Itemized  ·  Procedures  ·  Office visit, established patient, level 3  ·  with Medicare

Office visit, established patient, level 3 with Medicare.

Negotiated rates Medicare pays for office visit, established patient, level 3 at 43 US hospitals. Range: $1 to $545. 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
La Mesa, CA
$1 – $14,888
2
San Diego, CA
$1 – $6,749
3
Miami, FL
$12 – $184
4
Brooklyn, NY
$21 – $104
5
Detroit, MI
$22 – $270
6
West Bloomfield, MI
$22 – $125
7
Northridge, CA
$25 – $553
8
Cleveland, OH
$30 – $106
9
Pittsburgh, PA
$37 – $68
10
Jefferson Hills, PA
$37 – $68
11
San Diego, CA
$39 – $1,042
12
New York, NY
$40 – $455
13
Queens, NY
$40 – $455
14
Bronx, NY
$40 – $455
15
Brooklyn, NY
$40 – $455
16
Pasadena, CA
$41
17
Long Beach, CA
$43 – $250
18
Los Angeles, CA
$43 – $165
19
Nashville, TN
$46 – $200
20
Philadelphia, PA
$46 – $133
21
Bronx, NY
$46 – $122
22
Los Angeles, CA
$48 – $525
23
Dallas, TX
$49 – $54
24
Pittsburgh, PA
$54 – $185
25
Pittsburgh, PA
$54 – $153
26
Dallas, TX
$61
27
New York, NY
$64 – $108
28
Dallas, TX
$64 – $95
29
Phoenix, AZ
$64 – $738
30
Philadelphia, PA
$66 – $83
31
Seattle, WA
$69 – $1,580
32
New York, NY
$72
33
Chicago, IL
$75
34
Pittsburgh, PA
$89 – $178
35
Colorado Springs, CO
$91
36
Glendale, CA
$100 – $163
37
Houston, TX
$114
38
Los Angeles, CA
$160 – $185
39
Homestead, FL
$180 – $210
40
Norwalk, CA
$213 – $251
41
Boston, MA
$278 – $302
42
Walnut Creek, CA
$527
43
Concord, CA
$545

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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 Office visit, established patient, level 3 overview shows the cash-pay column alongside.