Office Visit (Established, High) Cost in Mississippi
Office o/p est hi 40 min
$177.79Mississippi 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
Mississippi Medicare physician rate (2026)
-7.6% vs nationalSingle statewide locality.
Your ZIP in Mississippi
Run a ZIP lookup for your area, whether metro Jackson, the Gulf Coast from Biloxi to Pascagoula, Hattiesburg, Tupelo, or the rural Delta.
What office visit (established, high) costs at hospitals near you
Everything above is a national average. The hospital you pick in Mississippi 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 Mississippi the office and hospital physician lines for this CPT differ by $57.52.
National vs Mississippi
Where Mississippi ranks for this CPT
Office Visit (Established, High) and how Mississippi is priced
Mississippi operates as one statewide payment locality, and its geographic indices are among the very lowest in the fee schedule, so Medicare-approved amounts here are close to the national floor. Jackson, the Gulf Coast, and the Delta all share identical adjustments. In a state where practice costs and wages run well below national averages, the low locality factors track the underlying economics. The statewide figures on this site therefore apply almost unchanged wherever in Mississippi you are treated.
Jackson is home to the state's academic medical center and functions as the referral point of last resort for much of Mississippi, while the Gulf Coast and cities like Tupelo, Hattiesburg, and Meridian anchor regional care. The Delta faces some of the most serious rural access challenges in the nation, with hospital closures and long distances compounding high rates of chronic illness. Border residents often use Memphis, Mobile, or New Orleans providers.
This procedure: This is the highest established-patient office visit level, for encounters involving high-complexity decisions: severe worsening of a chronic illness, problems that threaten life or bodily function, or decisions about hospitalization, major surgery, or high-risk drug therapy requiring intensive monitoring. Billed by time it means 40 to 54 minutes on the visit date. It is far less common than levels three and four, appearing when something significant is genuinely happening with your health.
What Is Office Visit (Established, High)?
This is the highest established-patient office visit level, for encounters involving high-complexity decisions: severe worsening of a chronic illness, problems that threaten life or bodily function, or decisions about hospitalization, major surgery, or high-risk drug therapy requiring intensive monitoring. Billed by time it means 40 to 54 minutes on the visit date. It is far less common than levels three and four, appearing when something significant is genuinely happening with your health.
What Affects the Cost
- –It carries the highest established-visit price, and visits at this level usually sit inside expensive care episodes: imminent hospitalizations, treatment escalations, or complex disease flares.
- –The decisions made here, starting high-risk medications, ordering urgent advanced imaging, arranging admission, each open substantial separate spending.
- –Prolonged-service add-on codes attach beyond 54 minutes, extending charges.
- –Specialist and academic-center billing at this level exceeds primary care rates.
- –Facility fees apply as always in hospital-owned settings, proportionally largest on the biggest visit codes.
Questions to Ask Before Booking
- 1.What made today a level-five visit, and what is that price under my plan?
- 2.Which of the urgent next steps you are ordering need authorization, and who handles the expedited requests?
- 3.If admission is possible, does my plan require notification, and will you handle it?
- 4.Are prolonged-service charges being added for today's visit length?
- 5.Does my plan offer care management support that could cover some of this follow-up at no cost?
Other featured procedures in Mississippi
Office Visit (Established, High) in other states
Office Visit (Established, High) in Mississippi: questions
Mississippi is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 99215 is $177.79 in an office and $120.27 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.
Not on the physician fee schedule. Mississippi 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 $36 for the office physician line or $24 for the hospital physician line in Mississippi. Medigap may cover that 20%. This is not the hospital facility fee.
No. $177.79 is the Medicare physician allowed amount for CPT 99215. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Mississippi ranks #2 of 51 states on this physician line (8% below the national office rate of $192.39).