Annual Physical, New Patient (age 18-39)

This is a preventive checkup for an adult between 18 and 39 who has not been seen by that practice before. Because nothing is on file yet, most of the appointment goes into building a history — family conditions, medications, habits, past surgeries — before the exam itself. The "new patient" part is what separates this code from the cheaper repeat version.

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What it is

A first preventive visit with a practice that has never seen you. The clinical content is an ordinary well adult exam — vital signs, heart and lungs, abdomen, skin, a look at anything the patient raises — but the paperwork half is much larger than it will ever be again, because the chart is being created from nothing. Everything the office knows about you at the end of this visit came out of the conversation during it. Billing treats a new patient as more work than a returning one, and prices this visit accordingly. This particular code covers the young adult band, roughly ages 18 through 39.

Why it is done

To establish a relationship with a primary care provider before there is anything wrong, so there is somewhere to call when there is
To get a baseline set of numbers — blood pressure, weight, and whatever labs are ordered — that later visits can be compared against
To record family history, which is most of what steers preventive care in younger adults and is rarely collected anywhere else
To review immunization status and update the record

What to expect

Practices usually ask new patients to arrive early, or to fill in intake forms online, because the history questionnaire is long. The visit itself tends to run longer than a routine follow-up. Blood work is commonly ordered at or after the appointment; it is drawn separately and billed separately. For most healthy adults in this age range the exam is brief and the conversation is the substance of it. Results from any labs come back over the following days, usually through a patient portal.

Questions worth asking

Does the practice consider me a new patient? Offices bill a new-patient code only when you have not been seen there within a set window, and the two codes are priced very differently.
If I mention a problem during the visit, will a separate office-visit charge be added on top of the preventive one?
Are the lab tests included in the quoted price, or billed by an outside laboratory?
Does my plan cover a preventive visit for someone my age at no cost share, and does that still apply if I am new to this practice?

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

Annual Physical, New Patient (age 18-39) cost in Texas — 60 hospitals, median $103.32
Annual Physical, New Patient (age 18-39) cost in Florida — 47 hospitals, median $499.20
Annual Physical, New Patient (age 18-39) cost in Ohio — 39 hospitals, median $119.60
Annual Physical, New Patient (age 18-39) cost in Tennessee — 26 hospitals, median $70.35
Annual Physical, New Patient (age 18-39) cost in Michigan — 25 hospitals, median $218.00
Annual Physical, New Patient (age 18-39) cost in Iowa — 21 hospitals, median $235.20
Annual Physical, New Patient (age 18-39) cost in New York — 21 hospitals, median $323.10
Annual Physical, New Patient (age 18-39) cost in California — 19 hospitals, median $62.40
Annual Physical, New Patient (age 18-39) cost in Illinois — 19 hospitals, median $174.60
Annual Physical, New Patient (age 18-39) cost in Washington — 19 hospitals, median $172.85
Annual Physical, New Patient (age 18-39) cost in Indiana — 18 hospitals, median $47.08
Annual Physical, New Patient (age 18-39) cost in West Virginia — 17 hospitals, median $110.00
Annual Physical, New Patient (age 18-39) cost in New Jersey — 14 hospitals, median not published by hospital
Annual Physical, New Patient (age 18-39) cost in Virginia — 14 hospitals, median $83.40
Annual Physical, New Patient (age 18-39) cost in Missouri — 13 hospitals, median $30.80
Annual Physical, New Patient (age 18-39) cost in North Carolina — 12 hospitals, median $143.25
Annual Physical, New Patient (age 18-39) cost in Oklahoma — 10 hospitals, median $132.26
Annual Physical, New Patient (age 18-39) cost in Wisconsin — 10 hospitals, median $347.50
Annual Physical, New Patient (age 18-39) cost in Georgia — 8 hospitals, median $557.00
Annual Physical, New Patient (age 18-39) cost in Kansas — 7 hospitals, median not published by hospital
Annual Physical, New Patient (age 18-39) cost in Maine — 7 hospitals, median not published by hospital
Annual Physical, New Patient (age 18-39) cost in Pennsylvania — 6 hospitals, median $154.80
Annual Physical, New Patient (age 18-39) cost in Oregon — 5 hospitals, median $165.78
Annual Physical, New Patient (age 18-39) cost in Kentucky — 4 hospitals, median $115.80
Annual Physical, New Patient (age 18-39) cost in Alaska — 3 hospitals, median $297.18
Annual Physical, New Patient (age 18-39) cost in South Carolina — 3 hospitals, median $115.70
Annual Physical, New Patient (age 18-39) cost in Louisiana — 2 hospitals, median $159.64
Annual Physical, New Patient (age 18-39) cost in Minnesota — 2 hospitals, median not published by hospital
Annual Physical, New Patient (age 18-39) cost in Mississippi — 2 hospitals, median $61.11
Annual Physical, New Patient (age 18-39) cost in New Mexico — 2 hospitals, median not published by hospital
Annual Physical, New Patient (age 18-39) cost in North Dakota — 2 hospitals, median not published by hospital
Annual Physical, New Patient (age 18-39) cost in South Dakota — 2 hospitals, median not published by hospital
Annual Physical, New Patient (age 18-39) cost in Arizona — 1 hospitals, median $187.73
Annual Physical, New Patient (age 18-39) cost in Arkansas — 1 hospitals, median $64.44
Annual Physical, New Patient (age 18-39) cost in Colorado — 1 hospitals, median not published by hospital
Annual Physical, New Patient (age 18-39) cost in Hawaii — 1 hospitals, median $32.96
Annual Physical, New Patient (age 18-39) cost in Montana — 1 hospitals, median $193.60
Annual Physical, New Patient (age 18-39) cost in New Hampshire — 1 hospitals, median $242.60

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

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

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

Sources

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

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