Cost of a Primary Care Doctor (Family Medicine) Visit
in California
Reviewed by Momentary Medical Group West PC
California's highly consolidated healthcare market drives Primary Care Doctor (Family Medicine) visit costs 18% above the national average. Patients typically pay between $70 and $250 for an established patient visit, with a median of $140 across 1,828 contracted providers. Costs vary significantly by city, with Fresno and Irvine showing the highest rates at $202 median, while Los Angeles averages just $85.
Average
$154
Median
$140
Lowest
$70
Highest
$250
Providers
1,828
19% above national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in California?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $80 | $85 | $250 | 2,792 |
| Psychiatric Evaluation Initial psychiatric evaluation with medical services | 90792 | $81 | $267 | $267 | 274 |
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 99214 — Office/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.
Primary Care Doctor (Family Medicine) Visit Costs by City in California — 2026
Primary Care Doctor (Family Medicine) visit costs vary across California cities due to provider concentration in major metropolitan areas and varying overhead costs between urban coastal regions and inland markets.
| City | Min Cost | Median Cost | Max Cost |
|---|---|---|---|
| La Mesa | $168 | $287 | $287 |
| Santee | $130 | $287 | $287 |
| Beverly Hills | $64 | $242 | $252 |
| Clovis | $69 | $238 | $238 |
| Reedley | $70 | $238 | $238 |
| Santa Barbara | $85 | $234 | $236 |
| Walnut Creek | $84 | $228 | $228 |
| Concord | $85 | $228 | $228 |
| San Ramon | $85 | $228 | $228 |
| Brentwood | $86 | $228 | $228 |
Costs reflect self-pay estimates based on insurer-negotiated rates. Insured patients may pay significantly less depending on plan type, deductible status, and network tier.
Top Rated Family medicine physicians in California
Dr. Megan Chen, MD
Family Medicine Physician · Santa Monica, CA
Dr. Alaa Aboulhosn, MD
Family Medicine Physician · Valencia, CA
Dr. Bassem El Tom, MD
Family Medicine Physician · Santa Clarita, CA
Dr. Jeffrey Caputo, MD
Family Medicine Physician · Simi Valley, CA
Dr. Lewis Wong, MD
Family Medicine Physician · Redondo Beach, CA
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across California
California's healthcare costs run 18% above the national average, driven by high real estate costs and physician shortages in both rural areas and expensive coastal markets. The state's expanded Medicaid program covers over 14 million residents, but provider participation varies significantly by region.
Urban vs. Rural Provider Availability
Los Angeles and San Diego show lower median costs ($85 and $147 respectively) due to higher provider competition, while smaller markets like Fresno and Irvine command $202 median rates. Rural Central Valley areas often have limited Primary Care Doctor (Family Medicine) options, driving patients to travel to metropolitan areas.
Facility Type and Overhead Costs
Large health systems like Dignity Health, Sutter Health, and Providence dominate California's market with higher facility fees than independent practices. Academic medical centers affiliated with UC system locations typically charge premium rates due to teaching hospital overhead costs.
Insurance Market Competition in California
Anthem Blue Cross, Kaiser Permanente, and UnitedHealthcare control most of California's commercial insurance market, with Kaiser's integrated model often showing different pricing patterns than traditional insurers. Health Net and Blue Shield of California provide additional options primarily in specific regional markets.
Physician Supply and Demand
California faces a primary care physician shortage particularly acute in the Central Valley and inland regions, contributing to higher costs in markets like Fresno and Bakersfield. Coastal areas benefit from medical school proximity but compete with high cost of living that drives up practice overhead expenses.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in California.
Follow-up, low complexity
Follow-up, moderate complexity
Follow-up, high complexity
New patient, low complexity
New patient, moderate complexity
New patient, high complexity
Costs shown are median negotiated rates. Your actual cost depends on your insurance plan and provider.
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.
Frequently Asked Questions — Primary Care Doctor (Family Medicine) Costs in California
What is the average cost of a Primary Care Doctor (Family Medicine) visit in California without insurance?
Does California Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) in California?
What's the difference between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Primary Care Doctor (Family Medicine) visit in California?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in California?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 99214)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Nebraska Range: $91 – $314 | $215 |
| 2 | New Hampshire Range: $101 – $282 | $198 |
| 3 | Iowa Range: $80 – $314 | $187 |
| 4 | Maine Range: $80 – $255 | $180 |
| 5 | Minnesota Range: $81 – $313 | $162 |
| 6 | Wisconsin Range: $73 – $313 | $161 |
| 7 | California Range: $70 – $250 | $154 |
| 8 | Wyoming Range: $80 – $251 | $152 |
| 9 | Illinois Range: $77 – $226 | $148 |
| 10 | Massachusetts Range: $80 – $271 | $144 |
| 11 | Rhode Island Range: $85 – $200 | $143 |
| 12 | North Dakota Range: $91 – $240 | $141 |
| 13 | Texas Range: $70 – $221 | $139 |
| 14 | New Mexico Range: $80 – $178 | $138 |
| 15 | Vermont Range: $107 – $166 | $138 |
| 16 | Mississippi Range: $67 – $249 | $136 |
| 17 | Michigan Range: $66 – $249 | $134 |
| 18 | South Dakota Range: $77 – $239 | $132 |
| 19 | Hawaii Range: $70 – $239 | $131 |
| 20 | New York Range: $78 – $200 | $131 |
| 21 | Pennsylvania Range: $73 – $228 | $130 |
| 22 | Louisiana Range: $69 – $222 | $130 |
| 23 | Colorado Range: $80 – $210 | $126 |
| 24 | Connecticut Range: $80 – $200 | $124 |
| 25 | Oregon Range: $80 – $204 | $124 |
| 26 | Indiana Range: $80 – $202 | $123 |
| 27 | Ohio Range: $70 – $201 | $122 |
| 28 | Georgia Range: $72 – $188 | $122 |
| 29 | South Carolina Range: $68 – $216 | $121 |
| 30 | Washington Range: $80 – $202 | $121 |
| 31 | North Carolina Range: $66 – $210 | $119 |
| 32 | Nevada Range: $48 – $182 | $118 |
| 33 | Virginia Range: $60 – $191 | $116 |
| 34 | Arkansas Range: $70 – $175 | $116 |
| 35 | West Virginia Range: $80 – $133 | $115 |
| 36 | Florida Range: $54 – $200 | $115 |
| 37 | Idaho Range: $75 – $179 | $115 |
| 38 | New Jersey Range: $53 – $188 | $113 |
| 39 | Missouri Range: $67 – $148 | $113 |
| 40 | Kansas Range: $76 – $158 | $113 |
| 41 | Maryland Range: $49 – $194 | $112 |
| 42 | District of Columbia Range: $53 – $199 | $112 |
| 43 | Kentucky Range: $80 – $170 | $110 |
| 44 | Utah Range: $60 – $180 | $110 |
| 45 | Tennessee Range: $70 – $168 | $109 |
| 46 | Oklahoma Range: $70 – $158 | $104 |
| 47 | Arizona Range: $63 – $168 | $104 |
| 48 | Alabama Range: $61 – $160 | $100 |
| 49 | Delaware Range: $58 – $123 | $91 |
| 50 | Alaska Range: $80 – $80 | $80 |
| 51 | Montana Range: $80 – $80 | $80 |