Office Visit (New, Moderate-High) Cost in Texas
Office o/p new mod 45 min
Texas Average Cost (2026)
-0.8% vs national avgAverage across 8 Medicare localities in Texas
National Average
State Ranking
Cost by Region in Texas
| Region | Office Rate |
|---|---|
| austin | $181.40 |
| houston | $180.49 |
| dallas | $176.67 |
| galveston | $176.10 |
| fort worth | $175.95 |
| brazoria | $175.55 |
| rest of texas | $172.37 |
| beaumont | $169.36 |
Get exact pricing for your ZIP code
Enter your ZIP code to see costs adjusted for your specific locality within Texas
About Office Visit (New, Moderate-High) Costs in Texas
The average Medicare reimbursement for office visit (new, moderate-high) in Texas is $175.99 for an office setting and $116.47 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 Texas, that would be roughly $35 for an office visit or $23 in a hospital setting.
Private insurance plans in Texas typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $229 and $352.
Without insurance, you may be able to negotiate a cash discount. Many providers in Texas 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 Texas 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 Texas
Office Visit (New, Moderate-High) Cost by State
Office Visit (New, Moderate-High) in Texas: Frequently Asked Questions
How much does office visit (new, moderate-high) cost in Texas?
The average 2026 Medicare rate for office visit (new, moderate-high) (CPT 99204) in Texas is $175.99 in an office setting and $116.47 in a hospital. Private insurance typically pays $229 to $352, and self-pay cash prices often run $141 to $264.
Is office visit (new, moderate-high) cheaper in Texas than the national average?
Texas is close to the national average of $177.36. Across all states, Texas ranks #30 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 Texas with Medicare?
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. In Texas that is roughly $35 for an office visit or $23 in a hospital setting.
How can I save on office visit (new, moderate-high) in Texas?
Ask providers for a cash or self-pay price before scheduling; many in Texas 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.