Established Patient Office Visit (level 2)

This is a short physician visit for a patient the practice already knows, covering one straightforward problem with an obvious course of action. A single uncomplicated complaint, little to weigh up, and a plan that is clear by the end of the conversation. It sits second from the bottom of the five established patient visit levels.

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What it is

What separates one office visit level from another is not how long you sat in the waiting room but how much judgment the visit required — or, if the clinician prefers, how much of their day the encounter consumed. This level describes the simplest kind of physician encounter: one minor or self-limited problem, little data to gather or interpret, and essentially no risk in the plan that follows. A rash that is plainly a rash, a medication refill that needs one question answered, a minor injury that needs looking at. History-taking and examination still happen where they are clinically appropriate, but since a 2021 overhaul of these codes they no longer drive which level is billed.

Why it is done

To address a single new, uncomplicated complaint in a patient the practice already knows
To follow up a minor problem that was expected to resolve and has
To handle a straightforward medication question in person
To review a simple test result and close the loop on it

What to expect

A visit at this level is brief and focused on one thing. You describe the problem, the clinician examines whatever is relevant, and a plan is decided without much deliberation — reassurance, a simple prescription, or a short course of treatment. The billing level is not set when the appointment is made; it is chosen afterward based on what actually happened, which is why the same twenty-minute slot can end up billed at different levels for different patients on the same day.

Questions worth asking

Is this practice hospital-owned? Provider-based clinics often add a facility charge to the same visit code, which can double what a short visit costs.
If my visit was booked for one issue and I raise a second, does that move it to a higher billed level?
Does my plan charge a flat copay for any office visit, or coinsurance based on the level billed? The answer decides whether the level matters to me at all.
Is a telehealth version of this visit billed at the same rate as an in-person one under my plan?

What Established Patient Office Visit (level 2) costs by state

Established Patient Office Visit (level 2) cost in Texas — 86 hospitals, median $195.00
Established Patient Office Visit (level 2) cost in Florida — 75 hospitals, median $440.05
Established Patient Office Visit (level 2) cost in Illinois — 48 hospitals, median $120.60
Established Patient Office Visit (level 2) cost in California — 43 hospitals, median $83.91
Established Patient Office Visit (level 2) cost in Ohio — 37 hospitals, median $114.00
Established Patient Office Visit (level 2) cost in Tennessee — 37 hospitals, median $30.36
Established Patient Office Visit (level 2) cost in Wisconsin — 32 hospitals, median $176.55
Established Patient Office Visit (level 2) cost in Iowa — 29 hospitals, median $83.20
Established Patient Office Visit (level 2) cost in Pennsylvania — 28 hospitals, median $174.00
Established Patient Office Visit (level 2) cost in Washington — 26 hospitals, median $138.59
Established Patient Office Visit (level 2) cost in Georgia — 25 hospitals, median $127.53
Established Patient Office Visit (level 2) cost in New Jersey — 22 hospitals, median $96.62
Established Patient Office Visit (level 2) cost in New York — 22 hospitals, median $256.59
Established Patient Office Visit (level 2) cost in Virginia — 22 hospitals, median $156.60
Established Patient Office Visit (level 2) cost in Michigan — 20 hospitals, median $44.49
Established Patient Office Visit (level 2) cost in Arizona — 19 hospitals, median $531.40
Established Patient Office Visit (level 2) cost in Indiana — 19 hospitals, median $250.80
Established Patient Office Visit (level 2) cost in Minnesota — 19 hospitals, median $126.40
Established Patient Office Visit (level 2) cost in Missouri — 19 hospitals, median $111.80
Established Patient Office Visit (level 2) cost in Oklahoma — 18 hospitals, median $136.50
Established Patient Office Visit (level 2) cost in West Virginia — 17 hospitals, median $79.50
Established Patient Office Visit (level 2) cost in Kentucky — 15 hospitals, median $165.60
Established Patient Office Visit (level 2) cost in North Carolina — 14 hospitals, median $252.26
Established Patient Office Visit (level 2) cost in Nebraska — 13 hospitals, median $131.14
Established Patient Office Visit (level 2) cost in Kansas — 11 hospitals, median $152.80
Established Patient Office Visit (level 2) cost in Oregon — 11 hospitals, median $100.50
Established Patient Office Visit (level 2) cost in South Carolina — 11 hospitals, median $137.00
Established Patient Office Visit (level 2) cost in Arkansas — 10 hospitals, median $142.35
Established Patient Office Visit (level 2) cost in Colorado — 10 hospitals, median $411.82
Established Patient Office Visit (level 2) cost in Mississippi — 10 hospitals, median $170.60
Established Patient Office Visit (level 2) cost in Maine — 7 hospitals, median $286.10
Established Patient Office Visit (level 2) cost in South Dakota — 6 hospitals, median $125.60
Established Patient Office Visit (level 2) cost in Alaska — 4 hospitals, median $441.48
Established Patient Office Visit (level 2) cost in Wyoming — 4 hospitals, median $301.61
Established Patient Office Visit (level 2) cost in Nevada — 3 hospitals, median $90.58
Established Patient Office Visit (level 2) cost in Hawaii — 2 hospitals, median $26.24
Established Patient Office Visit (level 2) cost in Louisiana — 2 hospitals, median $230.10
Established Patient Office Visit (level 2) cost in Montana — 2 hospitals, median $82.40
Established Patient Office Visit (level 2) cost in North Dakota — 2 hospitals, median $167.20
Established Patient Office Visit (level 2) cost in Maryland — 1 hospitals, median $87.60
Established Patient Office Visit (level 2) cost in New Hampshire — 1 hospitals, median $202.55

Established Patient Office Visit (level 2) prices at hospitals

See every published price for Established Patient Office Visit (level 2): the full national range, the state and hospital breakdowns, and which hospitals charge the least.

Established Patient Office Visit (level 2) cost — see all prices →

Sources

CMS (Centers for Medicare & Medicaid Services): Evaluation & Management Services (opens in a new tab, leaves healthcosts.net)

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