Annual Wellness Visit vs Office Visit (Established Patient)
Medicare Cost Comparison 2025
Quick Answer
Annual Wellness Visit: $250 total · Medicare pays $250 · Patient pays $0
Office Visit (Established Patient): $150 total · Medicare pays $120 · Patient pays $30
Cost Comparison
| Metric | Annual Wellness Visit | Office Visit (Established Patient) |
|---|---|---|
| Total Average Cost | $250 | $150 |
| Medicare Pays | $250 | $120 |
| Patient Pays | $0 | $30 |
| Category | physician | physician |
FAQ
What is the cost difference between Annual Wellness Visit and Office Visit (Established Patient)?
Annual Wellness Visit costs $250 on average, while Office Visit (Established Patient) costs $150 — a difference of $100.
How much does Medicare pay for Annual Wellness Visit vs Office Visit (Established Patient)?
Medicare typically pays $250 for Annual Wellness Visit (patient owes $0). For Office Visit (Established Patient), Medicare pays $120 (patient owes $30).
What is Annual Wellness Visit?
Yearly preventive visit covered at 100% by Medicare Part B.
What is Office Visit (Established Patient)?
Follow-up evaluation and management visit with existing provider.