Office Visit (New, Moderate-High) Cost in Georgia
Office o/p new mod 45 min
Georgia Average Cost (2026)
-1.2% vs national avgAverage across 2 Medicare localities in Georgia
National Average
State Ranking
Cost by Region in Georgia
| Region | Office Rate |
|---|---|
| atlanta | $180.55 |
| rest of georgia | $169.99 |
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About Office Visit (New, Moderate-High) Costs in Georgia
The average Medicare reimbursement for office visit (new, moderate-high) in Georgia is $175.27 for an office setting and $117.60 in a hospital. This is close to the national average of $177.36.
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. For this procedure in Georgia, that would be roughly $35 for an office visit or $24 in a hospital setting.
Private insurance plans in Georgia typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $228 and $351.
Without insurance, you may be able to negotiate a cash discount. Many providers in Georgia 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 Georgia 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 →Other Procedures in Georgia
Office Visit (New, Moderate-High) Cost by State
Office Visit (New, Moderate-High) in Georgia: Frequently Asked Questions
How much does office visit (new, moderate-high) cost in Georgia?
The average 2026 Medicare rate for office visit (new, moderate-high) (CPT 99204) in Georgia is $175.27 in an office setting and $117.60 in a hospital. Private insurance typically pays $228 to $351, and self-pay cash prices often run $140 to $263.
Is office visit (new, moderate-high) cheaper in Georgia than the national average?
Georgia is close to the national average of $177.36. Across all states, Georgia ranks #26 of 49 for this procedure. The cheapest state is Arkansas ($161.84) and the most expensive is Alaska ($222.54).
What will I pay out of pocket for office visit (new, moderate-high) in Georgia with Medicare?
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. In Georgia that is roughly $35 for an office visit or $24 in a hospital setting.
How can I save on office visit (new, moderate-high) in Georgia?
Ask providers for a cash or self-pay price before scheduling; many in Georgia reduce fees 20% to 40% for self-pay patients. If you are uninsured, comparing marketplace plans, using telehealth for consultations, and checking prescription discount cards can cut costs further.