New Patient Office Visit (level 2)

This is a first appointment at a practice for one straightforward problem — a rash, a cough, a single question with a clear answer. It is the lowest of the new patient office visit levels in ordinary use. Being a new patient is what separates it from a follow-up visit of similar simplicity, and it is priced higher for that reason.

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What it is

Somebody walks into a practice they have never used before with one thing wrong, and it turns out to be simple. That is the visit this code describes. "New patient" is not a figure of speech here — it means the practice has no recent history with you, so the clinician is starting from nothing: taking a history for the first time, entering it, and building the chart that every later visit will lean on. That groundwork is why every new patient level is paid more than the equivalent follow-up visit. This particular level is the one used when the medical decision-making turns out to be straightforward: one problem, little to weigh, little that can go wrong.

Why it is done

To see a doctor at a new practice about a single minor complaint
To establish care somewhere new when nothing much is wrong at the time
For a problem that needs a clinician to look at it, but not to deliberate over it — a simple infection, a minor injury, a straightforward rash

What to expect

Expect paperwork before the appointment: medical history, medications, allergies, past surgery, family history, insurance. The clinical part is usually short — the complaint is discussed, the relevant part of the body is examined, and a plan is given. What makes the visit feel longer than its level suggests is the administrative side, not the medicine. The level billed is decided afterwards, from what the clinician documents about the complexity of the decisions or the total time spent on your care that day.

Questions worth asking

Is this clinic owned by a hospital system? A hospital-owned practice can add a facility fee to the physician charge for exactly the same visit.
Does my plan apply a flat copay to office visits, or does the visit go against my deductible first?
If I have already been seen by another clinician in this same practice and specialty recently, should I be billed as a new patient at all?
Does the practice charge separately for completing forms, letters, or records requests generated at this visit?

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

New Patient Office Visit (level 2) cost in Texas — 85 hospitals, median $209.00
New Patient Office Visit (level 2) cost in Florida — 74 hospitals, median $402.91
New Patient Office Visit (level 2) cost in Illinois — 47 hospitals, median $144.60
New Patient Office Visit (level 2) cost in California — 45 hospitals, median $104.55
New Patient Office Visit (level 2) cost in Tennessee — 34 hospitals, median $49.50
New Patient Office Visit (level 2) cost in Ohio — 31 hospitals, median $105.00
New Patient Office Visit (level 2) cost in Wisconsin — 29 hospitals, median $177.50
New Patient Office Visit (level 2) cost in Iowa — 27 hospitals, median $133.60
New Patient Office Visit (level 2) cost in Virginia — 27 hospitals, median $151.50
New Patient Office Visit (level 2) cost in Pennsylvania — 25 hospitals, median $214.80
New Patient Office Visit (level 2) cost in Washington — 23 hospitals, median $116.12
New Patient Office Visit (level 2) cost in New Jersey — 22 hospitals, median $81.24
New Patient Office Visit (level 2) cost in New York — 22 hospitals, median $307.90
New Patient Office Visit (level 2) cost in Michigan — 20 hospitals, median $58.54
New Patient Office Visit (level 2) cost in Arizona — 19 hospitals, median $1,066.42
New Patient Office Visit (level 2) cost in Indiana — 19 hospitals, median $294.60
New Patient Office Visit (level 2) cost in Missouri — 19 hospitals, median $107.25
New Patient Office Visit (level 2) cost in Oklahoma — 18 hospitals, median $146.90
New Patient Office Visit (level 2) cost in West Virginia — 17 hospitals, median $84.00
New Patient Office Visit (level 2) cost in Kentucky — 14 hospitals, median $165.60
New Patient Office Visit (level 2) cost in North Carolina — 14 hospitals, median $266.18
New Patient Office Visit (level 2) cost in Nebraska — 13 hospitals, median $194.88
New Patient Office Visit (level 2) cost in Georgia — 11 hospitals, median $529.00
New Patient Office Visit (level 2) cost in Kansas — 11 hospitals, median $656.67
New Patient Office Visit (level 2) cost in South Carolina — 11 hospitals, median $161.00
New Patient Office Visit (level 2) cost in Arkansas — 10 hospitals, median $133.90
New Patient Office Visit (level 2) cost in Colorado — 10 hospitals, median $411.82
New Patient Office Visit (level 2) cost in Mississippi — 10 hospitals, median $77.76
New Patient Office Visit (level 2) cost in Oregon — 9 hospitals, median $134.25
New Patient Office Visit (level 2) cost in Maine — 7 hospitals, median $310.90
New Patient Office Visit (level 2) cost in Minnesota — 6 hospitals, median $141.60
New Patient Office Visit (level 2) cost in Alaska — 4 hospitals, median $195.78
New Patient Office Visit (level 2) cost in South Dakota — 4 hospitals, median $145.60
New Patient Office Visit (level 2) cost in Wyoming — 4 hospitals, median $591.53
New Patient Office Visit (level 2) cost in Nevada — 3 hospitals, median $90.58
New Patient Office Visit (level 2) cost in Hawaii — 2 hospitals, median $30.08
New Patient Office Visit (level 2) cost in Louisiana — 2 hospitals, median $133.12
New Patient Office Visit (level 2) cost in Montana — 2 hospitals, median $107.20
New Patient Office Visit (level 2) cost in North Dakota — 2 hospitals, median $148.00
New Patient Office Visit (level 2) cost in Maryland — 1 hospitals, median $87.60
New Patient Office Visit (level 2) cost in New Hampshire — 1 hospitals, median $297.70

New Patient Office Visit (level 2) prices at hospitals

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

New 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)
Medicare.gov: Doctor & other health care provider services (opens in a new tab, leaves healthcosts.net)

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