How much does preventive visit, established, 40-64 cost in Utah?
CPT 99396 — the fair price, every hospital's price, and the Medicare benchmark for Utah.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Intermountain Park City Hospital (Park City) lowest | Hospital | $70cash | 0.6× | ★★★★★ |
| Intermountain St. George Regional Hospital (St. George) | Hospital | $70cash | 0.6× | ★★★★★ |
| Intermountain Cedar City Hospital (Cedar City) | Hospital | $90negotiated | 0.7× | ★★★★★ |
| Primary Children's Hospital (Salt Lake City) | Hospital | $90negotiated | 0.7× | — |
| Intermountain Utah Valley Hospital (Provo) | Hospital | $119cash | 1.0× | ★★★★★ |
| San Juan Hospital (Monticello) | Hospital | $133cash | 1.1× | — |
| Holy Cross Hospital - Jordan Valley (West Jordan) | Hospital | $133negotiated | 1.1× | ★★★★★ |
| Holy Cross Hospital - Salt Lake (Salt Lake City) | Hospital | $133negotiated | 1.1× | ★★★★★ |
| Holy Cross Hospital - Mountain Point (Lehi) | Hospital | $133negotiated | 1.1× | — |
| Holy Cross Hospital - Davis (Layton) | Hospital | $134negotiated | 1.1× | ★★★★★ |
| Kane County Hospital (Kanab) | Hospital | $135negotiated | 1.1× | — |
| Moab Regional Hospital (Moab) | Hospital | $136cash | 1.1× | — |
| Ogden Regional Medical Center (Ogden) | Hospital | $170negotiated | 1.4× | ★★★★★ |
| St. Mark's Hospital (Salt Lake City) | Hospital | $170negotiated | 1.4× | ★★★★★ |
| Mountain View Hospital (Payson) | Hospital | $170negotiated | 1.4× | ★★★★★ |
| Brigham City Community Hospital (Brigham City) | Hospital | $170negotiated | 1.4× | — |
| Lakeview Hospital (Bountiful) | Hospital | $170negotiated | 1.4× | ★★★★★ |
| Timpanogos Regional Hospital (Orem) | Hospital | $170negotiated | 1.4× | ★★★★★ |
| Cache Valley Hospital (North Logan) | Hospital | $170negotiated | 1.4× | — |
| Intermountain Logan Regional Hospital (Logan) | Hospital | $267negotiated | 2.2× | ★★★★★ |
| Intermountain Medical Center (Murray) | Hospital | $314negotiated | 2.6× | ★★★★★ |
| LDS Hospital (Salt Lake City) | Hospital | $314negotiated | 2.6× | ★★★★★ |
| Intermountain McKay-Dee Hospital (Ogden) | Hospital | $314negotiated | 2.6× | ★★★★★ |
| Intermountain Riverton Hospital (Riverton) | Hospital | $314negotiated | 2.6× | ★★★★★ |
| Intermountain American Fork Hospital (American Fork) | Hospital | $314negotiated | 2.6× | ★★★★★ |
| Intermountain Alta View Hospital (Sandy) | Hospital | $314negotiated | 2.6× | ★★★★★ |
| Intermountain Layton Hospital (Layton) | Hospital | $314negotiated | 2.6× | ★★★★★ |
| Lone Peak Hospital (Draper) gross charge | Hospital | $8,508cash | 70.3× | ★★★★★ |
- For 99396 (Preventive visit, established, 40-64), Medicare's benchmark rate is $120.98. A fair self-pay target for this line is $125.59. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for 99396 is $125.59, and negotiated rates at nearby facilities run $132.74–$313.51. Please apply a rate in that range to my bill rather than the gross charge.
- 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 99396 cost in Utah?
For preventive visit, established, 40-64 (CPT 99396) in Utah, a fair self-pay price is around $170, with hospitals ranging from $133 to $314 across 28 facilities. Medicare's benchmark rate is $121, 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, established, 40-64 cost in Utah?
A fair self-pay price for preventive visit, established, 40-64 (CPT 99396) in Utah is around $170, with hospital prices ranging from $133 to $314 across 28 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 99396?
Medicare pays about $121 for preventive visit, established, 40-64 (CPT 99396). 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, established, 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 Utah
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.