Office visit, new patient (level 3) Cost

Office visit, new patient (level 3) is a clinic or emergency-department visit. Prices are from 1864 US hospitals across 52 states, from their machine-readable files.

$190median cash price · 1864 hospitals, 52 statestypically $76–$495 depending on the hospital
≈ 1.6× Medicare · Reasonable vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$306
Cash / self-pay
$190
Insurer-negotiated
$141
Medicare pays
$118
$76$495
Median cash $190  ·  Medicare $118  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $190 — about 1.6× the Medicare rate ($118). Reasonable. A fair cash price is usually within ~2× Medicare ($235).

💡 Asking for the cash price instead of the $306 list price could save about $116 (38%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Northwest Missississippi Regional Medical Center Clarksdale, MS $29 $116 ★ 3/5 170 min 15.3%
Delta Health System-the Medical Center Greenville, MS $29 $116 ★ 1/5 283 min 15.0%
Highland Hills Medical Center Senatobia, MS $29 $116 — 126 min 14.7%
West Jefferson Medical Center Marrero, LA $29 $38 ★ 3/5 154 min 15.0%
Ortonville Area Health Services Ortonville, MN $30 $26 — 116 min 15.1%
St Joseph Hospital Bangor, ME $30 $58 ★ 3/5 188 min 15.6%
Penn State Health St. Joseph Reading, PA $30 $58 ★ 3/5 216 min 15.6%
Northern Maine Medical Center Fort Kent, ME $30 $104 — 147 min —
Deckerville Community Hospital Deckerville, MI $30 $42 — 86 min —
Adventist Health Tulare Tulare, CA $30 $84 ★ 3/5 195 min 15.0%
Montgomery General Hospital Montgomery, WV $31 $116 — 110 min 14.7%
Lakeland Regional Medical Center Lakeland, FL $33 $1,019 ★ 1/5 162 min 16.7%
Ochsner St Mary Morgan City, LA $33 $114 ★ 2/5 81 min 15.4%
Ochsner LSU Health Shreveport-St Mary Medical Cent Shreveport, LA $33 $114 ★ 2/5 — —
Mercy Hospital, Inc Moundridge, KS $34 $36 — — —
East Jefferson General Hospital Metairie, LA $35 $38 ★ 2/5 162 min 15.3%
Amery Hospital & Clinic Amery, WI $37 $92 ★ 2/5 116 min 14.5%
Ochsner Medical Center Acute New Orleans, LA $37 $132 ★ 4/5 168 min 16.2%
Hancock County Hospital Sneedville, TN $39 $119 — 106 min —
Dickenson Community Hospital Clintwood, VA $39 $62 — 109 min —
Lee County Community Hospital Pennington Gap, VA $39 $66 — 112 min 15.2%
Johnson Memorial Hospital Franklin, IN $39 $102 ★ 5/5 144 min 14.9%
Wellmont Bristol Regional Medical Center Bristol, TN $39 $109 ★ 2/5 192 min 15.8%
Wellmont Holston Valley Medical Center Kingsport, TN $39 $109 ★ 2/5 207 min 14.8%
Sycamore Shoals Hospital Elizabethton, TN $39 $102 ★ 2/5 154 min 15.0%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated June 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Office visit, new patient (level 3)

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $190; Medicare pays $118.

InsurerHospitalsNegotiated median
Medicaid 260
$71
$42 – $175
AmeriHealth 175
$79
$38 – $286
Geisinger 59
$79
$75 – $233
Medicare 316
$80
$66 – $175
Centene / Ambetter 492
$82
$38 – $181
Devoted Health 56
$83
$72 – $143
Molina Healthcare 351
$87
$52 – $224
Highmark 108
$87
$61 – $187
Univera 15
$88
$65 – $121
Tricare / VA 251
$106
$72 – $310
UCare 57
$109
$57 – $208
Anthem 376
$111
$60 – $302
Humana 680
$111
$59 – $299
Independent Health 32
$116
$81 – $175
Priority Health 43
$119
$70 – $370
Blue Cross Blue Shield 965
$119
$60 – $330
Amerigroup 80
$120
$24 – $395
UPMC Health Plan 66
$120
$60 – $278
UnitedHealthcare 1094
$122
$58 – $357
Sanford Health Plan 63
$132
$74 – $268
Security Health Plan 50
$136
$75 – $332
HealthPartners 203
$143
$61 – $388
Aetna 1031
$151
$66 – $382
EmblemHealth 51
$152
$51 – $329
Oscar Health 117
$152
$93 – $519
Kaiser Permanente 152
$154
$53 – $347
MVP Health Care 75
$155
$82 – $400
Cigna 790
$167
$75 – $519
SelectHealth 32
$172
$93 – $365
Medica 172
$172
$68 – $344
Bright Health 23
$175
$27 – $509
Workers' Comp / No-Fault 114
$184
$106 – $610
Health Net 231
$201
$69 – $593
Harvard Pilgrim 36
$204
$91 – $347
Healthcare Highways 33
$211
$50 – $381
Coventry 111
$228
$74 – $550
MultiPlan / PHCS network 640
$249
$103 – $655
AvMed 31
$262
$61 – $579

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Mississippi$59
Tennessee$78
Louisiana$84
West Virginia$99
Arkansas$100
Maine$110

Prices by city

Chicago, ILPhiladelphia, PAHouston, TXBaltimore, MDDallas, TXAustin, TXNashville, TNBoston, MAFort Worth, TXKansas City, MOMiami, FLMilwaukee, WINew York, NYOmaha, NERochester, NYArlington, TXAurora, COBaton Rouge, LACharlotte, NCColorado Springs, CODenver, COEl Paso, TXJacksonville, FLLong Beach, CA

Prices by state

TexasCaliforniaPennsylvaniaIllinoisWisconsinNew YorkFloridaMichiganMinnesotaGeorgiaColoradoOhioTennesseeIowaNorth CarolinaLouisianaNebraskaMissouriIndianaArkansasKentuckyKansasVirginiaNew JerseyMarylandWashingtonMassachusettsArizonaOklahomaWest VirginiaSouth CarolinaMississippiMaineSouth DakotaAlabamaUtahOregonNew HampshireNorth DakotaConnecticutMontanaNevadaIdahoWyomingVermontNew MexicoPuerto RicoDelawareRhode IslandAlaskaHawaiiWashington DC

About these prices

Based on prices published by 1864 US hospitals across 52 states, the typical (median) cash price is $190, versus a chargemaster (list) price around $306, a median insurer-negotiated rate of $141, a Medicare rate of about $118. Most cash prices fall between $76 and $495 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Office visit, new patient (level 3) cost without insurance?
The median cash (self-pay) price across 1864 US hospitals is $190. Most hospitals fall between $76 and $495. Prices vary widely between hospitals, so it pays to compare before you book.
What does Medicare pay for Office visit, new patient (level 3)?
Medicare pays about $118. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Office visit, new patient (level 3) prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

Related Office & ER Visits

Emergency department visit (level 3)Emergency department visit (level 4)Emergency department visit (level 2)Emergency department visitEmergency department visit (level 1)Emergency department visit (level 5)Office visit (established patient)Office visit, established patient (level 3)

See more Office & ER Visits.