Office Visit (New, Moderate-High) Cost in Pennsylvania
Office o/p new mod 45 min
Pennsylvania Average Cost (2026)
-0.2% vs national avgAverage across 2 Medicare localities in Pennsylvania
National Average
State Ranking
Cost by Region in Pennsylvania
| Region | Office Rate |
|---|---|
| metropolitan philadelphia | $183.85 |
| rest of pennsylvania | $170.15 |
Get exact pricing for your ZIP code
Enter your ZIP code to see costs adjusted for your specific locality within Pennsylvania
About Office Visit (New, Moderate-High) Costs in Pennsylvania
The average Medicare reimbursement for office visit (new, moderate-high) in Pennsylvania is $177.00 for an office setting and $117.79 in a hospital. This is close to the national average of $177.36.
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. For this procedure in Pennsylvania, that would be roughly $35 for an office visit or $24 in a hospital setting.
Private insurance plans in Pennsylvania typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $230 and $354.
Without insurance, you may be able to negotiate a cash discount. Many providers in Pennsylvania 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 Pennsylvania 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 →