Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes
Medicare pricing data for 3,216 providers across 51 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes (HCPCS code 99341) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $47.05, but hospitals typically charge $115.25 — a 2.4x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $47.05, your out-of-pocket cost would be approximately $9.41. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.4x more than what Medicare allows for this procedure. Medicare actually pays $34.71 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $50 | $216 | 9 | 43 | +6.1% |
| Connecticut | $50 | $118 | 38 | 435 | +5.9% |
| New Jersey | $50 | $109 | 171 | 2,841 | +5.6% |
| New York | $50 | $104 | 202 | 3,426 | +5.6% |
| California | $49 | $118 | 219 | 3,915 | +5.0% |
| Maryland | $49 | $98 | 66 | 1,240 | +4.9% |
| Massachusetts | $49 | $122 | 66 | 1,104 | +3.8% |
| Washington | $48 | $121 | 96 | 1,734 | +2.1% |
| Puerto Rico | $48 | $53 | 7 | 19 | +1.8% |
| Pennsylvania | $48 | $89 | 185 | 4,377 | +1.3% |
| Vermont | $48 | $80 | 3 | 32 | +1.2% |
| Michigan | $48 | $95 | 159 | 2,567 | +1.1% |
| Maine | $47 | $84 | 11 | 194 | +0.8% |
| Minnesota | $47 | $106 | 43 | 1,617 | +0.1% |
| Illinois | $47 | $112 | 157 | 4,707 | +0.1% |
| North Dakota | $47 | $68 | 5 | 55 | -0.0% |
| Louisiana | $47 | $206 | 15 | 106 | -0.3% |
| South Dakota | $47 | $95 | 4 | 109 | -0.5% |
| Texas | $47 | $123 | 216 | 3,759 | -0.6% |
| Wyoming | $47 | $117 | 6 | 52 | -0.6% |
| Wisconsin | $47 | $92 | 47 | 2,359 | -0.7% |
| Missouri | $47 | $99 | 61 | 1,611 | -0.7% |
| Montana | $47 | $166 | 9 | 76 | -1.0% |
| New Hampshire | $46 | $73 | 11 | 411 | -1.2% |
| Ohio | $46 | $100 | 168 | 2,905 | -1.5% |
| Oregon | $46 | $137 | 21 | 239 | -1.6% |
| Virginia | $46 | $144 | 87 | 1,284 | -1.7% |
| Rhode Island | $46 | $184 | 10 | 49 | -1.8% |
| Florida | $46 | $120 | 315 | 6,473 | -1.8% |
| South Carolina | $46 | $77 | 39 | 945 | -1.8% |
| Indiana | $46 | $123 | 51 | 1,320 | -2.1% |
| Georgia | $46 | $153 | 55 | 946 | -2.3% |
| Alabama | $46 | $124 | 21 | 430 | -2.3% |
| Kentucky | $46 | $89 | 30 | 748 | -2.4% |
| Hawaii | $46 | $88 | 5 | 20 | -2.5% |
| Utah | $46 | $83 | 42 | 655 | -2.8% |
| Arkansas | $46 | $97 | 9 | 161 | -2.8% |
| Idaho | $45 | $105 | 32 | 841 | -3.4% |
| Delaware | $45 | $100 | 7 | 27 | -3.6% |
| North Carolina | $45 | $106 | 61 | 986 | -3.6% |
| Nevada | $45 | $214 | 43 | 1,197 | -3.9% |
| Kansas | $45 | $101 | 30 | 614 | -5.3% |
| Colorado | $45 | $211 | 86 | 932 | -5.4% |
| West Virginia | $44 | $172 | 10 | 51 | -5.8% |
| Iowa | $44 | $97 | 38 | 319 | -6.0% |
| Arizona | $44 | $170 | 81 | 1,162 | -6.8% |
| Oklahoma | $44 | $172 | 36 | 217 | -7.0% |
| Nebraska | $43 | $87 | 21 | 435 | -8.4% |
| Tennessee | $43 | $181 | 63 | 884 | -9.5% |
| New Mexico | $43 | $260 | 5 | 30 | -9.7% |
| Mississippi | $41 | $122 | 19 | 32 | -13.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber