Itemized · Procedures · Office visit, established patient, level 4 · with Medicaid / Medi-Cal

Office visit, established patient, level 4 with Medicaid / Medi-Cal.

Negotiated rates Medicaid / Medi-Cal pays for office visit, established patient, level 4 at 77 US hospitals. Range: $1 to $323. 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	Sharp Grossmont Hospital La Mesa, CA	$1 – $33,332
2	Texas Health Presbyterian Hospital Dallas Dallas, TX	$19 – $147
3	Allegheny General Hospital Pittsburgh, PA	$21 – $150
4	Forbes Hospital Monroeville, PA	$21 – $599
5	Jefferson Regional Medical Center Jefferson Hills, PA	$21 – $150
6	Temple University Hospital Philadelphia, PA	$27 – $52
7	San Gabriel Valley Medical Center San Gabriel, CA	$30 – $1,481
8	Montefiore Medical Center Bronx, NY	$34 – $174
9	Maimonides Medical Center Brooklyn, NY	$34 – $147
10	UC San Diego Health San Diego, CA	$34 – $108
11	Seattle Children's Hospital Seattle, WA	$35 – $90
12	Ronald Reagan UCLA Medical Center Los Angeles, CA	$38
13	UCLA Santa Monica Medical Center Santa Monica, CA	$38
14	Adventist Health White Memorial Montebello Montebello, CA	$38 – $188
15	Hospital for Special Surgery New York, NY	$41 – $135
16	Cleveland Clinic Cleveland, OH	$47 – $54
17	UT Southwestern Medical Center Dallas, TX	$48 – $253
18	Henry Ford Hospital Detroit, MI	$52 – $87
19	Henry Ford West Bloomfield Hospital West Bloomfield, MI	$52 – $87
20	QUEENS HOSPITAL CENTER Jamaica, NY	$53 – $564
21	Methodist Dallas Medical Center Dallas, TX	$53 – $227
22	Bellevue Hospital Center New York, NY	$53 – $564
23	Saint Francis Medical Center Lynwood, CA	$54 – $70
24	St. Mary Medical Center Long Beach, CA	$54 – $484
25	FRENCH HOSPITAL MEDICAL CENTER San Luis Obispo, CA	$54 – $82
26	Kings County Hospital Center Brooklyn, NY	$54 – $564
27	WOODHULL MEDICAL & MENTAL HEALTH CENTER Brooklyn, NY	$54 – $564
28	Elmhurst Hospital Center Queens, NY	$54 – $564
29	Jacobi Medical Center Bronx, NY	$54 – $564
30	HARLEM HOSPITAL CENTER New York, NY	$54 – $564
31	METROPOLITAN HOSPITAL CENTER New York, NY	$54 – $564
32	Jefferson Abington Hospital Philadelphia, PA	$54 – $129
33	Banner - University Medical Center Phoenix Phoenix, AZ	$55
34	Parkland Memorial Hospital Dallas, TX	$56 – $371
35	UPMC Presbyterian Shadyside Pittsburgh, PA	$60 – $93
36	UPMC Magee-Womens Hospital Pittsburgh, PA	$60 – $93
37	California Hospital Medical Center Los Angeles, CA	$60 – $863
38	Piedmont Atlanta Hospital Atlanta, GA	$63 – $69
39	SEQUOIA HOSPITAL Redwood City, CA	$66 – $82
40	Northridge Hospital Medical Center Northridge, CA	$67 – $804
41	Glendale Memorial Hospital Glendale, CA	$67 – $484
42	DOMINICAN HOSPITAL Santa Cruz, CA	$67 – $101
43	MERCY GENERAL HOSPITAL Sacramento, CA	$67 – $287
44	MERCY SAN JUAN MEDICAL CENTER Carmichael, CA	$67 – $287
45	METHODIST HOSPITAL OF SACRAMENTO Sacramento, CA	$67 – $287
46	WOODLAND MEMORIAL HOSPITAL Woodland, CA	$67 – $461
47	M Health Fairview University of Minnesota Medical Center Minneapolis, MN	$67 – $203
48	St. Joseph's Hospital and Medical Center Phoenix, AZ	$68
49	OHSU Hospital Portland, OR	$70 – $558
50	Adventist Health Glendale Glendale, CA	$77 – $2,340

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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 4 overview shows the cash-pay column alongside.