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 43 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.

#HospitalMedicare rate
1
San Diego, CA
$1 – $21,679
2
Miami, FL
$13 – $192
3
Cleveland, OH
$35 – $265
4
Detroit, MI
$41 – $184
5
West Bloomfield, MI
$41 – $177
6
Northridge, CA
$41 – $2,090
7
Bronx, NY
$65 – $224
8
New York, NY
$71 – $1,035
9
Queens, NY
$71 – $1,035
10
Bronx, NY
$71 – $1,035
11
Brooklyn, NY
$71 – $1,035
12
Brooklyn, NY
$90 – $192
13
San Diego, CA
$91 – $1,834
14
Nashville, TN
$92 – $300
15
Pittsburgh, PA
$95 – $137
16
Jefferson Hills, PA
$95 – $137
17
Phoenix, AZ
$96 – $1,330
18
Los Angeles, CA
$97 – $407
19
Dallas, TX
$99 – $128
20
Pasadena, CA
$105
21
Philadelphia, PA
$107 – $210
22
Long Beach, CA
$123 – $1,936
23
Los Angeles, CA
$123 – $2,589
24
Pittsburgh, PA
$124 – $375
25
Pittsburgh, PA
$124 – $316
26
Dallas, TX
$125
27
Dallas, TX
$129 – $167
28
New York, NY
$131 – $201
29
Philadelphia, PA
$134 – $168
30
Seattle, WA
$140 – $1,177
31
Chicago, IL
$140
32
New York, NY
$146
33
Los Angeles, CA
$160 – $185
34
Colorado Springs, CO
$166
35
La Mesa, CA
$180 – $15,485
36
Houston, TX
$184
37
Pittsburgh, PA
$202 – $404
38
Glendale, CA
$202 – $1,453
39
Homestead, FL
$246 – $287
40
Norwalk, CA
$371 – $557
41
Boston, MA
$508 – $552
42
Walnut Creek, CA
$682
43
Concord, CA
$682

Estimate what you'd actually pay with Medicare.

Add your deductible status and coinsurance to the comparison tool. We'll estimate your out-of-pocket per hospital.

Open comparison →

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.