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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Elizabethtown, PA: $49.36

Avg. Paid

$49.36

Range

$0.00 – $78.32

Total Claims

23,343

Providers

37

Typical Payment Range

Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.

Based on per-provider averages across all Medicaid claims in this category.

A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.

Understanding these costs

The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.

Providers Offering Office Visit in Elizabethtown, PA

Provider Avg. Paid Claims Patients
Christopher Michael Washington

432 Cloverleaf Rd

 $45.31 4,277 4,184
Andrew J Wren

1 Continental Dr

 $78.32 2,960 2,829
Lara Thompson

418 Cloverleaf Rd

 $48.42 1,561 1,449
Eric L Esch

418 Cloverleaf Rd

 $45.18 1,537 1,444
Lisa C Carlson

1 Continental Dr

 $58.28 1,449 1,405
Valerie Lou Belmont

4748 E Harrisburg Pike

 $7.17 1,406 1,222
Punitha S William

1 Continental Dr

 $68.35 1,216 1,176
Caitlin Amanda Basile

418 Cloverleaf Rd

 $45.98 1,151 1,097
Denise L Telford-Wren

1 Continental Dr

 $58.77 1,048 1,015
Scott C Conley

418 Cloverleaf Rd

 $46.14 1,011 961
John J Yoder

418 Cloverleaf Rd

 $42.46 574 563
Luna Metayer Belizaire

1 Continental Dr

 $0.00 561 546
Taylor Belser Yinger

418 Cloverleaf Rd

 $40.71 526 499
Sally L Craig

1 Continental Dr

 $41.86 501 498
Jay A. Zimmermann

1 Continental Dr

 $59.02 495 479
Kelsey O, Pappas

99 Masonic Dr

 $55.58 481 448
Richard C Yunginger

418 Cloverleaf Rd

 $46.06 461 430
Jeffrey B Rittenhouse

418 Cloverleaf Rd

 $46.87 411 387
Matthew Francis Regan

418 Cloverleaf Rd

 $53.53 264 240
Zachary David Martin

1 Continental Dr

 $36.13 189 178
Anna Catherine Catalano

418 Cloverleaf Rd

 $66.58 145 129
James P Navalkowsky

418 Cloverleaf Rd

 $33.28 141 138
Carlton Philip Baer

99 Masonic Dr Ste 101

 $58.39 132 127
Patrick Edward Gilhool

300 Maytown Rd

 $32.48 130 123
Katelyn Marie Roberts

1 Continental Dr

 $36.55 111 107
John Hoover

418 Cloverleaf Rd

 $43.85 103 99
Nikki A Devito

1 Continental Dr

 $16.04 101 88
Mary Ginder

300 Maytown Rd

 $67.03 89 80
Lancaster General Medical Group

432 Cloverleaf Rd

 $54.42 75 70
Jessica Ann Fox

432 Cloverleaf Rd

 $36.59 49 44
Alyssa Kate Anderson

1 Continental Dr

 $71.68 48 48
Neal S Harnly

418 Cloverleaf Rd

 $52.53 42 41
Glenda J Cook

418 Cloverleaf Rd

 $40.07 27 25
Sarah Anne Satriale

1 Continental Dr

 $35.24 25 25
Alice Zhang

1 Continental Dr

 $77.31 17 17
Christopher David Brabazon

300 Maytown Rd

 $67.85 15 15
Danielle Hazard

300 Continental Dr

 $30.26 14 14

What to Expect: Office Visit

A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code Description Avg. Paid Claims Providers
99213 Office visit established mod $43.18 764,306,590 487,602
99214 Office visit established mod-hi $59.53 502,480,931 466,856
99212 Office visit established low $41.69 92,299,154 127,462
99203 Office visit new moderate $67.55 47,756,882 127,334
99211 Office visit established minor $39.24 44,127,221 47,748
99204 Office visit new moderate-high $92.03 32,379,031 111,937
99215 Office visit established high $93.58 29,619,773 74,725
99202 Office visit new low $58.57 9,372,712 35,486
99205 Office visit new high $136.10 3,665,382 19,737
99244 Office consultation mod-high $118.25 3,405,681 11,884
99243 Office consultation moderate $78.55 2,585,480 8,432
99245 Office consultation high $132.29 645,300 3,046
99242 Office consultation low $58.27 483,445 1,980
99241 Office consultation brief $66.15 295,664 712

These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.

Frequently Asked Questions

How much does a Office Visit cost in Elizabethtown, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Elizabethtown, PA is $49.36 per claim, based on 23,343 claims from 37 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Office Visit in Elizabethtown, PA?

There are 37 Medicaid providers offering Office Visit related services in Elizabethtown, PA according to public payment data.

What is the price range for Office Visit in Elizabethtown, PA?

Medicaid reimbursement for Office Visit in Elizabethtown, PA ranges from $0.00 to $78.32 per claim, with an average of $49.36. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Brooklyn, NY

Avg $71.20

32,336,840 claims · 5588 providers

New York, NY

Avg $81.86

23,551,154 claims · 7530 providers

Los Angeles, CA

Avg $24.20

16,948,065 claims · 5565 providers

Chicago, IL

Avg $30.31

13,989,780 claims · 5801 providers

Bronx, NY

Avg $82.40

13,626,712 claims · 3705 providers

Phoenix, AZ

Avg $47.53

13,269,420 claims · 4233 providers

Houston, TX

Avg $48.27

8,766,644 claims · 4540 providers

Las Vegas, NV

Avg $54.47

8,578,324 claims · 3512 providers

Other Procedures in Elizabethtown, PA

Physical Therapy

Avg $14.46

9,071 claims

Speech Therapy

Avg $73.27

6,943 claims

Ambulance Transport

Avg $206.15

5,272 claims

Dental Cleaning & Exam

Avg $30.55

2,499 claims

Nursing Facility Care

Avg $7.98

1,978 claims

Blood Work & Lab Tests

Avg $5.96

358 claims

Home Health Visit

Avg $73.49

328 claims

Dental Filling

Avg $77.56

305 claims