CPT99214

Office Visit (Established, Moderate-High) Cost in New York

Office o/p est mod 30 min

$148.05New York physician fee2026 Medicare office rate
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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New York Medicare physician rate (2026)

+9.2% vs national

Average of 5 localities. Office range $130.88–$156.34.

New York (Hospital)
$91.04
Facility physician fee
Private plan est.
$192–$296
~130–200% of Medicare
Cash / self-pay est.
$118–$222
~80–150% of Medicare

Your ZIP in New York

New York's multiple localities make a ZIP-level check essential: compare Manhattan, Queens and the outer boroughs, Long Island, the Hudson Valley near Poughkeepsie, and upstate cities like Buffalo, Rochester, Syracuse, and Albany.

What office visit (established, moderate-high) costs at hospitals near you

Everything above is a national average. The hospital you pick in New York moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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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 New York the office and hospital physician lines for this CPT differ by $57.01.

National vs New York

National office$135.61
National hospital (physician)$84.50
New York vs national9% above the national office rate of $135.61

Where New York ranks for this CPT

Rank (lowest physician fee first)#49 of 51
Lowest stateArkansas ($123.92)
Highest stateAlaska ($169.92)

CPT 99214 by New York locality

LocalityOffice
nyc suburbs/long island$156.34
queens$153.94
manhattan$153.27
poughkpsie/n nyc suburbs$145.82
rest of new york$130.88

PE GPCI ranges from 0.950 to 1.189 in New York. That index is why the same CPT is not one price statewide.

Office Visit (Established, Moderate-High) and how New York is priced

New York has one of the most complex locality maps in the country, with around five payment areas: Manhattan is its own locality, Queens is separately priced, the NYC suburbs and Long Island form another high-cost locality, the Poughkeepsie area has its own, and the rest of the state, including Buffalo, Rochester, Syracuse, and Albany, shares a distinctly lower-priced upstate locality. The spread between Manhattan and upstate adjustments is among the widest within any state. A knee MRI or office visit is approved at meaningfully different amounts in Manhattan, Mineola, and Rochester. Upstate New York prices closer to the Midwest than to the five boroughs.

New York City is a global medical capital with world-famous academic medical centers competing within blocks of each other, while upstate cities each center on their own regional academic hubs. Long Island and the lower Hudson Valley support dense suburban hospital markets of their own. The upstate-downstate divide runs through everything in New York health care, including what providers charge and what patients can access locally.

This procedure: This is an established-patient office visit of moderate complexity, a step above the routine check-in: managing multiple chronic conditions at once, adjusting medications with real risk, or evaluating a new problem that needs a workup. Billed by time it represents 30 to 39 minutes on the visit date. Over the last decade it has overtaken the level-three visit as the most common established-patient code in primary care, reflecting more complex visits and better documentation.

What Is Office Visit (Established, Moderate-High)?

This is an established-patient office visit of moderate complexity, a step above the routine check-in: managing multiple chronic conditions at once, adjusting medications with real risk, or evaluating a new problem that needs a workup. Billed by time it represents 30 to 39 minutes on the visit date. Over the last decade it has overtaken the level-three visit as the most common established-patient code in primary care, reflecting more complex visits and better documentation.

What Affects the Cost

  • It reimburses meaningfully more than 99213, and which of the two your visit becomes depends on documented complexity you cannot see from the waiting room.
  • Multi-condition patients land here repeatedly through the year, compounding the higher per-visit rate.
  • Facility fees at hospital-owned practices add a second charge to every visit at any level.
  • In-office tests, injections, or procedures stack as separate lines.
  • Specialist follow-ups at this level are priced above primary care equivalents in most charge masters.

Questions to Ask Before Booking

  • 1.What determines whether my visit bills as level three or four, and what is the price difference for me?
  • 2.During my deductible phase, what is the negotiated rate for this level here?
  • 3.Will medication changes today push the visit to a higher level?
  • 4.Are any of today's services billed separately from the visit code?
  • 5.Can complex medication reviews be split across telehealth check-ins at lower cost?

Office Visit (Established, Moderate-High) in New York: questions

The 2026 Medicare physician office rate for CPT 99214 averages $148.05 across 5 New York localities, from $130.88 in REST OF NEW YORK to $156.34 in NYC SUBURBS/LONG ISLAND. The hospital physician rate averages $91.04. Enter a ZIP for the exact locality.

Yes. CMS splits New York into 5 payment localities. For this CPT the office physician fee spans $25.46 from the lowest to highest locality. New York's multiple localities make a ZIP-level check essential: compare Manhattan, Queens and the outer boroughs, Long Island, the Hudson Valley near Poughkeepsie, and upstate cities like Buffalo, Rochester, Syracuse, and Albany.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $30 for the office physician line or $18 for the hospital physician line in New York. Medigap may cover that 20%. This is not the hospital facility fee.

No. $148.05 is the Medicare physician allowed amount for CPT 99214. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. New York ranks #49 of 51 states on this physician line (9% above the national office rate of $135.61).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.