Annual Physical, New Patient (age 40-64)

A preventive checkup for someone between 40 and 64 seen by that practice for the first time. Midlife is where blood pressure, cholesterol, blood sugar and cancer screening start to drive the visit, and none of that history exists in the chart yet. The code is priced above the returning patient version because the whole record is being built in one sitting.

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What it is

A well adult examination for a middle-aged patient who is new to the practice. Compared with the same visit in a younger adult, far more of the time goes into the things that begin to matter in this age band: what past screening tests have already been done and when, what medications are being taken, whether parents or siblings have heart disease, diabetes or cancer, and what the numbers have been doing over the last decade. The provider is reconstructing a medical history that may be scattered across several previous practices. The physical exam itself is unremarkable — vital signs, heart, lungs, abdomen, skin — and short relative to the interview.

Why it is done

To find conditions that are common in midlife and typically silent early on, such as raised blood pressure, blood sugar or cholesterol
To take stock of which screening tests a patient has already had, and to arrange referrals for the ones a provider recommends
To review medications and existing chronic conditions with a provider seeing them for the first time
To create the baseline that every later annual visit at this practice will be measured against

What to expect

Expect a long intake form and a longer-than-usual appointment. Bringing records, medication bottles or a list of past test dates shortens the visit considerably, since otherwise the provider has to request them. Blood work is frequently ordered, often to be drawn fasting on a separate day. Referrals for screening tests that a provider recommends are usually made at the end of the visit and happen elsewhere, at their own cost.

Questions worth asking

Which of today's items are billed inside the preventive visit, and which are separate charges — an EKG, a skin procedure, a vaccine administration fee?
If a chronic condition such as high blood pressure is managed during the same appointment, will that be billed as an additional office visit?
Is this practice hospital-owned? Clinics owned by a hospital system can add a facility fee that an independent office does not charge.
Where will the blood draw happen, and is that laboratory in my network?

What Annual Physical, New Patient (age 40-64) costs by state

Annual Physical, New Patient (age 40-64) cost in Texas — 64 hospitals, median $26.25
Annual Physical, New Patient (age 40-64) cost in Florida — 47 hospitals, median $605.80
Annual Physical, New Patient (age 40-64) cost in Ohio — 39 hospitals, median $165.10
Annual Physical, New Patient (age 40-64) cost in Tennessee — 26 hospitals, median $73.20
Annual Physical, New Patient (age 40-64) cost in Michigan — 25 hospitals, median $218.00
Annual Physical, New Patient (age 40-64) cost in Iowa — 21 hospitals, median $272.80
Annual Physical, New Patient (age 40-64) cost in New York — 21 hospitals, median $374.22
Annual Physical, New Patient (age 40-64) cost in California — 19 hospitals, median $69.40
Annual Physical, New Patient (age 40-64) cost in Illinois — 19 hospitals, median $229.20
Annual Physical, New Patient (age 40-64) cost in Washington — 19 hospitals, median $201.66
Annual Physical, New Patient (age 40-64) cost in Indiana — 18 hospitals, median $53.02
Annual Physical, New Patient (age 40-64) cost in West Virginia — 17 hospitals, median $123.50
Annual Physical, New Patient (age 40-64) cost in New Jersey — 14 hospitals, median not published by hospital
Annual Physical, New Patient (age 40-64) cost in Missouri — 13 hospitals, median $30.80
Annual Physical, New Patient (age 40-64) cost in Virginia — 13 hospitals, median $83.40
Annual Physical, New Patient (age 40-64) cost in North Carolina — 12 hospitals, median $188.15
Annual Physical, New Patient (age 40-64) cost in Oklahoma — 10 hospitals, median $179.00
Annual Physical, New Patient (age 40-64) cost in Wisconsin — 10 hospitals, median $240.54
Annual Physical, New Patient (age 40-64) cost in Georgia — 8 hospitals, median $642.00
Annual Physical, New Patient (age 40-64) cost in Kansas — 7 hospitals, median not published by hospital
Annual Physical, New Patient (age 40-64) cost in Maine — 7 hospitals, median not published by hospital
Annual Physical, New Patient (age 40-64) cost in Pennsylvania — 6 hospitals, median $154.80
Annual Physical, New Patient (age 40-64) cost in Oregon — 5 hospitals, median $194.40
Annual Physical, New Patient (age 40-64) cost in Kentucky — 4 hospitals, median $139.80
Annual Physical, New Patient (age 40-64) cost in Alaska — 3 hospitals, median $358.80
Annual Physical, New Patient (age 40-64) cost in Louisiana — 2 hospitals, median $106.34
Annual Physical, New Patient (age 40-64) cost in Minnesota — 2 hospitals, median not published by hospital
Annual Physical, New Patient (age 40-64) cost in Mississippi — 2 hospitals, median $71.19
Annual Physical, New Patient (age 40-64) cost in New Mexico — 2 hospitals, median not published by hospital
Annual Physical, New Patient (age 40-64) cost in North Dakota — 2 hospitals, median not published by hospital
Annual Physical, New Patient (age 40-64) cost in South Carolina — 2 hospitals, median not published by hospital
Annual Physical, New Patient (age 40-64) cost in South Dakota — 2 hospitals, median not published by hospital
Annual Physical, New Patient (age 40-64) cost in Arizona — 1 hospitals, median $218.15
Annual Physical, New Patient (age 40-64) cost in Arkansas — 1 hospitals, median $70.81
Annual Physical, New Patient (age 40-64) cost in Colorado — 1 hospitals, median not published by hospital
Annual Physical, New Patient (age 40-64) cost in Hawaii — 1 hospitals, median $40.00
Annual Physical, New Patient (age 40-64) cost in Montana — 1 hospitals, median $223.20
Annual Physical, New Patient (age 40-64) cost in New Hampshire — 1 hospitals, median $294.55

Annual Physical, New Patient (age 40-64) prices at hospitals

See every published price for Annual Physical, New Patient (age 40-64): the full national range, the state and hospital breakdowns, and which hospitals charge the least.

Annual Physical, New Patient (age 40-64) cost — see all prices →

Sources

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

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