Annual Physical, Established Patient (age 18-39)

This is the routine yearly preventive visit for an adult aged 18 to 39 who is already a patient of the practice. The chart already exists, so the appointment is about what has changed since last time rather than starting from scratch. It is the most commonly billed preventive visit code in this age range and is cheaper than the new-patient version.

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What it is

A preventive visit for a young adult the practice already knows. Because the history is on file, the provider works from a difference: new medications, new symptoms, a job or living situation that changed, weight and blood pressure compared with last year's figures. The examination is brief and focused. Much of the value in this age band is not in the exam at all but in the continuity — a set of readings taken the same way, by the same practice, year after year, so that a drift becomes visible before it becomes a diagnosis.

Why it is done

To keep a running record of blood pressure, weight and other basic measurements in someone who is generally well
To catch changes in health, habits or family history that have happened since the last visit
To keep vaccinations current and address questions about contraception, mental health, alcohol or substance use in a scheduled setting
To maintain the relationship, so an acute problem later has a provider attached to it

What to expect

A short appointment, often 15 to 30 minutes. Many practices ask patients to complete a questionnaire beforehand covering mood, alcohol, smoking and sexual health, which the provider then works through. Blood work is not automatic at this age and depends on what the provider recommends. Results, if any, generally come through a portal rather than a call.

Questions worth asking

If the visit turns into a discussion of a specific complaint, will it be coded as a preventive visit, a problem visit, or both?
My plan covers preventive visits — how often will it pay for one, and does the date of my last one affect that?
Are the screening questionnaires or a depression screening billed as separate line items?
If labs are ordered, will I be told the price before they are drawn?

What Annual Physical, Established Patient (age 18-39) costs by state

Annual Physical, Established Patient (age 18-39) cost in Texas — 63 hospitals, median $19.08
Annual Physical, Established Patient (age 18-39) cost in Florida — 47 hospitals, median $455.00
Annual Physical, Established Patient (age 18-39) cost in Ohio — 38 hospitals, median $167.25
Annual Physical, Established Patient (age 18-39) cost in Michigan — 25 hospitals, median $191.00
Annual Physical, Established Patient (age 18-39) cost in Tennessee — 25 hospitals, median $61.80
Annual Physical, Established Patient (age 18-39) cost in Illinois — 21 hospitals, median $148.50
Annual Physical, Established Patient (age 18-39) cost in New York — 21 hospitals, median $291.41
Annual Physical, Established Patient (age 18-39) cost in Iowa — 20 hospitals, median $212.80
Annual Physical, Established Patient (age 18-39) cost in Washington — 20 hospitals, median $172.85
Annual Physical, Established Patient (age 18-39) cost in California — 19 hospitals, median $44.80
Annual Physical, Established Patient (age 18-39) cost in Indiana — 18 hospitals, median $41.12
Annual Physical, Established Patient (age 18-39) cost in West Virginia — 17 hospitals, median $93.00
Annual Physical, Established Patient (age 18-39) cost in New Jersey — 14 hospitals, median not published by hospital
Annual Physical, Established Patient (age 18-39) cost in Virginia — 14 hospitals, median $213.60
Annual Physical, Established Patient (age 18-39) cost in Missouri — 13 hospitals, median $30.80
Annual Physical, Established Patient (age 18-39) cost in North Carolina — 12 hospitals, median $114.75
Annual Physical, Established Patient (age 18-39) cost in Wisconsin — 11 hospitals, median $189.81
Annual Physical, Established Patient (age 18-39) cost in Oklahoma — 10 hospitals, median $152.00
Annual Physical, Established Patient (age 18-39) cost in Georgia — 8 hospitals, median $501.00
Annual Physical, Established Patient (age 18-39) cost in Kansas — 7 hospitals, median not published by hospital
Annual Physical, Established Patient (age 18-39) cost in Maine — 7 hospitals, median not published by hospital
Annual Physical, Established Patient (age 18-39) cost in Pennsylvania — 6 hospitals, median $148.20
Annual Physical, Established Patient (age 18-39) cost in Oregon — 5 hospitals, median $149.28
Annual Physical, Established Patient (age 18-39) cost in Kentucky — 4 hospitals, median $118.80
Annual Physical, Established Patient (age 18-39) cost in Alaska — 3 hospitals, median $256.62
Annual Physical, Established Patient (age 18-39) cost in Louisiana — 2 hospitals, median $73.06
Annual Physical, Established Patient (age 18-39) cost in Minnesota — 2 hospitals, median not published by hospital
Annual Physical, Established Patient (age 18-39) cost in Mississippi — 2 hospitals, median $55.02
Annual Physical, Established Patient (age 18-39) cost in New Mexico — 2 hospitals, median not published by hospital
Annual Physical, Established Patient (age 18-39) cost in North Dakota — 2 hospitals, median not published by hospital
Annual Physical, Established Patient (age 18-39) cost in South Carolina — 2 hospitals, median not published by hospital
Annual Physical, Established Patient (age 18-39) cost in South Dakota — 2 hospitals, median not published by hospital
Annual Physical, Established Patient (age 18-39) cost in Arizona — 1 hospitals, median $169.92
Annual Physical, Established Patient (age 18-39) cost in Arkansas — 1 hospitals, median $51.71
Annual Physical, Established Patient (age 18-39) cost in Colorado — 1 hospitals, median not published by hospital
Annual Physical, Established Patient (age 18-39) cost in Hawaii — 1 hospitals, median $30.08
Annual Physical, Established Patient (age 18-39) cost in Montana — 1 hospitals, median $175.20
Annual Physical, Established Patient (age 18-39) cost in New Hampshire — 1 hospitals, median $214.35

Annual Physical, Established Patient (age 18-39) prices at hospitals

See every published price for Annual Physical, Established Patient (age 18-39): the full national range, the state and hospital breakdowns, and which hospitals charge the least.

Annual Physical, Established Patient (age 18-39) cost — see all prices →

Sources

MedlinePlus: Physical Exam Frequency (opens in a new tab, leaves healthcosts.net)

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