Office Visit (Established, Moderate-High) Cost in New York
Office o/p est mod 30 min
New York Average Cost (2026)
+9.2% vs national avgAverage across 5 Medicare localities in New York
National Average
State Ranking
Cost by Region in New York
| Region | Office Rate |
|---|---|
| nyc suburbs/long island | $156.34 |
| queens | $153.94 |
| manhattan | $153.27 |
| poughkpsie/n nyc suburbs | $145.82 |
| rest of new york | $130.88 |
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About Office Visit (Established, Moderate-High) Costs in New York
The average Medicare reimbursement for office visit (established, moderate-high) in New York is $148.05 for an office setting and $91.04 in a hospital. This is about 9% higher than the national average of $135.61.
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. For this procedure in New York, that would be roughly $30 for an office visit or $18 in a hospital setting.
Private insurance plans in New York typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $192 and $296.
Without insurance, you may be able to negotiate a cash discount. Many providers in New York 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 (Established, Moderate-High)
Compare Insurance Plans
Uninsured? Comparing marketplace plans in New York 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 →