CPT 99213 Evaluation & Management

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

Also known as: Office visit - established patient, low complexity (CPT 99213)

A standard follow-up visit with your regular doctor, the most common type of office visit.

Established Patient Office Visit - Low Complexity (CPT 99213) costs $67 at Medicare rates.

Medicare (Facility)
$67
CMS PFS 2026 national rate
Medicare (Office/Clinic)
$103
Non-facility setting

Patient Guide: Established Patient Office Visit - Low Complexity

What you need to know before your appointment

What to Expect

The doctor will review your symptoms, perform a focused exam, and discuss your treatment plan. Basic tests may be ordered.

How Long Does It Take?

15-20 minutes

Common Reasons Doctors Order This

Follow-up for ongoing issue, new minor complaint, chronic disease check, medication management

How to Prepare

Write down any new symptoms or medication side effects. Bring your medication bottles if you have questions.

Procedures Commonly Done Together

These procedures are frequently performed alongside Office visit - established patient, low complexity

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Office visit - established patient, low complexity Cost by Location

Medicare-adjusted rates across CMS localities

Location Medicare Rate Est. Commercial
AK — ALASKA* $91 $136 — $227
AL — ALABAMA $65 $97 — $162
AR — ARKANSAS $64 $96 — $161
AZ — ARIZONA $68 $102 — $170
AZ — Phoenix $69 $103 — $172
CA — BAKERSFIELD $71 $106 — $177
CA — CHICO $70 $105 — $176
CA — EL CENTRO $70 $105 — $176
CA — FRESNO $70 $105 — $176
CA — HANFORD-CORCORAN $70 $105 — $176
CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) $74 $111 — $184
CA — Los Angeles $75 $112 — $186
CA — MADERA $70 $105 — $176
CA — MERCED $70 $105 — $176
CA — MODESTO $70 $105 — $176
CA — NAPA $77 $116 — $193
CA — OXNARD-THOUSAND OAKS-VENTURA $73 $109 — $182
CA — REDDING $70 $105 — $176
CA — REST OF CALIFORNIA $70 $105 — $176
CA — RIVERSIDE-SAN BERNARDINO-ONTARIO $72 $107 — $179
CA — SACRAMENTO-ROSEVILLE-FOLSOM $73 $109 — $181
CA — SALINAS $72 $108 — $181
CA — SAN DIEGO-CHULA VISTA-CARLSBAD $73 $110 — $183
CA — SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) $80 $120 — $201
CA — SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) $81 $122 — $204

What Insurance Companies Actually Pay

Real negotiated rates from 9 hospitals across 5 states (from hospital price transparency filings)

Lowest
$11
Highest
$424
Average
$146
Insurance Company Avg Rate Range Hospitals
Aetna $131 $21 - $194 5
BCBS-TX $123 $76 - $165 3
Cigna $135 $45 - $297 5
United $98 $15 - $199 3
CHC $155 $45 - $233 2
Humana $186 $58 - $276 3
Kaiser $19 $14 - $25 1
Multiplan $125 $50 - $226 2
BCBS $152 $121 - $168 1
Peach State $81 $36 - $156 2
BCBS - Anthem $147 $60 - $203 1
OPTUM $206 $114 - $350 1
Average by State
CO: $50 (32) TN: $112 (8) GA: $126 (13) KY: $127 (16) TX: $206 (64)
Disclaimer: These rates are from hospital Machine-Readable Files (MRFs) required by federal price transparency law. They reflect specific hospital-payer contracts and may not represent your actual cost, which depends on your plan, deductible, and network status. Data sourced from CommonSpirit Health, HCA Healthcare, and Kaiser Permanente filings.

How to Reduce Your Cost for Office visit - established patient, low complexity

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 ($103) differs from the facility rate ($67). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Medicare rates for this procedure range from $55 to $91 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.

1.30
Work RVU
0.66
Practice Expense RVU
0.11
Malpractice RVU

Payment = Total RVU () x CF ($33.40) = N/A

Consider These Alternatives

Depending on your clinical situation, these alternatives may be appropriate and could save you money.

Note: Alternative procedures may not be clinically appropriate for all patients. Always consult your physician to determine the best option for your specific situation.

Frequently Asked Questions

How much does Office visit - established patient, low complexity cost?

The Medicare facility rate for Office visit - established patient, low complexity is $67. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Office visit - established patient, low complexity cost without insurance?

Without insurance, the cost of Office visit - established patient, low complexity 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 visit - established patient, low complexity?

Most commercial health insurance plans and Medicare cover Office visit - established patient, low complexity 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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