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 53 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	Jefferson Regional Medical Center Jefferson Hills, PA	$21 – $150
5	Temple University Hospital Philadelphia, PA	$27 – $52
6	San Gabriel Valley Medical Center San Gabriel, CA	$30 – $1,481
7	Montefiore Medical Center Bronx, NY	$34 – $174
8	Maimonides Medical Center Brooklyn, NY	$34 – $147
9	UC San Diego Health San Diego, CA	$34 – $108
10	Seattle Children's Hospital Seattle, WA	$35 – $90
11	Ronald Reagan UCLA Medical Center Los Angeles, CA	$38
12	UCLA Santa Monica Medical Center Santa Monica, CA	$38
13	Adventist Health White Memorial Montebello Montebello, CA	$38 – $188
14	Hospital for Special Surgery New York, NY	$41 – $135
15	Cleveland Clinic Cleveland, OH	$47 – $54
16	UT Southwestern Medical Center Dallas, TX	$48 – $253
17	Henry Ford Hospital Detroit, MI	$52 – $87
18	Henry Ford West Bloomfield Hospital West Bloomfield, MI	$52 – $87
19	Methodist Dallas Medical Center Dallas, TX	$53 – $227
20	Bellevue Hospital Center New York, NY	$53 – $564
21	Saint Francis Medical Center Lynwood, CA	$54 – $70
22	St. Mary Medical Center Long Beach, CA	$54 – $484
23	Kings County Hospital Center Brooklyn, NY	$54 – $564
24	Elmhurst Hospital Center Queens, NY	$54 – $564
25	Jacobi Medical Center Bronx, NY	$54 – $564
26	Jefferson Abington Hospital Philadelphia, PA	$54 – $129
27	Banner - University Medical Center Phoenix Phoenix, AZ	$55
28	Parkland Memorial Hospital Dallas, TX	$56 – $371
29	UPMC Presbyterian Shadyside Pittsburgh, PA	$60 – $93
30	UPMC Magee-Womens Hospital Pittsburgh, PA	$60 – $93
31	California Hospital Medical Center Los Angeles, CA	$60 – $863
32	Piedmont Atlanta Hospital Atlanta, GA	$63 – $69
33	Northridge Hospital Medical Center Northridge, CA	$67 – $804
34	Glendale Memorial Hospital Glendale, CA	$67 – $484
35	St. Joseph's Hospital and Medical Center Phoenix, AZ	$68
36	Adventist Health Glendale Glendale, CA	$77 – $2,340
37	Mount Sinai Hospital New York, NY	$80
38	UPMC Children's Hospital of Pittsburgh Pittsburgh, PA	$91 – $224
39	Vanderbilt University Medical Center Nashville, TN	$95 – $239
40	NYU Langone Tisch Hospital New York, NY	$97
41	Children's Medical Center Dallas Dallas, TX	$99 – $250
42	Beth Israel Deaconess Medical Center Boston, MA	$101 – $144
43	Lahey Hospital & Medical Center Burlington, MA	$101 – $119
44	MLK Community Hospital Los Angeles, CA	$116 – $301
45	Coast Plaza Hospital Norwalk, CA	$118
46	Penn Presbyterian Medical Center Philadelphia, PA	$145 – $386
47	Children's Hospital of Philadelphia Philadelphia, PA	$161
48	Baylor St. Luke's Medical Center Houston, TX	$174 – $398
49	Sharp Memorial Hospital San Diego, CA	$198 – $20,925
50	Hospital of the University of Pennsylvania Philadelphia, PA	$207

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 4 overview shows the cash-pay column alongside.