Itemized · Procedures · New patient office visit, level 4 · with Medicare

New patient office visit, level 4 with Medicare.

Negotiated rates Medicare pays for new patient office visit, level 4 at 56 US hospitals. Range: $1 to $682. 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.

#	Hospital	Medicare rate
1	Sharp Memorial Hospital San Diego, CA	$1 – $21,679
2	Baptist Hospital of Miami Miami, FL	$13 – $192
3	Cleveland Clinic Cleveland, OH	$35 – $265
4	Henry Ford Hospital Detroit, MI	$41 – $184
5	Henry Ford West Bloomfield Hospital West Bloomfield, MI	$41 – $177
6	Northridge Hospital Medical Center Northridge, CA	$41 – $2,090
7	Montefiore Medical Center Bronx, NY	$65 – $224
8	Bellevue Hospital Center New York, NY	$71 – $1,035
9	Elmhurst Hospital Center Queens, NY	$71 – $1,035
10	Jacobi Medical Center Bronx, NY	$71 – $1,035
11	Kings County Hospital Center Brooklyn, NY	$71 – $1,035
12	HARLEM HOSPITAL CENTER New York, NY	$71 – $1,035
13	METROPOLITAN HOSPITAL CENTER New York, NY	$71 – $1,035
14	QUEENS HOSPITAL CENTER Jamaica, NY	$71 – $1,035
15	WOODHULL MEDICAL & MENTAL HEALTH CENTER Brooklyn, NY	$71 – $1,035
16	Yale New Haven Hospital New Haven, CT	$76 – $114
17	OHSU Hospital Portland, OR	$80 – $728
18	Maimonides Medical Center Brooklyn, NY	$90 – $192
19	UC San Diego Health San Diego, CA	$91 – $1,834
20	Vanderbilt University Medical Center Nashville, TN	$92 – $300
21	Allegheny General Hospital Pittsburgh, PA	$95 – $137
22	Forbes Hospital Monroeville, PA	$95 – $137
23	Jefferson Regional Medical Center Jefferson Hills, PA	$95 – $137
24	Banner - University Medical Center Phoenix Phoenix, AZ	$96 – $1,330
25	MLK Community Hospital Los Angeles, CA	$97 – $407
26	Parkland Memorial Hospital Dallas, TX	$99 – $128
27	Huntington Hospital Pasadena, CA	$105
28	Jefferson Abington Hospital Philadelphia, PA	$107 – $210
29	M Health Fairview University of Minnesota Medical Center Minneapolis, MN	$123 – $347
30	St. Mary Medical Center Long Beach, CA	$123 – $1,936
31	California Hospital Medical Center Los Angeles, CA	$123 – $2,589
32	Atrium Health Carolinas Medical Center Charlotte, NC	$124 – $130
33	UPMC Presbyterian Shadyside Pittsburgh, PA	$124 – $375
34	UPMC Magee-Womens Hospital Pittsburgh, PA	$124 – $316
35	Methodist Dallas Medical Center Dallas, TX	$125
36	UT Southwestern Medical Center Dallas, TX	$129 – $167
37	Hospital for Special Surgery New York, NY	$131 – $201
38	Temple University Hospital Philadelphia, PA	$134 – $168
39	Virginia Mason Medical Center Seattle, WA	$140 – $1,177
40	Ann & Robert H. Lurie Children's Hospital Chicago, IL	$140
41	Memorial Sloan Kettering Cancer Center New York, NY	$146
42	Cedars-Sinai Medical Center Los Angeles, CA	$160 – $185
43	UCHealth University of Colorado Hospital Aurora, CO	$161 – $166
44	UCHealth Memorial Hospital Central Colorado Springs, CO	$166
45	MERCY GENERAL HOSPITAL Sacramento, CA	$176
46	METHODIST HOSPITAL OF SACRAMENTO Sacramento, CA	$176
47	Sharp Grossmont Hospital La Mesa, CA	$180 – $15,485
48	Baylor St. Luke's Medical Center Houston, TX	$184
49	SEQUOIA HOSPITAL Redwood City, CA	$196
50	UPMC Children's Hospital of Pittsburgh Pittsburgh, PA	$202 – $404

Estimate what you'd actually pay with Medicare.

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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 4 overview shows the cash-pay column alongside.