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 41 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
Brooklyn, NY
$43 – $141
13
Nashville, TN
$56 – $300
14
Pittsburgh, PA
$57 – $84
15
Jefferson Hills, PA
$57 – $84
16
Los Angeles, CA
$59 – $407
17
Dallas, TX
$60 – $87
18
Pasadena, CA
$62
19
Bronx, NY
$65 – $150
20
Philadelphia, PA
$71
21
Phoenix, AZ
$75 – $1,105
22
Dallas, TX
$76
23
Dallas, TX
$79 – $113
24
New York, NY
$80 – $134
25
Philadelphia, PA
$83 – $103
26
San Diego, CA
$84 – $1,048
27
Seattle, WA
$86 – $1,205
28
New York, NY
$90
29
Pittsburgh, PA
$90 – $271
30
Chicago, IL
$94
31
Pittsburgh, PA
$97 – $320
32
Long Beach, CA
$102 – $272
33
Los Angeles, CA
$102 – $230
34
Colorado Springs, CO
$111
35
Glendale, CA
$141 – $230
36
Pittsburgh, PA
$159 – $318
37
Houston, TX
$160
38
Los Angeles, CA
$160 – $185
39
Homestead, FL
$180 – $211
40
Norwalk, CA
$206 – $351
41
Boston, MA
$393 – $427

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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.