routine preventive checkup for an established patient age 65 or older, focused on prevention rather than a specific complaint. It typically includes a physical exam, review of medications and chronic conditions, and screening recommendations appropriate for the patient's age.

Rates data updated July 2026.

How much does Preventive Visit, Established Patient, Age 65+ cost?

$182

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $178 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$182$120 to $245
FacilityA hospital or hospital-owned outpatient department$178$129 to $257

How much rates vary

Facilitymedian $178 · 10th to 90th $95 to $263Professionalmedian $182 · 10th to 90th $91 to $347
$100$200$500facility $178professional $182

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
$77.62
Median
$245.47
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$144.54
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$199.53
Typical High
$323.59
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$331.13
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$147.91
Typical High
$251.19
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$323.59
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$257.04
Typical High
$263.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$147.91
Typical High
$251.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$223.87
Typical High
$331.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$676.08
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$239.88
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$204.17
Typical High
$323.59

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· 5th of 51

$182

MN $224DE $107

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.