Average Medicaid Office Visit Payments in Price, UT: $68.81
Avg. Paid
$68.81
Range
$0.49 – $537.81
Total Claims
111,103
Providers
49
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 |
|---|---|---|---|
|
Castleview Physician Practice, Llc
250 N Fairgrounds Rd |
$46.66 | 29 | 28 |
|
Four Corners Community Behavioral Health Inc
77 S 600 E |
$138.09 | 39 | 29 |
|
Kyle Jeffery
945 W Hospital Dr Ste 4 |
$44.87 | 49 | 42 |
|
Brian James Griffeth
250 N Fairgrounds Rd |
$69.77 | 53 | 50 |
|
Jon S Pressett
280 N Hospital Dr Ste 5 |
$39.74 | 82 | 67 |
|
Stephanie Chambers Thomas
300 N Hospital Dr |
$101.87 | 107 | 99 |
|
Castleview Physician Practices, Llc
280 N Hospital Dr |
$67.09 | 122 | 121 |
|
Tiffany Brook Noyes
690 E. Main St. |
$23.80 | 143 | 130 |
|
Castleview Physician Practices, Llc
945 W Hospital Dr |
$79.02 | 147 | 145 |
|
Donna Mathis
280 N Hospital Dr |
$21.38 | 175 | 144 |
|
Castleview Physician Practices Llc
945 W Hospital Dr |
$56.16 | 248 | 217 |
|
Glenn T. Etzel
230 N Hospital Dr |
$33.85 | 268 | 227 |
|
David C Bradshaw Md Pc
280 N Hospital Dr |
$62.45 | 315 | 292 |
|
David K Mcomber
250 N Fairgrounds Rd Ste 2 |
$58.90 | 349 | 307 |
|
Scott C Justesen, Md, Pc
377 N Fairgrounds Rd |
$60.02 | 370 | 343 |
|
Samantha Jacquelyn Mclean
317 E 100 N |
$98.80 | 378 | 371 |
|
Castleview Physician Practices, Llc
280 N Hospital Dr |
$56.90 | 392 | 351 |
|
Gary Chambers
227 N Westwood Blvd |
$26.98 | 429 | 415 |
|
Cris Ronald Chamberlain
280 N Hospital Dr Ste 5 |
$64.29 | 439 | 402 |
|
Mark A Frazier
300 N Hospital Dr |
$537.81 | 457 | 407 |
|
Erik Mackinnon Lyman
945 W Hospital Dr |
$72.76 | 551 | 513 |
|
Pine Top Medical P.C.
284 N Hospital Dr |
$69.44 | 596 | 513 |
|
Castleview Physician Practice Llc
590 E 100 N |
$63.91 | 809 | 697 |
|
Marcos D Valdez
377 N Fairgrounds Rd |
$69.21 | 877 | 815 |
|
Daniel B. Garvin
590 E 100 N Ste 6 |
$64.65 | 955 | 886 |
|
Bryce Kay Warr
317 E 100 N |
$68.39 | 1,145 | 1,024 |
|
Kelly D Jensen
280 N Hospital Dr |
$57.82 | 1,233 | 1,095 |
|
David C Bradshaw
280 N Hospital Dr Ste 2 |
$56.77 | 1,287 | 1,121 |
|
Carbon Medical Service Association Incorporated
92 N 400 E Ste 1 |
$122.03 | 1,332 | 1,144 |
|
Scott C Justesen
945 W Hospital Dr Ste 7 |
$65.21 | 1,573 | 1,311 |
|
Eastern Utah Pain
230 N Hospital Dr |
$60.29 | 1,728 | 1,648 |
|
Castleview Physician Practices, Llc
280 N Hospital Dr |
$61.60 | 1,742 | 1,599 |
|
Russell Ogden Beecher
335 N Fairgrounds Rd |
$51.82 | 1,899 | 1,691 |
|
Castleview Physician Practice, Llc
945 W Hospital Dr |
$48.65 | 1,992 | 1,686 |
|
Sabrina K. Carter
23 S Carbon Ave Ste 19 |
$109.54 | 2,207 | 2,122 |
|
Four Corners Community Behavioral Health, Inc.
690 E Main St |
$139.77 | 2,642 | 2,044 |
|
Daniel Charles Monahan
230 N Hospital Dr |
$56.66 | 2,698 | 2,423 |
|
Danielle Howa Pendergrass
77 S 600 E |
$73.36 | 2,846 | 2,531 |
|
Douglas Wilford Perkins
300 N Hospital Dr |
$2.19 | 2,852 | 2,293 |
|
Cameron Seymour Williams
300 N Hospital Dr |
$0.49 | 2,937 | 2,325 |
|
Sterling Glade Potter
945 W Hospital Dr |
$54.94 | 3,161 | 2,466 |
|
Castleview Physician Practice, Llc
317 East 100 North |
$64.69 | 3,258 | 2,974 |
|
Matthew Frank Brady
92 N 400 E |
$66.89 | 4,331 | 3,754 |
|
Eugene Douglas Larsen
280 N Hospital Dr Ste 4 |
$28.20 | 5,250 | 4,440 |
|
Edward K Madsen
590 E 100 N |
$64.34 | 5,758 | 4,416 |
|
Connie Kim Quinton
590 E 100 N Ste 6 |
$65.11 | 7,453 | 6,092 |
|
Shane D Gagon Md, Pc
377 No. Fairgrounds Rd. |
$64.71 | 9,570 | 8,423 |
|
Four Corners Community Behavioral Health, Inc.
690 E Main St |
$92.46 | 13,426 | 9,336 |
|
Shane D Gagon
377 N Fairgrounds Rd |
$73.12 | 20,404 | 17,507 |
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.
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 Price, UT
Substance Abuse Treatment
Avg $13.61
135,692 claims
Behavioral & Mental Health Therapy
Avg $45.61
92,686 claims
Psychiatric Evaluation
Avg $96.78
81,655 claims
Case Management Services
Avg $60.19
65,613 claims
Blood Work & Lab Tests
Avg $13.66
48,244 claims
Emergency Room Visit
Avg $49.95
37,112 claims
Vaccines & Immunizations
Avg $10.96
26,447 claims
Urinalysis & Urine Tests
Avg $9.33
12,679 claims