Itemized  ·  Procedures  ·  New patient office visit, level 3  ·  with Medicare

New patient office visit, level 3 with Medicare.

Negotiated rates Medicare pays for new patient office visit, level 3 at 53 US hospitals. Range: $1 to $427. 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 Medicare rate.

#HospitalMedicare rate
1
San Diego, CA
$1 – $15,485
2
La Mesa, CA
$1 – $15,485
3
Miami, FL
$12 – $184
4
Cleveland, OH
$28 – $159
5
Detroit, MI
$32 – $127
6
West Bloomfield, MI
$32 – $114
7
Northridge, CA
$36 – $348
8
New York, NY
$43 – $559
9
Queens, NY
$43 – $559
10
Bronx, NY
$43 – $559
11
Brooklyn, NY
$43 – $559
12
New York, NY
$43 – $559
13
New York, NY
$43 – $559
14
Jamaica, NY
$43 – $559
15
Brooklyn, NY
$43 – $559
16
Brooklyn, NY
$43 – $141
17
Nashville, TN
$56 – $300
18
Pittsburgh, PA
$57 – $84
19
Monroeville, PA
$57 – $84
20
Jefferson Hills, PA
$57 – $84
21
Los Angeles, CA
$59 – $407
22
Dallas, TX
$60 – $87
23
Pasadena, CA
$62
24
Bronx, NY
$65 – $150
25
Philadelphia, PA
$71
26
Minneapolis, MN
$75 – $233
27
Phoenix, AZ
$75 – $1,105
28
Charlotte, NC
$76 – $80
29
Dallas, TX
$76
30
Dallas, TX
$79 – $113
31
Portland, OR
$80 – $485
32
New York, NY
$80 – $134
33
Philadelphia, PA
$83 – $103
34
San Diego, CA
$84 – $1,048
35
Seattle, WA
$86 – $1,205
36
New York, NY
$90
37
Pittsburgh, PA
$90 – $271
38
Chicago, IL
$94
39
Pittsburgh, PA
$97 – $320
40
Long Beach, CA
$102 – $272
41
Los Angeles, CA
$102 – $230
42
Aurora, CO
$108 – $111
43
Colorado Springs, CO
$111
44
Sacramento, CA
$118
45
Sacramento, CA
$118
46
Redwood City, CA
$133
47
Glendale, CA
$141 – $230
48
Pittsburgh, PA
$159 – $318
49
Houston, TX
$160
50
Los Angeles, CA
$160 – $185

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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 Medicare plans, pulled directly from each hospital's machine-readable file.

The range column reflects different Medicare 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 3 overview shows the cash-pay column alongside.