How much does preventive visit, new patient, 40-64 cost in Austin, TX?
CPT 99386 — the fair price, every hospital's price, and the Medicare benchmark for Austin, TX.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| St. David's Round Rock Medical Center (Round Rock) lowest | Hospital | $367negotiated | 2.5× | — |
| St. David's North Austin Medical Center (Austin) | Hospital | $367negotiated | 2.5× | — |
| St. David's South Austin Medical Center (Austin) | Hospital | $367negotiated | 2.5× | ★★★★★ |
| St. David's Medical Center (Austin) | Hospital | $367negotiated | 2.5× | ★★★★★ |
| Ascension Seton Medical Center Austin | Hospital | $412negotiated | 2.8× | ★★★★★ |
| Dell Seton Medical Center at UT (Austin) | Hospital | $412negotiated | 2.8× | ★★★★★ |
- For 99386 (Preventive visit, new patient, 40-64), Medicare's benchmark rate is $145.24. A fair self-pay target for this line is $290.48. If I was charged more than that, please reduce it toward this benchmark.
- No local cash price is on file for 99386 in TX. Ask the hospital for their cash/self-pay price for this code in writing.
- Please send a fully itemized bill listing every CPT/HCPCS/DRG code and its individual charge, so I can review each line against published rates.
- Separately, what is your financial assistance / charity care policy, and am I eligible? Please send me the application and the income thresholds.
What should 99386 cost in Austin, TX?
For preventive visit, new patient, 40-64 (CPT 99386) in Austin, TX, a fair self-pay price is around $367, with hospitals ranging from $367 to $412 across 6 facilities. Medicare's benchmark rate is $145, the floor to negotiate toward. The card above lists each hospital's price, cheapest first, with CMS quality stars.
Frequently asked questions
How much does preventive visit, new patient, 40-64 cost in Austin, TX?
A fair self-pay price for preventive visit, new patient, 40-64 (CPT 99386) in Austin, TX is around $367, with hospital prices ranging from $367 to $412 across 6 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 99386?
Medicare pays about $145 for preventive visit, new patient, 40-64 (CPT 99386). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.
Can I negotiate the price of preventive visit, new patient, 40-64?
Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.
Got a bill for this?
If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.
Compare other procedures in Austin, TX
Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.