Office Visit (Established Patient) vs Office Visit (New Patient)
Medicare Cost Comparison 2025
Quick Answer
Office Visit (Established Patient): $150 total · Medicare pays $120 · Patient pays $30
Office Visit (New Patient): $200 total · Medicare pays $160 · Patient pays $40
Cost Comparison
| Metric | Office Visit (Established Patient) | Office Visit (New Patient) |
|---|---|---|
| Total Average Cost | $150 | $200 |
| Medicare Pays | $120 | $160 |
| Patient Pays | $30 | $40 |
| Category | physician | physician |
FAQ
What is the cost difference between Office Visit (Established Patient) and Office Visit (New Patient)?
Office Visit (New Patient) costs $200 on average, while Office Visit (Established Patient) costs $150 — a difference of $50.
How much does Medicare pay for Office Visit (Established Patient) vs Office Visit (New Patient)?
Medicare typically pays $120 for Office Visit (Established Patient) (patient owes $30). For Office Visit (New Patient), Medicare pays $160 (patient owes $40).
What is Office Visit (Established Patient)?
Follow-up evaluation and management visit with existing provider.
What is Office Visit (New Patient)?
Initial evaluation and management visit with a new provider.