Itemized  ·  Procedures  ·  Office visit, established patient, level 3  ·  with Medicaid / Medi-Cal

Office visit, established patient, level 3 with Medicaid / Medi-Cal.

Negotiated rates Medicaid / Medi-Cal pays for office visit, established patient, level 3 at 81 US hospitals. Range: $15 to $291. 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
$15 – $120
2
Philadelphia, PA
$18 – $107
3
San Gabriel, CA
$19 – $825
4
Pittsburgh, PA
$21 – $98
5
Monroeville, PA
$21 – $440
6
Jefferson Hills, PA
$21 – $98
7
Bronx, NY
$22 – $124
8
Brooklyn, NY
$22 – $104
9
La Jolla, CA
$24
10
San Diego, CA
$24
11
La Jolla, CA
$24
12
Encinitas, CA
$24
13
Los Angeles, CA
$24
14
Santa Monica, CA
$24
15
Montebello, CA
$24 – $120
16
New York, NY
$26 – $96
17
Cleveland, OH
$32 – $37
18
Dallas, TX
$34 – $204
19
Seattle, WA
$34 – $61
20
San Diego, CA
$34 – $622
21
Lynwood, CA
$34 – $45
22
Long Beach, CA
$34 – $214
23
San Luis Obispo, CA
$34 – $53
24
Dallas, TX
$35 – $149
25
New York, NY
$35 – $455
26
Queens, NY
$35 – $455
27
Bronx, NY
$35 – $455
28
Brooklyn, NY
$35 – $455
29
New York, NY
$35 – $455
30
New York, NY
$35 – $455
31
Jamaica, NY
$35 – $455
32
Brooklyn, NY
$35 – $455
33
Detroit, MI
$35 – $73
34
West Bloomfield, MI
$35 – $62
35
Philadelphia, PA
$36 – $40
36
Los Angeles, CA
$38 – $214
37
Pittsburgh, PA
$39 – $60
38
Pittsburgh, PA
$39 – $68
39
Dallas, TX
$39 – $322
40
Northridge, CA
$43 – $214
41
Glendale, CA
$43 – $214
42
Redwood City, CA
$43 – $53
43
Santa Cruz, CA
$43 – $65
44
Sacramento, CA
$43 – $184
45
Carmichael, CA
$43 – $184
46
Sacramento, CA
$43 – $184
47
Woodland, CA
$43 – $370
48
Minneapolis, MN
$45 – $137
49
Phoenix, AZ
$46
50
Glendale, CA
$49 – $1,555

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 Office visit, established patient, level 3 overview shows the cash-pay column alongside.