Office Visit (New, Moderate-High) Cost in North Carolina
Office o/p new mod 45 min
North Carolina Average Cost (2026)
-4.7% vs national avgAverage across 1 Medicare locality in North Carolina
National Average
State Ranking
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About Office Visit (New, Moderate-High) Costs in North Carolina
The average Medicare reimbursement for office visit (new, moderate-high) in North Carolina is $168.94 for an office setting and $112.53 in a hospital. This is about 5% lower than the national average of $177.36.
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. For this procedure in North Carolina, that would be roughly $34 for an office visit or $23 in a hospital setting.
Private insurance plans in North Carolina typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $220 and $338.
Without insurance, you may be able to negotiate a cash discount. Many providers in North Carolina 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 North Carolina 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 North Carolina
Office Visit (New, Moderate-High) Cost by State
Office Visit (New, Moderate-High) in North Carolina: Frequently Asked Questions
How much does office visit (new, moderate-high) cost in North Carolina?
The average 2026 Medicare rate for office visit (new, moderate-high) (CPT 99204) in North Carolina is $168.94 in an office setting and $112.53 in a hospital. Private insurance typically pays $220 to $338, and self-pay cash prices often run $135 to $253.
Is office visit (new, moderate-high) cheaper in North Carolina than the national average?
North Carolina is about 5% lower than the national average of $177.36. Across all states, North Carolina ranks #12 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 North Carolina with Medicare?
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. In North Carolina that is roughly $34 for an office visit or $23 in a hospital setting.
How can I save on office visit (new, moderate-high) in North Carolina?
Ask providers for a cash or self-pay price before scheduling; many in North Carolina 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.