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 56 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
New Haven, CT
$17 – $45
5
Brooklyn, NY
$21 – $104
6
Detroit, MI
$22 – $270
7
West Bloomfield, MI
$22 – $125
8
Northridge, CA
$25 – $553
9
Cleveland, OH
$30 – $106
10
Pittsburgh, PA
$37 – $68
11
Monroeville, PA
$37 – $68
12
Jefferson Hills, PA
$37 – $68
13
San Diego, CA
$39 – $1,042
14
New York, NY
$40 – $455
15
Queens, NY
$40 – $455
16
Bronx, NY
$40 – $455
17
Brooklyn, NY
$40 – $455
18
New York, NY
$40 – $455
19
New York, NY
$40 – $455
20
Jamaica, NY
$40 – $455
21
Brooklyn, NY
$40 – $455
22
Pasadena, CA
$41
23
Long Beach, CA
$43 – $250
24
Los Angeles, CA
$43 – $165
25
Nashville, TN
$46 – $200
26
Philadelphia, PA
$46 – $133
27
Bronx, NY
$46 – $122
28
Los Angeles, CA
$48 – $525
29
Dallas, TX
$49 – $54
30
Pittsburgh, PA
$54 – $185
31
Pittsburgh, PA
$54 – $153
32
Minneapolis, MN
$61 – $191
33
Charlotte, NC
$61 – $64
34
Dallas, TX
$61
35
New York, NY
$64 – $108
36
Dallas, TX
$64 – $95
37
Phoenix, AZ
$64 – $738
38
Philadelphia, PA
$66 – $83
39
Seattle, WA
$69 – $1,580
40
New York, NY
$72
41
Chicago, IL
$75
42
Portland, OR
$80 – $837
43
Aurora, CO
$88 – $91
44
Pittsburgh, PA
$89 – $178
45
Colorado Springs, CO
$91
46
Sacramento, CA
$96
47
Sacramento, CA
$96
48
Glendale, CA
$100 – $163
49
Redwood City, CA
$108
50
Houston, TX
$114

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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.