Office Visit (New, Moderate-High) Cost in New Jersey
Office o/p new mod 45 min
New Jersey Average Cost (2026)
+8.8% vs national avgAverage across 2 Medicare localities in New Jersey
National Average
State Ranking
Cost by Region in New Jersey
| Region | Office Rate |
|---|---|
| northern nj | $196.57 |
| rest of new jersey | $189.20 |
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About Office Visit (New, Moderate-High) Costs in New Jersey
The average Medicare reimbursement for office visit (new, moderate-high) in New Jersey is $192.89 for an office setting and $124.82 in a hospital. This is about 9% 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 New Jersey, that would be roughly $39 for an office visit or $25 in a hospital setting.
Private insurance plans in New Jersey typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $251 and $386.
Without insurance, you may be able to negotiate a cash discount. Many providers in New Jersey 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 New Jersey 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 New Jersey
Office Visit (New, Moderate-High) Cost by State
Office Visit (New, Moderate-High) in New Jersey: Frequently Asked Questions
How much does office visit (new, moderate-high) cost in New Jersey?
The average 2026 Medicare rate for office visit (new, moderate-high) (CPT 99204) in New Jersey is $192.89 in an office setting and $124.82 in a hospital. Private insurance typically pays $251 to $386, and self-pay cash prices often run $154 to $289.
Is office visit (new, moderate-high) cheaper in New Jersey than the national average?
New Jersey is about 9% higher than the national average of $177.36. Across all states, New Jersey ranks #46 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 New Jersey with Medicare?
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. In New Jersey that is roughly $39 for an office visit or $25 in a hospital setting.
How can I save on office visit (new, moderate-high) in New Jersey?
Ask providers for a cash or self-pay price before scheduling; many in New Jersey 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.