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 43 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	Northridge Hospital Medical Center Northridge, CA	$34 – $2,090
7	Cleveland Clinic Cleveland, OH	$38 – $162
8	UC San Diego Health San Diego, CA	$40 – $138
9	Bellevue Hospital Center New York, NY	$54 – $564
10	Elmhurst Hospital Center Queens, NY	$54 – $564
11	Jacobi Medical Center Bronx, NY	$54 – $564
12	Kings County Hospital Center Brooklyn, NY	$54 – $564
13	Allegheny General Hospital Pittsburgh, PA	$57 – $100
14	Jefferson Regional Medical Center Jefferson Hills, PA	$57 – $100
15	Jefferson Abington Hospital Philadelphia, PA	$63 – $165
16	Huntington Hospital Pasadena, CA	$64
17	UPMC Presbyterian Shadyside Pittsburgh, PA	$64 – $210
18	UPMC Magee-Womens Hospital Pittsburgh, PA	$64 – $162
19	Montefiore Medical Center Bronx, NY	$65 – $171
20	Parkland Memorial Hospital Dallas, TX	$65 – $93
21	St. Mary Medical Center Long Beach, CA	$67 – $1,936
22	California Hospital Medical Center Los Angeles, CA	$67 – $2,589
23	Vanderbilt University Medical Center Nashville, TN	$67 – $200
24	MLK Community Hospital Los Angeles, CA	$71 – $610
25	Banner - University Medical Center Phoenix Phoenix, AZ	$86 – $1,138
26	Methodist Dallas Medical Center Dallas, TX	$90
27	Hospital for Special Surgery New York, NY	$94 – $153
28	UT Southwestern Medical Center Dallas, TX	$94 – $135
29	Temple University Hospital Philadelphia, PA	$98 – $122
30	Virginia Mason Medical Center Seattle, WA	$102 – $1,754
31	Memorial Sloan Kettering Cancer Center New York, NY	$105
32	UPMC Children's Hospital of Pittsburgh Pittsburgh, PA	$106 – $211
33	Ann & Robert H. Lurie Children's Hospital Chicago, IL	$106
34	UCHealth Memorial Hospital Central Colorado Springs, CO	$128
35	Baylor St. Luke's Medical Center Houston, TX	$130
36	Glendale Memorial Hospital Glendale, CA	$145 – $1,453
37	Cedars-Sinai Medical Center Los Angeles, CA	$160 – $185
38	Homestead Hospital Homestead, FL	$250 – $292
39	Coast Plaza Hospital Norwalk, CA	$255 – $287
40	Sharp Memorial Hospital San Diego, CA	$306 – $22,221
41	Boston Children's Hospital Boston, MA	$372 – $1,335
42	John Muir Health Concord Medical Center Concord, CA	$682
43	John Muir Health Walnut Creek Medical Center Walnut Creek, CA	$700

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.