Office Visit (New, Low) Cost in Nevada
Office o/p new low 30 min
$116.74Nevada 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
Nevada Medicare physician rate (2026)
-0.7% vs nationalSingle statewide locality.
Your ZIP in Nevada
Enter a ZIP code for your area, whether the Las Vegas Valley and Henderson, Reno-Sparks, Carson City, or rural stretches like Elko and the central basin towns.
What office visit (new, low) costs at hospitals near you
Everything above is a national average. The hospital you pick in Nevada 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 Nevada the office and hospital physician lines for this CPT differ by $46.14.
National vs Nevada
Where Nevada ranks for this CPT
Office Visit (New, Low) and how Nevada is priced
Nevada's Medicare rates flow from a single statewide locality with adjustments a little above the national midpoint, shaped mostly by Las Vegas wage and cost levels. Clark County holds nearly three quarters of the state's population, so the statewide factors largely mirror the Las Vegas economy, with Reno and the rural counties along for the ride. A procedure in Elko is approved at the same amount as one on the Strip's doorstep. The gap between that uniform pricing and Nevada's very uneven provider supply is what patients notice most.
Nevada has long ranked among the states with the fewest physicians per resident, and the shortage is sharpest in specialties, so waits and travel are common even in Las Vegas. Reno serves the north and pulls some patients from rural Nevada and eastern California. Many rural Nevadans cross into Utah, Arizona, or California for procedures, and complex cases are often referred to Los Angeles, Phoenix, or Salt Lake City.
This procedure: This is a new-patient office visit of low complexity: your first appointment with a practice in at least three years, for a problem that is relatively contained, such as a stable rash, a minor joint complaint, or a straightforward infection. The clinician takes your history, examines you, and forms a plan, typically across 30 to 44 minutes when billed by time. New-patient visits pay more than established-patient visits because building your baseline record takes longer.
What Is Office Visit (New, Low)?
This is a new-patient office visit of low complexity: your first appointment with a practice in at least three years, for a problem that is relatively contained, such as a stable rash, a minor joint complaint, or a straightforward infection. The clinician takes your history, examines you, and forms a plan, typically across 30 to 44 minutes when billed by time. New-patient visits pay more than established-patient visits because building your baseline record takes longer.
What Affects the Cost
- –New-patient codes price meaningfully above the equivalent established-patient visit, a one-time premium for joining a practice.
- –Hospital-owned practices add a facility fee to office visits that independent practices cannot, sometimes doubling the encounter cost.
- –Any labs, ECGs, or procedures done during the visit bill on top of the visit code.
- –Specialist new-patient visits at this same code level are billed at higher charge-master rates than primary care in many systems.
- –If your problem turns out more complex than expected, the visit may be coded a level higher (99204) at a higher price.
Questions to Ask Before Booking
- 1.Am I being seen as a new patient, and what is the price difference versus an established visit?
- 2.Is this practice hospital-owned, and will a facility fee be added to my visit?
- 3.What will any labs or tests today add to the bill?
- 4.If I also want my annual physical, will that be billed separately from this problem visit?
- 5.What is your self-pay price for this visit level if I have a high deductible?
Other featured procedures in Nevada
Office Visit (New, Low) in other states
Office Visit (New, Low) in Nevada: questions
Nevada is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 99203 is $116.74 in an office and $70.60 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.
Not on the physician fee schedule. Nevada 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 $23 for the office physician line or $14 for the hospital physician line in Nevada. Medigap may cover that 20%. This is not the hospital facility fee.
No. $116.74 is the Medicare physician allowed amount for CPT 99203. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Nevada ranks #33 of 51 states on this physician line (within 2% of the national office rate of $117.57).