Itemized · Procedures · Office visit, established patient, level 4 · with Medicare

Office visit, established patient, level 4 with Medicare.

Negotiated rates Medicare pays for office visit, established patient, level 4 at 56 US hospitals. Range: $13 to $700. 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	Baptist Hospital of Miami Miami, FL	$13 – $192
2	Henry Ford Hospital Detroit, MI	$30 – $337
3	Henry Ford West Bloomfield Hospital West Bloomfield, MI	$30 – $156
4	Maimonides Medical Center Brooklyn, NY	$30 – $158
5	Sharp Grossmont Hospital La Mesa, CA	$31 – $25,925
6	Yale New Haven Hospital New Haven, CT	$32 – $69
7	Northridge Hospital Medical Center Northridge, CA	$34 – $2,090
8	Cleveland Clinic Cleveland, OH	$38 – $162
9	UC San Diego Health San Diego, CA	$40 – $138
10	Bellevue Hospital Center New York, NY	$54 – $564
11	Elmhurst Hospital Center Queens, NY	$54 – $564
12	Jacobi Medical Center Bronx, NY	$54 – $564
13	Kings County Hospital Center Brooklyn, NY	$54 – $564
14	HARLEM HOSPITAL CENTER New York, NY	$54 – $564
15	METROPOLITAN HOSPITAL CENTER New York, NY	$54 – $564
16	QUEENS HOSPITAL CENTER Jamaica, NY	$54 – $564
17	WOODHULL MEDICAL & MENTAL HEALTH CENTER Brooklyn, NY	$54 – $564
18	Allegheny General Hospital Pittsburgh, PA	$57 – $100
19	Forbes Hospital Monroeville, PA	$57 – $100
20	Jefferson Regional Medical Center Jefferson Hills, PA	$57 – $100
21	Jefferson Abington Hospital Philadelphia, PA	$63 – $165
22	Huntington Hospital Pasadena, CA	$64
23	UPMC Presbyterian Shadyside Pittsburgh, PA	$64 – $210
24	UPMC Magee-Womens Hospital Pittsburgh, PA	$64 – $162
25	Montefiore Medical Center Bronx, NY	$65 – $171
26	Parkland Memorial Hospital Dallas, TX	$65 – $93
27	St. Mary Medical Center Long Beach, CA	$67 – $1,936
28	California Hospital Medical Center Los Angeles, CA	$67 – $2,589
29	Vanderbilt University Medical Center Nashville, TN	$67 – $200
30	MLK Community Hospital Los Angeles, CA	$71 – $610
31	OHSU Hospital Portland, OR	$80 – $697
32	Banner - University Medical Center Phoenix Phoenix, AZ	$86 – $1,138
33	M Health Fairview University of Minnesota Medical Center Minneapolis, MN	$90 – $269
34	Atrium Health Carolinas Medical Center Charlotte, NC	$90 – $95
35	Methodist Dallas Medical Center Dallas, TX	$90
36	Hospital for Special Surgery New York, NY	$94 – $153
37	UT Southwestern Medical Center Dallas, TX	$94 – $135
38	Temple University Hospital Philadelphia, PA	$98 – $122
39	Virginia Mason Medical Center Seattle, WA	$102 – $1,754
40	Memorial Sloan Kettering Cancer Center New York, NY	$105
41	UPMC Children's Hospital of Pittsburgh Pittsburgh, PA	$106 – $211
42	Ann & Robert H. Lurie Children's Hospital Chicago, IL	$106
43	UCHealth University of Colorado Hospital Aurora, CO	$124 – $128
44	UCHealth Memorial Hospital Central Colorado Springs, CO	$128
45	Baylor St. Luke's Medical Center Houston, TX	$130
46	MERCY GENERAL HOSPITAL Sacramento, CA	$136
47	METHODIST HOSPITAL OF SACRAMENTO Sacramento, CA	$136
48	Glendale Memorial Hospital Glendale, CA	$145 – $1,453
49	SEQUOIA HOSPITAL Redwood City, CA	$153
50	Cedars-Sinai Medical Center Los Angeles, CA	$160 – $185

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 Office visit, established patient, level 4 overview shows the cash-pay column alongside.