Office Visit (Established, Moderate) Cost in Arkansas
Office o/p est low 20 min
$86.86Arkansas physician fee2026 Medicare office rate- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
Arkansas Medicare physician rate (2026)
-8.8% vs nationalSingle statewide locality.
Your ZIP in Arkansas
Try a ZIP lookup to see rates for your corner of Arkansas, whether around Little Rock, the fast-growing Fayetteville and Springdale corridor, Fort Smith, Jonesboro, or the rural Delta.
What office visit (established, moderate) costs at hospitals near you
Everything above is a national average. The hospital you pick in Arkansas moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
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. In Arkansas the office and hospital physician lines for this CPT differ by $32.42.
National vs Arkansas
Where Arkansas ranks for this CPT
Office Visit (Established, Moderate) and how Arkansas is priced
One payment locality covers the whole of Arkansas, and its geographic indices are among the lowest CMS publishes, so Medicare-approved amounts here sit near the bottom of the national range. A clinic visit in Little Rock is priced with the same adjustments as one in the Delta or the Ozarks. For consumers this means the statewide numbers on this site are a close match for almost any Arkansas address. The bigger price swings come from whether a procedure is billed in a hospital department or an independent office.
Little Rock is the state's referral hub, home to its academic medical center and the densest concentration of specialists, with Northwest Arkansas growing quickly as a second center of care. Large parts of the Delta and the mountain counties have limited local options, so traveling for procedures is routine. Lower area wages also mean cash prices for care in Arkansas often undercut national averages.
This procedure: This is the routine follow-up appointment of American medicine: an established-patient office visit of low-to-moderate complexity, such as a blood pressure check with a medication refill, a stable chronic condition review, or a minor new complaint. Billed by time it covers 20 to 29 minutes on the visit date. It is among the most frequently billed codes in the entire healthcare system, the standard quick-but-real doctor visit.
What Is Office Visit (Established, Moderate)?
This is the routine follow-up appointment of American medicine: an established-patient office visit of low-to-moderate complexity, such as a blood pressure check with a medication refill, a stable chronic condition review, or a minor new complaint. Billed by time it covers 20 to 29 minutes on the visit date. It is among the most frequently billed codes in the entire healthcare system, the standard quick-but-real doctor visit.
What Affects the Cost
- –Established-patient status keeps the price below any new-patient visit; this level is typically the cheapest substantive visit on a fee schedule after the minimal 99212.
- –Hospital-owned clinics attach facility fees that can exceed the visit fee itself, turning a modest checkup into a two-part bill.
- –In-visit extras like rapid tests, ECGs, or injections each bill on top.
- –Chronic disease management means this visit recurs several times a year indefinitely, so its price is a recurring subscription in practice.
- –Telehealth versions bill the same code, sometimes with different plan cost sharing than in-person.
Questions to Ask Before Booking
- 1.What is my copay or the negotiated rate for a level-three established visit here?
- 2.Will anything done today, tests or injections, be billed on top of the visit?
- 3.Does this clinic charge a facility fee on office visits?
- 4.How many follow-ups per year should I expect for my condition, and can any be telehealth?
- 5.Is a telehealth visit cheaper under my plan than coming in?
Other featured procedures in Arkansas
Office Visit (Established, Moderate) in other states
Office Visit (Established, Moderate) in Arkansas: questions
Arkansas is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 99213 is $86.86 in an office and $54.44 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.
Not on the physician fee schedule. Arkansas uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $17 for the office physician line or $11 for the hospital physician line in Arkansas. Medigap may cover that 20%. This is not the hospital facility fee.
No. $86.86 is the Medicare physician allowed amount for CPT 99213. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Arkansas ranks #1 of 51 states on this physician line (9% below the national office rate of $95.19).