CPT 99203 Evaluation & Management

How Much Does New Patient Office Visit - Low Complexity Cost?

Also known as: Office o/p new low 30 min (CPT 99203)

A first-time visit with a doctor for a problem that needs a moderate level of evaluation.

New Patient Office Visit - Low Complexity (CPT 99203) costs $71 at Medicare rates.

Medicare (Facility)
$71
CMS PFS 2026 national rate
Medicare (Office/Clinic)
$118
Non-facility setting

Patient Guide: New Patient Office Visit - Low Complexity

What you need to know before your appointment

What to Expect

The doctor will take a detailed history, perform a focused exam, and may order some basic tests. You will discuss a treatment plan together.

How Long Does It Take?

20-30 minutes

Common Reasons Doctors Order This

Persistent pain, new health concern, referral follow-up, multiple minor symptoms

How to Prepare

Write down all your symptoms and questions. Bring previous medical records if transferring from another provider.

Procedures Commonly Done Together

These procedures are frequently performed alongside Office o/p new low 30 min

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Office o/p new low 30 min Cost by Location

Medicare-adjusted rates across CMS localities

Location Medicare Rate Est. Commercial
AK — ALASKA $97 $190 — $293
AL — ALABAMA $68 $141 — $217
AR — ARKANSAS $67 $139 — $214
AZ — ARIZONA $71 $150 — $231
CA — BAKERSFIELD $72 $160 — $246
CA — CHICO $71 $159 — $245
CA — EL CENTRO $72 $159 — $245
CA — FRESNO $71 $159 — $245
CA — HANFORD-CORCORAN $71 $159 — $245
CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) $75 $168 — $259
CA — MADERA $71 $159 — $245
CA — MERCED $71 $159 — $245
CA — MODESTO $71 $159 — $245
CA — NAPA $77 $179 — $275
CA — OXNARD-THOUSAND OAKS-VENTURA $74 $167 — $257
CA — REDDING $71 $159 — $245
CA — REST OF CALIFORNIA $71 $159 — $245
CA — RIVERSIDE-SAN BERNARDINO-ONTARIO $73 $161 — $248
CA — SACRAMENTO-ROSEVILLE-FOLSOM $73 $165 — $254
CA — SALINAS $73 $165 — $253
CA — SAN DIEGO-CHULA VISTA-CARLSBAD $73 $168 — $258
CA — SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) $79 $188 — $289
CA — SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) $79 $188 — $289
CA — SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) $81 $192 — $295
CA — SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) $80 $191 — $294

How to Reduce Your Cost for Office o/p new low 30 min

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($118) differs from the facility rate ($71). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Medicare rates for this procedure range from $67 to $97 depending on location. Commercial rates vary even more.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

1.60
Work RVU
0.38
Practice Expense RVU
0.16
Malpractice RVU
3.52
Total RVU

Payment = Total RVU (3.52) x CF ($33.40) = $118

Frequently Asked Questions

How much does Office o/p new low 30 min cost?

The Medicare facility rate for Office o/p new low 30 min is $71. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Office o/p new low 30 min cost without insurance?

Without insurance, the cost of Office o/p new low 30 min can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Office o/p new low 30 min?

Most commercial health insurance plans and Medicare cover Office o/p new low 30 min when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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