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Arkansas

Cost of a Primary Care Doctor (Family Medicine) Visit
in Arkansas

Reviewed by Momentary Medical Group West PC

Arkansas operates without Medicaid expansion, creating unique cost dynamics for healthcare services across the state's predominantly rural landscape. Primary Care Doctor (Family Medicine) visits typically cost between $70 and $175, with a median negotiated rate of $103 among the state's 21 active providers. Patients can browse all Primary Care Doctor (Family Medicine) providers in Arkansas to compare costs and find the most affordable option for their specific insurance plan.

Average

$116

Median

$103

Lowest

$70

Highest

$175

Providers

21

National avg: $129Arkansas: $116

10% below national average

Compare Similar Procedures

How does family medicine visit compare to related procedures in Arkansas?

ProcedureCPTLowMedianHighProviders
Internal Medicine Visit

Standard office visit with an internist

99214$72$126$17515
Cardiologist Visit

Standard office visit with a cardiologist

99214$74$158$2267

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 99214Office/outpatient visit, established patient, moderate complexity). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 99214 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99214 (Office/outpatient visit, established patient, moderate complexity), as mandated by the CMS Price Transparency Rule.

What CPT 99214 covers: the provider's professional fee for family medicine visit. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Top Rated Family medicine physicians in Arkansas

Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across Arkansas

Arkansas ranks 34th nationally for Primary Care Doctor (Family Medicine) visit costs, with rates approximately 12% below the national average due to lower overhead costs and reduced competition in many rural markets. The state's healthcare landscape is shaped by significant geographic disparities, with urban centers like Little Rock and Fayetteville offering more provider choices while rural counties often struggle with physician shortages.

Urban vs. Rural Provider Availability

Arkansas's rural counties face significant challenges accessing Primary Care Doctor (Family Medicine) services, with some areas requiring patients to travel over an hour to reach the nearest provider. Urban areas around Little Rock, Fayetteville, and Fort Smith typically offer multiple provider options and more competitive pricing, while rural regions may have limited choices but sometimes lower baseline costs. This geographic disparity affects both access and pricing, with rural providers sometimes charging less due to lower overhead but potentially offering fewer services.

Facility Type and Overhead Costs

Hospital-owned Primary Care Doctor (Family Medicine) clinics affiliated with systems like Baptist Health or CHI St. Vincent often carry higher facility fees compared to independent practices throughout Arkansas. University of Arkansas for Medical Sciences facilities in Little Rock typically charge premium rates due to their academic medical center status and specialized services. Independent family medicine practices, particularly in smaller communities, often provide the most cost-effective option for routine primary care services.

Insurance Market Competition in Arkansas

Blue Cross Blue Shield Arkansas maintains dominant market position throughout the state, which can limit competitive pressure on negotiated rates with Primary Care Doctor (Family Medicine) providers. The individual insurance marketplace offers limited carrier options compared to larger states, potentially reducing competitive pricing pressures. This market concentration means that negotiated rates tend to be more uniform across providers, though significant variations still exist based on facility type and location.

Physician Supply and Demand in Arkansas

With only 21 active Primary Care Doctor (Family Medicine) providers statewide, Arkansas faces a moderate shortage relative to its population of nearly 3 million residents, particularly in rural areas. This limited supply can create longer wait times in some regions and may contribute to higher costs in areas with greater demand. The state's medical schools and residency programs are working to address physician shortages, but recruitment and retention in rural areas remain ongoing challenges that affect both access and pricing.

Cost by Procedure Type

Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Arkansas.

CPT 9921322 providers

Follow-up, low complexity

$85
Range: $51$108
CPT 9921421 providers

Follow-up, moderate complexity

$103
Range: $70$175
CPT 9921517 providers

Follow-up, high complexity

$153
Range: $85$224
CPT 9920320 providers

New patient, low complexity

$104
Range: $72$152
CPT 9920418 providers

New patient, moderate complexity

$172
Range: $83$225
CPT 9920516 providers

New patient, high complexity

$232
Range: $85$283

Costs shown are median negotiated rates. Your actual cost depends on your insurance plan and provider.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Primary Care Doctor (Family Medicine) Costs in Arkansas

What is the average cost of a Primary Care Doctor (Family Medicine) visit in Arkansas without insurance?

Uninsured patients in Arkansas typically pay between $70 and $175 for a Primary Care Doctor (Family Medicine) visit, with a median cost of $103 based on negotiated insurance rates. Many providers offer self-pay discounts of 20-40% for patients paying upfront, potentially reducing these costs significantly. The final amount depends on visit complexity, facility type, and whether additional services like lab tests or procedures are included.

Does Arkansas Medicaid cover Primary Care Doctor (Family Medicine) visits?

Arkansas Medicaid covers Primary Care Doctor (Family Medicine) visits for eligible beneficiaries, though the state has not expanded Medicaid, limiting coverage to specific populations like children, pregnant women, and disabled individuals. Covered patients typically have minimal cost-sharing requirements for primary care visits. Adults aged 19-64 without children or qualifying disabilities generally do not qualify for Arkansas Medicaid regardless of income level due to the state's non-expansion status.

How do I find an affordable Primary Care Doctor (Family Medicine) near me in Arkansas?

Compare costs across different facility types, as independent practices often charge less than hospital-owned clinics for the same Primary Care Doctor (Family Medicine) services in Arkansas. Ask about self-pay discounts, sliding fee scales, and payment plans when contacting providers directly. Community health centers throughout Arkansas offer primary care services on a sliding fee scale based on income, and some providers offer direct primary care memberships that can reduce per-visit costs for regular patients.

What is the difference in cost between an initial consultation and a follow-up visit?

New patient visits with a Primary Care Doctor (Family Medicine) in Arkansas typically cost between $71-$152 for low complexity visits and can reach $232-$283 for high complexity initial evaluations. Established patient follow-up visits generally range from $51-$108 for routine care and $70-$224 for more complex ongoing management. The significant cost difference reflects the additional time and comprehensive evaluation required for new patients compared to routine follow-up care.

Can I use an HSA or FSA to pay for a Primary Care Doctor (Family Medicine) visit in Arkansas?

Yes, Primary Care Doctor (Family Medicine) visits are qualified medical expenses that can be paid for using Health Savings Account (HSA) or Flexible Spending Account (FSA) funds in Arkansas. This includes both preventive visits and treatment of medical conditions, along with any related diagnostic tests or procedures performed during the visit. Using pre-tax HSA or FSA funds effectively reduces your out-of-pocket costs by your marginal tax rate.

How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in Arkansas?

Telemedicine visits with Primary Care Doctor (Family Medicine) providers in Arkansas are often priced lower than in-person visits, typically ranging from $40-$80 depending on the provider and platform used. Many insurance plans now cover telehealth visits at the same rate as in-person visits, though some may have different copay structures. Arkansas has expanded telehealth access since 2020, with many family medicine practices now offering virtual consultations for routine follow-ups and minor acute conditions.

Click a state to compare costs

Average Visit Cost

$80
$215

Office visit (CPT 99214)

Compare With Other States

RankStateAverage
1Nebraska
Range: $91$314
$215
2New Hampshire
Range: $101$282
$198
3Iowa
Range: $80$314
$187
4Maine
Range: $80$255
$180
5Minnesota
Range: $81$313
$162
6Wisconsin
Range: $73$313
$161
7California
Range: $70$250
$154
8Wyoming
Range: $80$251
$152
9Illinois
Range: $77$226
$148
10Massachusetts
Range: $80$271
$144
11Rhode Island
Range: $85$200
$143
12North Dakota
Range: $91$240
$141
13Texas
Range: $70$221
$139
14New Mexico
Range: $80$178
$138
15Vermont
Range: $107$166
$138
16Mississippi
Range: $67$249
$136
17Michigan
Range: $66$249
$134
18South Dakota
Range: $77$239
$132
19Hawaii
Range: $70$239
$131
20New York
Range: $78$200
$131
21Pennsylvania
Range: $73$228
$130
22Louisiana
Range: $69$222
$130
23Colorado
Range: $80$210
$126
24Connecticut
Range: $80$200
$124
25Oregon
Range: $80$204
$124
26Indiana
Range: $80$202
$123
27Ohio
Range: $70$201
$122
28Georgia
Range: $72$188
$122
29South Carolina
Range: $68$216
$121
30Washington
Range: $80$202
$121
31North Carolina
Range: $66$210
$119
32Nevada
Range: $48$182
$118
33Virginia
Range: $60$191
$116
34Arkansas
Range: $70$175
$116
35West Virginia
Range: $80$133
$115
36Florida
Range: $54$200
$115
37Idaho
Range: $75$179
$115
38New Jersey
Range: $53$188
$113
39Missouri
Range: $67$148
$113
40Kansas
Range: $76$158
$113
41Maryland
Range: $49$194
$112
42District of Columbia
Range: $53$199
$112
43Kentucky
Range: $80$170
$110
44Utah
Range: $60$180
$110
45Tennessee
Range: $70$168
$109
46Oklahoma
Range: $70$158
$104
47Arizona
Range: $63$168
$104
48Alabama
Range: $61$160
$100
49Delaware
Range: $58$123
$91
50Alaska
Range: $80$80
$80
51Montana
Range: $80$80
$80
Family Medicine Visit in Other States