Office Visit (New, Moderate-High) Cost in California
Office o/p new mod 45 min
California Average Cost (2026)
+8.2% vs national avgAverage across 29 Medicare localities in California
National Average
State Ranking
Cost by Region in California
| Region | Office Rate |
|---|---|
| san jose-sunnyvale-santa clara (san benito cnty) | $219.66 |
| san jose-sunnyvale-santa clara (santa clara cnty) | $218.54 |
| san francisco-oakland-berkeley (marin cnty) | $215.10 |
| san francisco-oakland-berkeley (san francisco/san mateo/alameda/contra costa cnty) | $214.82 |
| napa | $205.12 |
| vallejo | $204.73 |
| santa rosa-petaluma | $195.05 |
| los angeles-long beach-anaheim (los angeles/orange cnty) | $193.32 |
| santa cruz-watsonville | $193.20 |
| san diego-chula vista-carlsbad | $192.46 |
| oxnard-thousand oaks-ventura | $191.78 |
| sacramento-roseville-folsom | $190.21 |
| santa maria-santa barbara | $189.77 |
| salinas | $189.45 |
| san luis obispo-paso robles | $186.58 |
| riverside-san bernardino-ontario | $185.66 |
| bakersfield | $183.79 |
| el centro | $183.08 |
| chico | $183.04 |
| fresno | $183.04 |
| hanford-corcoran | $183.04 |
| madera | $183.04 |
| merced | $183.04 |
| modesto | $183.04 |
| redding | $183.04 |
| stockton | $183.04 |
| visalia | $183.04 |
| yuba city | $183.04 |
| rest of california | $183.04 |
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About Office Visit (New, Moderate-High) Costs in California
The average Medicare reimbursement for office visit (new, moderate-high) in California is $191.92 for an office setting and $120.39 in a hospital. This is about 8% higher than the national average of $177.36.
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. For this procedure in California, that would be roughly $38 for an office visit or $24 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 $249 and $384.
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, Moderate-High)
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 →