CPT99203

Office Visit (New, Low) Cost

Office o/p new low 30 min

$117.57Medicare physician fee2026 national office rate
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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National Medicare physician rate (2026)

Medicare (Hospital)
$71.48
Facility physician fee
Private plan est.
$153–$235
~130–200% of Medicare
Cash / self-pay est.
$94–$176
~80–150% of Medicare

Get the rate for your ZIP

CMS adjusts this CPT by locality. A five-digit ZIP is enough — no account, no insurance card.

What office visit (new, low) costs at hospitals near you

Everything above is a national average. The hospital you pick in your area moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. For this code the office and hospital physician lines differ by $46.09.

How CMS prices CPT 99203

CMS descriptionOffice o/p new low 30 min
Work RVU1.60
Practice expense RVU (office)1.76
Practice expense RVU (hospital)0.38
Malpractice RVU0.16
Conversion factor$33.4009

Work is about 45% of the office total RVU; practice expense is about 50%. Localities with a high PE GPCI move this code more when practice expense is a large share.

Office vs hospital for this code

Office (non-facility) physician rate: $117.57. Hospital (facility) physician rate: $71.48.

Medicare patients typically owe 20% of the allowed amount after the Part B deductible — about $24 for the office physician fee, before any Medigap coverage. That coinsurance does not include a hospital facility fee.

Labeled private-plan and cash ranges on this page are arithmetic multiples of Medicare, not negotiated quotes. Ask the billing office for the CPT code, the site of service, and a good-faith estimate.

What Is Office Visit (New, Low)?

This is a new-patient office visit of low complexity: your first appointment with a practice in at least three years, for a problem that is relatively contained, such as a stable rash, a minor joint complaint, or a straightforward infection. The clinician takes your history, examines you, and forms a plan, typically across 30 to 44 minutes when billed by time. New-patient visits pay more than established-patient visits because building your baseline record takes longer.

What Affects the Cost

  • New-patient codes price meaningfully above the equivalent established-patient visit, a one-time premium for joining a practice.
  • Hospital-owned practices add a facility fee to office visits that independent practices cannot, sometimes doubling the encounter cost.
  • Any labs, ECGs, or procedures done during the visit bill on top of the visit code.
  • Specialist new-patient visits at this same code level are billed at higher charge-master rates than primary care in many systems.
  • If your problem turns out more complex than expected, the visit may be coded a level higher (99204) at a higher price.

How It Is Billed

CPT 99203 is selected by either total time on the date of the visit (30 to 44 minutes) or low-complexity medical decision making, and it requires that no one in the same practice and specialty saw you in the past three years, otherwise established-patient codes apply. Vaccines, tests, and minor procedures during the visit bill separately. A visit dedicated to a problem cannot be a free preventive physical; those are different codes with different coverage.

Insurance & Coverage Notes

Problem-focused new-patient visits are covered under standard office visit benefits: a copay on many plans, or the full negotiated rate against your deductible on high-deductible plans. This is not a preventive visit, so the ACA free-physical benefit does not apply even if it is your first appointment. If you combine a first physical with a new problem, practices may legitimately bill both a preventive and a problem visit the same day, producing a copay you did not expect.

Questions to Ask Before Booking

  • 1.Am I being seen as a new patient, and what is the price difference versus an established visit?
  • 2.Is this practice hospital-owned, and will a facility fee be added to my visit?
  • 3.What will any labs or tests today add to the bill?
  • 4.If I also want my annual physical, will that be billed separately from this problem visit?
  • 5.What is your self-pay price for this visit level if I have a high deductible?

Office Visit (New, Low) (CPT 99203): questions

The 2026 national Medicare physician rate for CPT 99203 is $117.57 in an office and $71.48 in a hospital. Enter a ZIP code to apply the geographic adjustment for your locality.

Medicare uses a different practice-expense RVU in a facility. For CPT 99203 that produces an office rate of $117.57 and a hospital physician rate of $71.48 (a $46.09 gap). The hospital’s own facility charge is extra and often larger than this entire physician line.

This is a new-patient office visit of low complexity: your first appointment with a practice in at least three years, for a problem that is relatively contained, such as a stable rash, a minor joint complaint, or a straightforward infection. The clinician takes your history, examines you, and forms a plan, typically across 30 to 44 minutes when billed by time. New-patient visits pay more than established-patient visits because building your baseline record takes longer. CMS bills it as “Office o/p new low 30 min.”

No. $117.57 is the physician allowed amount. Anesthesia, facility fees, implants, imaging interpretation billed under a different code, and pathology are separate when they apply. Private-plan allowed amounts are often higher than Medicare; your deductible and coinsurance still apply.

For cash-pay surgery shopping, use this CPT as the Medicare floor when you compare written quotes. How cash-price shopping works.

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.