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 55 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.

#	Hospital	Medicaid / Medi-Cal rate
1	Texas Health Presbyterian Hospital Dallas Dallas, TX	$15 – $120
2	Jefferson Abington Hospital Philadelphia, PA	$18 – $107
3	San Gabriel Valley Medical Center San Gabriel, CA	$19 – $825
4	Allegheny General Hospital Pittsburgh, PA	$21 – $98
5	Jefferson Regional Medical Center Jefferson Hills, PA	$21 – $98
6	Montefiore Medical Center Bronx, NY	$22 – $124
7	Maimonides Medical Center Brooklyn, NY	$22 – $104
8	Scripps Memorial Hospital La Jolla La Jolla, CA	$24
9	Scripps Mercy Hospital San Diego San Diego, CA	$24
10	Ronald Reagan UCLA Medical Center Los Angeles, CA	$24
11	UCLA Santa Monica Medical Center Santa Monica, CA	$24
12	Adventist Health White Memorial Montebello Montebello, CA	$24 – $120
13	Hospital for Special Surgery New York, NY	$26 – $96
14	Cleveland Clinic Cleveland, OH	$32 – $37
15	UT Southwestern Medical Center Dallas, TX	$34 – $204
16	Seattle Children's Hospital Seattle, WA	$34 – $61
17	UC San Diego Health San Diego, CA	$34 – $622
18	Saint Francis Medical Center Lynwood, CA	$34 – $45
19	St. Mary Medical Center Long Beach, CA	$34 – $214
20	Methodist Dallas Medical Center Dallas, TX	$35 – $149
21	Bellevue Hospital Center New York, NY	$35 – $455
22	Elmhurst Hospital Center Queens, NY	$35 – $455
23	Jacobi Medical Center Bronx, NY	$35 – $455
24	Kings County Hospital Center Brooklyn, NY	$35 – $455
25	Henry Ford Hospital Detroit, MI	$35 – $73
26	Henry Ford West Bloomfield Hospital West Bloomfield, MI	$35 – $62
27	Temple University Hospital Philadelphia, PA	$36 – $40
28	California Hospital Medical Center Los Angeles, CA	$38 – $214
29	UPMC Presbyterian Shadyside Pittsburgh, PA	$39 – $60
30	UPMC Magee-Womens Hospital Pittsburgh, PA	$39 – $68
31	Parkland Memorial Hospital Dallas, TX	$39 – $322
32	Northridge Hospital Medical Center Northridge, CA	$43 – $214
33	Glendale Memorial Hospital Glendale, CA	$43 – $214
34	St. Joseph's Hospital and Medical Center Phoenix, AZ	$46
35	Adventist Health Glendale Glendale, CA	$49 – $1,555
36	Mount Sinai Hospital New York, NY	$52
37	Banner - University Medical Center Phoenix Phoenix, AZ	$55
38	Piedmont Atlanta Hospital Atlanta, GA	$55 – $60
39	Vanderbilt University Medical Center Nashville, TN	$62 – $159
40	Sharp Memorial Hospital San Diego, CA	$62 – $14,888
41	UPMC Children's Hospital of Pittsburgh Pittsburgh, PA	$63 – $144
42	Children's Medical Center Dallas Dallas, TX	$65 – $164
43	NYU Langone Tisch Hospital New York, NY	$66
44	Beth Israel Deaconess Medical Center Boston, MA	$71 – $84
45	Lahey Hospital & Medical Center Burlington, MA	$71 – $84
46	MLK Community Hospital Los Angeles, CA	$82 – $213
47	Coast Plaza Hospital Norwalk, CA	$84
48	Children's Hospital of Philadelphia Philadelphia, PA	$108
49	Penn Presbyterian Medical Center Philadelphia, PA	$117 – $311
50	Hospital of the University of Pennsylvania Philadelphia, PA	$146

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.