Office Visit (New, Low) Cost in California

Office o/p new low 30 min

CPT 99203

California Average Cost (2026)

+8.7% vs national avg

Average across 29 Medicare localities in California

California (Office)
$127.81
Non-facility rate
California (Hospital)
$73.27
Facility rate
Private Insurance Est.
$166 - $256
130-200% of Medicare
Self-Pay / Cash Est.
$102 - $192
80-150% of Medicare

National Average

Office Rate$117.57
Hospital Rate$71.48

State Ranking

California rank#45 of 49 (most expensive)
Cheapest stateArkansas ($106.69)
Most expensiveAlaska ($145.71)

Cost by Region in California

RegionOffice Rate
san jose-sunnyvale-santa clara (san benito cnty)$146.95
san jose-sunnyvale-santa clara (santa clara cnty)$146.21
san francisco-oakland-berkeley (marin cnty)$143.86
san francisco-oakland-berkeley (san francisco/san mateo/alameda/contra costa cnty)$143.68
napa$137.00
vallejo$136.74
santa rosa-petaluma$130.10
santa cruz-watsonville$128.85
los angeles-long beach-anaheim (los angeles/orange cnty)$128.72
san diego-chula vista-carlsbad$128.25
oxnard-thousand oaks-ventura$127.75
sacramento-roseville-folsom$126.60
santa maria-santa barbara$126.35
salinas$126.10
san luis obispo-paso robles$124.17
riverside-san bernardino-ontario$123.39
bakersfield$122.14
el centro$121.67
chico$121.64
fresno$121.64
hanford-corcoran$121.64
madera$121.64
merced$121.64
modesto$121.64
redding$121.64
stockton$121.64
visalia$121.64
yuba city$121.64
rest of california$121.64

Get exact pricing for your ZIP code

Enter your ZIP code to see costs adjusted for your specific locality within California

About Office Visit (New, Low) Costs in California

The average Medicare reimbursement for office visit (new, low) in California is $127.81 for an office setting and $73.27 in a hospital. This is about 9% higher than the national average of $117.57.

Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. For this procedure in California, that would be roughly $26 for an office visit or $15 in a hospital setting.

Private insurance plans in California typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $166 and $256.

Without insurance, you may be able to negotiate a cash discount. Many providers in California will reduce their fees by 20% to 40% for self-pay patients. Always ask about cash pricing before scheduling your procedure.

Ways to Save on Office Visit (New, Low)

Compare Insurance Plans

Uninsured? Comparing marketplace plans in California could save you thousands on procedures like this.

Compare plans on eHealth

Try Telehealth First

Many consultations can be done virtually for $50-100, saving hundreds vs an in-person visit.

Book on Sesame Care

Save on Prescriptions

If this procedure leads to a prescription, check discount cards for up to 80% savings.

Check prices on GoodRx

Some links are affiliate links. We may earn a commission at no extra cost to you.

More ways to save →
Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts and may not reflect actual charges. Private insurance and self-pay estimates are approximations based on industry averages.