Itemized  ·  Procedures  ·  New patient office visit, level 4  ·  with Medicaid / Medi-Cal

New patient office visit, level 4 with Medicaid / Medi-Cal.

Negotiated rates Medicaid / Medi-Cal pays for new patient office visit, level 4 at 52 US hospitals. Range: $19 to $492. Your specific cost depends on your plan tier, deductible status, and coinsurance — see the comparison tool to model your exact out-of-pocket.

Top hospitals by Medicaid / Medi-Cal rate.

#HospitalMedicaid / Medi-Cal rate
1
Dallas, TX
$19 – $174
2
Pittsburgh, PA
$21 – $246
3
Jefferson Hills, PA
$21 – $246
4
San Diego, CA
$34 – $1,095
5
Seattle, WA
$35 – $124
6
Dallas, TX
$53 – $227
7
Phoenix, AZ
$55
8
San Gabriel, CA
$55 – $1,481
9
Bronx, NY
$57 – $228
10
Cleveland, OH
$65 – $75
11
New York, NY
$68 – $177
12
Los Angeles, CA
$69
13
Santa Monica, CA
$69
14
Montebello, CA
$69 – $287
15
Philadelphia, PA
$72 – $189
16
Detroit, MI
$72 – $113
17
West Bloomfield, MI
$72 – $113
18
Atlanta, GA
$73 – $80
19
New York, NY
$73 – $1,035
20
Brooklyn, NY
$75 – $1,035
21
Philadelphia, PA
$81 – $180
22
Dallas, TX
$81 – $273
23
Dallas, TX
$90 – $438
24
Queens, NY
$90 – $1,035
25
Bronx, NY
$90 – $1,035
26
Brooklyn, NY
$92 – $193
27
Phoenix, AZ
$94
28
Lynwood, CA
$99 – $128
29
Long Beach, CA
$99 – $614
30
Pittsburgh, PA
$99 – $154
31
Pittsburgh, PA
$99 – $154
32
Los Angeles, CA
$110 – $863
33
Glendale, CA
$110 – $614
34
Northridge, CA
$123 – $804
35
New York, NY
$131
36
Boston, MA
$133 – $164
37
Burlington, MA
$133 – $154
38
New York, NY
$134
39
Pittsburgh, PA
$138 – $372
40
Glendale, CA
$141 – $3,900
41
Dallas, TX
$144 – $485
42
Philadelphia, PA
$145 – $386
43
Los Angeles, CA
$152 – $395
44
Norwalk, CA
$155
45
Nashville, TN
$156 – $369
46
La Mesa, CA
$178 – $17,697
47
Philadelphia, PA
$220
48
Houston, TX
$246 – $563
49
Washington, DC
$291
50
Boston, MA
$416 – $552

Estimate what you'd actually pay with Medicaid / Medi-Cal.

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About these rates.

Hospitals are required by federal law (45 CFR 180.50) to publish the rates they negotiated with each insurer for each procedure. These numbers are the rates the hospital published for Medicaid / Medi-Cal plans, pulled directly from each hospital's machine-readable file.

The range column reflects different Medicaid / Medi-Cal plan tiers (HMO, PPO, EPO, etc.). Your plan picks one number out of that range. Your actual out-of-pocket depends on your deductible status, copay, and coinsurance, which the comparison tool can model when you fill them in.

Cash-pay rates are often cheaper than the negotiated rate, especially for high-deductible plans. Worth comparing both — the New patient office visit, level 4 overview shows the cash-pay column alongside.