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

Initial evaluation and management visit with a new provider.

$200

National Avg Cost

$160

Medicare Pays

$40

Patient Pays

Physician/Office

Office Visit (New Patient) Cost by State

#	State	Average Cost	Medicare Pays	Patient Pays
1	Illinois	$248	$198	$50
2	Montana	$247	$198	$49
3	Missouri	$240	$192	$48
4	Colorado	$239	$191	$48
5	Vermont	$239	$191	$48
6	Alaska	$238	$190	$48
7	North Carolina	$237	$190	$47
8	Rhode Island	$232	$186	$46
9	Florida	$231	$185	$46
10	Arizona	$229	$183	$46
11	California	$228	$182	$46
12	Ohio	$225	$180	$45
13	Nevada	$222	$177	$44
14	Nebraska	$222	$177	$44
15	Pennsylvania	$221	$177	$44
16	Oklahoma	$220	$176	$44
17	Minnesota	$216	$173	$43
18	Kansas	$212	$170	$42
19	Massachusetts	$209	$167	$42
20	Utah	$208	$167	$42
21	New Hampshire	$207	$166	$41
22	Georgia	$203	$162	$41
23	New Mexico	$202	$162	$40
24	Maine	$200	$160	$40
25	Louisiana	$199	$159	$40
26	Arkansas	$191	$153	$38
27	Wyoming	$189	$151	$38
28	Washington	$189	$151	$38
29	Wisconsin	$188	$151	$38
30	Idaho	$186	$149	$37
31	Alabama	$186	$149	$37
32	Tennessee	$183	$147	$37
33	Connecticut	$183	$146	$37
34	Texas	$183	$146	$37
35	Mississippi	$182	$145	$36
36	New York	$180	$144	$36
37	West Virginia	$175	$140	$35
38	South Dakota	$174	$140	$35
39	Indiana	$173	$139	$35
40	Hawaii	$172	$137	$34
41	Virginia	$171	$137	$34
42	Oregon	$168	$134	$34
43	Kentucky	$166	$133	$33
44	South Carolina	$165	$132	$33
45	Michigan	$163	$130	$33
46	Delaware	$158	$126	$32
47	Iowa	$154	$123	$31
48	North Dakota	$153	$122	$31
49	Maryland	$151	$121	$30
50	New Jersey	$150	$120	$30

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

The national average cost for Office Visit (New Patient) is $200. Medicare typically pays $160, leaving a patient responsibility of $40.

Does Medicare cover Office Visit (New Patient)?

Yes, Medicare covers Office Visit (New Patient). The average Medicare payment is $160 out of a total cost of $200.

What category is Office Visit (New Patient)?

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