Office Visit (Established Patient) Cost with Medicare (2026)

Follow-up evaluation and management visit with existing provider.

$150

National Avg Cost

$120

Medicare Pays

$30

Patient Pays

Physician/Office

Office Visit (Established Patient) Cost by State

#	State	Average Cost	Medicare Pays	Patient Pays
1	Michigan	$187	$150	$37
2	Indiana	$185	$148	$37
3	Colorado	$185	$148	$37
4	South Carolina	$184	$147	$37
5	Idaho	$183	$146	$37
6	Pennsylvania	$181	$145	$36
7	Maine	$180	$144	$36
8	Delaware	$179	$143	$36
9	Vermont	$178	$143	$36
10	Montana	$178	$143	$36
11	Maryland	$177	$142	$35
12	Wisconsin	$175	$140	$35
13	Arkansas	$172	$138	$34
14	New Mexico	$172	$137	$34
15	Alabama	$171	$137	$34
16	Alaska	$168	$134	$34
17	California	$167	$133	$33
18	Tennessee	$166	$133	$33
19	Iowa	$165	$132	$33
20	Kentucky	$160	$128	$32
21	New York	$159	$128	$32
22	New Jersey	$158	$127	$32
23	Washington	$157	$126	$31
24	South Dakota	$157	$126	$31
25	Hawaii	$156	$125	$31
26	Arizona	$155	$124	$31
27	Oklahoma	$154	$123	$31
28	Illinois	$150	$120	$30
29	North Carolina	$149	$119	$30
30	North Dakota	$148	$118	$30
31	Rhode Island	$146	$117	$29
32	Massachusetts	$146	$116	$29
33	New Hampshire	$141	$113	$28
34	Nebraska	$139	$112	$28
35	Kansas	$138	$111	$28
36	West Virginia	$138	$110	$28
37	Virginia	$136	$109	$27
38	Minnesota	$134	$107	$27
39	Wyoming	$134	$107	$27
40	Georgia	$131	$104	$26
41	Ohio	$129	$103	$26
42	Oregon	$125	$100	$25
43	Utah	$123	$98	$25
44	Mississippi	$122	$98	$24
45	Missouri	$121	$97	$24
46	Florida	$120	$96	$24
47	Texas	$120	$96	$24
48	Louisiana	$119	$95	$24
49	Connecticut	$114	$91	$23
50	Nevada	$113	$91	$23

How much does a Office Visit (Established Patient) cost with Medicare?

The national average cost for Office Visit (Established Patient) is $150. Medicare typically pays $120, leaving a patient responsibility of $30.

Does Medicare cover Office Visit (Established Patient)?

Yes, Medicare covers Office Visit (Established Patient). The average Medicare payment is $120 out of a total cost of $150.

What category is Office Visit (Established Patient)?

Office Visit (Established Patient) is classified as a physician procedure.