Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Price, UT: $68.81

Avg. Paid

$68.81

Range

$0.49 – $537.81

Total Claims

111,103

Providers

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 Price, UT

Provider	Avg. Paid	Claims	Patients
Shane D Gagon 377 N Fairgrounds Rd	$73.12	20,404	17,507
Four Corners Community Behavioral Health, Inc. 690 E Main St	$92.46	13,426	9,336
Shane D Gagon Md, Pc 377 No. Fairgrounds Rd.	$64.71	9,570	8,423
Connie Kim Quinton 590 E 100 N Ste 6	$65.11	7,453	6,092
Edward K Madsen 590 E 100 N	$64.34	5,758	4,416
Eugene Douglas Larsen 280 N Hospital Dr Ste 4	$28.20	5,250	4,440
Matthew Frank Brady 92 N 400 E	$66.89	4,331	3,754
Castleview Physician Practice, Llc 317 East 100 North	$64.69	3,258	2,974
Sterling Glade Potter 945 W Hospital Dr	$54.94	3,161	2,466
Cameron Seymour Williams 300 N Hospital Dr	$0.49	2,937	2,325
Douglas Wilford Perkins 300 N Hospital Dr	$2.19	2,852	2,293
Danielle Howa Pendergrass 77 S 600 E	$73.36	2,846	2,531
Daniel Charles Monahan 230 N Hospital Dr	$56.66	2,698	2,423
Four Corners Community Behavioral Health, Inc. 690 E Main St	$139.77	2,642	2,044
Sabrina K. Carter 23 S Carbon Ave Ste 19	$109.54	2,207	2,122
Castleview Physician Practice, Llc 945 W Hospital Dr	$48.65	1,992	1,686
Russell Ogden Beecher 335 N Fairgrounds Rd	$51.82	1,899	1,691
Castleview Physician Practices, Llc 280 N Hospital Dr	$61.60	1,742	1,599
Eastern Utah Pain 230 N Hospital Dr	$60.29	1,728	1,648
Scott C Justesen 945 W Hospital Dr Ste 7	$65.21	1,573	1,311
Carbon Medical Service Association Incorporated 92 N 400 E Ste 1	$122.03	1,332	1,144
David C Bradshaw 280 N Hospital Dr Ste 2	$56.77	1,287	1,121
Kelly D Jensen 280 N Hospital Dr	$57.82	1,233	1,095
Bryce Kay Warr 317 E 100 N	$68.39	1,145	1,024
Daniel B. Garvin 590 E 100 N Ste 6	$64.65	955	886
Marcos D Valdez 377 N Fairgrounds Rd	$69.21	877	815
Castleview Physician Practice Llc 590 E 100 N	$63.91	809	697
Pine Top Medical P.C. 284 N Hospital Dr	$69.44	596	513
Erik Mackinnon Lyman 945 W Hospital Dr	$72.76	551	513
Mark A Frazier 300 N Hospital Dr	$537.81	457	407
Cris Ronald Chamberlain 280 N Hospital Dr Ste 5	$64.29	439	402
Gary Chambers 227 N Westwood Blvd	$26.98	429	415
Castleview Physician Practices, Llc 280 N Hospital Dr	$56.90	392	351
Samantha Jacquelyn Mclean 317 E 100 N	$98.80	378	371
Scott C Justesen, Md, Pc 377 N Fairgrounds Rd	$60.02	370	343
David K Mcomber 250 N Fairgrounds Rd Ste 2	$58.90	349	307
David C Bradshaw Md Pc 280 N Hospital Dr	$62.45	315	292
Glenn T. Etzel 230 N Hospital Dr	$33.85	268	227
Castleview Physician Practices Llc 945 W Hospital Dr	$56.16	248	217
Donna Mathis 280 N Hospital Dr	$21.38	175	144
Castleview Physician Practices, Llc 945 W Hospital Dr	$79.02	147	145
Tiffany Brook Noyes 690 E. Main St.	$23.80	143	130
Castleview Physician Practices, Llc 280 N Hospital Dr	$67.09	122	121
Stephanie Chambers Thomas 300 N Hospital Dr	$101.87	107	99
Jon S Pressett 280 N Hospital Dr Ste 5	$39.74	82	67
Brian James Griffeth 250 N Fairgrounds Rd	$69.77	53	50
Kyle Jeffery 945 W Hospital Dr Ste 4	$44.87	49	42
Four Corners Community Behavioral Health Inc 77 S 600 E	$138.09	39	29
Castleview Physician Practice, Llc 250 N Fairgrounds Rd	$46.66	29	28

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 Price, UT?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Price, UT is $68.81 per claim, based on 111,103 claims from 49 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 Price, UT?

There are 49 Medicaid providers offering Office Visit related services in Price, UT according to public payment data.

What is the price range for Office Visit in Price, UT?

Medicaid reimbursement for Office Visit in Price, UT ranges from $0.49 to $537.81 per claim, with an average of $68.81. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Price, UT: $68.81

Providers Offering Office Visit in Price, UT

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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