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By Jayant Panwar, Healthcare Data AnalystUpdated April 4, 2026Editorial policy
Disclaimer: This page provides cost comparison data sourced from insurer Transparency in Coverage files. It is not medical advice. Consult a qualified healthcare provider for medical decisions.Learn about our data methodology.
Berkeley, California

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

Berkeley's healthcare market, anchored by proximity to UCSF and Alta Bates Summit Medical Center, offers competitive pricing for primary care services. Patients in Berkeley pay between $85 and $251 for a Primary Care Doctor (Family Medicine) visit, with a median of $85. The city has 27 active providers, consisting of 27 individual practitioners and 0 group practices.

Cost Summary for Primary Care Doctor (Family Medicine) in Berkeley

Low Estimate

$85

Median

$85

High Estimate

$251

Providers

14

National avg: $129Berkeley: $85

34% below national average

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.

New Patient vs. Follow-Up Costs in Berkeley

Initial consultations typically cost more than follow-up appointments due to the additional time required for medical history review and examination. The data below shows Berkeley's pricing for new patient visits (CPT 99203/99204) and follow-up visits (CPT 99213/99214), with moderate complexity visits (99214) representing the most common type of established patient appointment.

New patient versus follow-up visit cost comparison
Visit TypeLow EstimateHigh Estimate
New Patient VisitCPT 99203/99204$83$322
Follow-Up VisitCPT 99213/99214$80$251

New patient visits (CPT 99203/99204) involve more evaluation time. Follow-up visits (CPT 99213/99214) are typically shorter and lower cost.

Top Primary Care Doctor (Family Medicine)s in Berkeley

Berkeley has 27 Primary Care Doctor (Family Medicine) providers currently accepting patients. The top-rated doctors below have been selected based on patient reviews, board certifications, and cost transparency, with detailed profiles available for each practitioner.

Top-rated doctors for this specialty
ProviderOrganizationLocationSpecialty
Dr. Natalie Karishev, MD5.0 stars (127 reviews)2320 WOOLSEY ST STE 201, Berkeley, CA 94705Family Medicine Physician
Dr. Charles Mclaughlin, MD5.0 stars (6 reviews)2320 WOOLSEY ST STE 201, Berkeley, CA 94705Family Medicine Physician
Dr. Emily Caro-Bruce, MD5.0 stars (2 reviews)1801 SHATTUCK AVE STE A, Berkeley, CA 94709Family Medicine Physician
Dr. Serena Wu, MD5.0 stars (1 reviews)2344 6TH ST, Berkeley, CA 94710Family Medicine Physician
Dr. Shannon Mccune, MD5.0 stars (1 reviews)2850 TELEGRAPH AVE STE 130, Berkeley, CA 94705Family Medicine Physician

Provider information sourced from the CMS NPI Registry. In-network status varies by insurance plan — verify directly with the provider and your insurer before booking.

Primary Care Doctor (Family Medicine) Visit Costs by City in California2026

Primary Care Doctor (Family Medicine) visit costs across cities in California
CityMin CostMedian CostMax 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
Martinez$85$228$228
Pleasant Hill$85$228$228
Danville$228$228$228
Fresno$78$202$238
Orange$80$202$204
Irvine$70$202$204
Brea$80$202$204
Yorba Linda$80$202$204
Fullerton$202$202$204
Santa Rosa$150$202$242
Garden Grove$70$202$204
Eureka$80$202$204
Diamond Bar$178$202$204
Laguna Niguel$88$202$204
Whittier$168$202$236
Salinas$80$196$228
Visalia$70$194$242
Huntington Beach$70$190$204
Pasadena$80$178$283
Northridge$141$178$188
Carson$80$178$178
Sacramento$85$168$242
Marina Del Rey$85$168$242
Corcoran$105$162$168
Stockton$83$157$168
Bakersfield$73$154$180
Napa$150$154$204
Petaluma$88$150$194
Sonoma$150$150$202
Arcata$80$150$204
Rohnert Park$80$150$203
San Diego$80$147$287
Chula Vista$130$147$287
Poway$147$147$231
Ramona$147$147$147
San Marcos$114$147$279
Fontana$64$147$178
Ventura$85$141$285
Fremont$80$140$178
Redondo Beach$75$132$178
Encinitas$80$130$287
Vista$80$130$202
La Jolla$86$130$168
Oceanside$86$130$287
Redding$80$130$202
National City$130$130$130
Thousand Oaks$85$120$236
Santa Maria$86$90$110
Merced$80$90$191
Glendale$75$88$202
Simi Valley$75$88$157
Redlands$80$88$194
Roseville$80$88$203
Los Angeles$80$85$250
Santa Monica$66$85$252
San Francisco$80$85$251
Oakland$80$85$251
Santa Ana$70$85$204
Burbank$85$85$168
Berkeley (this city)$85$85$251
Torrance$70$85$178
San Pablo$80$85$251
Valencia$85$85$86
Modesto$80$84$228
Riverside$70$82$173
San Jose$80$80$201
Stanford$80$80$88
Anaheim$70$80$204
Pleasanton$80$80$228
Mission Viejo$70$80$202
Tustin$77$80$202
Lancaster$80$80$178
San Luis Obispo$80$80$90
Palm Springs$80$80$98
Los Gatos$80$80$201
Costa Mesa$70$80$203
Newport Beach$80$80$202
Pismo Beach$80$80$90
Laguna Hills$70$80$147
Palo Alto$80$80$100
Santa Clara$70$80$217
Long Beach$70$70$203
Westminster$70$70$202

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.

Cost by Procedure Type

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

CPT 992131,871 providers

Follow-up, low complexity

$90
Range: $70$178
CPT 992141,828 providers

Follow-up, moderate complexity

$140
Range: $70$250
CPT 992151,532 providers

Follow-up, high complexity

$209
Range: $80$351
CPT 992031,725 providers

New patient, low complexity

$151
Range: $80$244
CPT 992041,638 providers

New patient, moderate complexity

$209
Range: $80$370
CPT 992051,430 providers

New patient, high complexity

$88
Range: $80$460

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

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Internal Medicine Visit

Standard office visit with an internist

99214$80$85$2502,792
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 Berkeley

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

Without insurance, patients in Berkeley pay between $85 and $251 for a Primary Care Doctor (Family Medicine) visit, with a median cost of $85. This pricing is based on negotiated rates from insurance transparency data and represents what providers typically charge for moderate complexity visits (CPT 99214). Berkeley's rates are 39% below the California state median of $140.

How much more does a new patient consultation cost compared to a follow-up in Berkeley?

New patient visits in Berkeley range from $83 to $322 depending on complexity, while follow-up visits cost between $80 and $251. A moderate complexity new patient visit (CPT 99204) has a median cost of $85, similar to established patient visits. Low complexity follow-up appointments (CPT 99213) start at $80, making them the most affordable option.

Are there lower-cost Primary Care Doctor (Family Medicine) options in cities near Berkeley?

Berkeley already offers some of the lowest Primary Care Doctor (Family Medicine) costs in the region. Nearby cities like Walnut Creek, San Ramon, and Danville all have median costs of $228, which is significantly higher than Berkeley's $85 median. Berkeley represents the most cost-effective option among major Bay Area cities for primary care services.

How do I find a highly rated, affordable Primary Care Doctor (Family Medicine) in Berkeley?

Berkeley has 27 Primary Care Doctor (Family Medicine) providers, all of whom are individual practitioners rather than large group practices. Look for doctors who accept your insurance plan and compare their negotiated rates, which range from $85 to $251 for standard visits. Patient reviews and board certifications can help identify quality providers within your budget range.

What should I expect to pay for a Primary Care Doctor (Family Medicine) visit in Berkeley with insurance?

With insurance, your out-of-pocket cost depends on your plan's copay or coinsurance structure. Since Berkeley providers charge between $85 and $251 for visits, and the median is $85, your insurance company will pay based on these negotiated rates. You'll typically pay a copay (often $20-40) or a percentage if you haven't met your deductible.

How many Primary Care Doctor (Family Medicine)s are currently practicing in Berkeley?

Berkeley currently has 27 active Primary Care Doctor (Family Medicine) providers. All 27 are individual practitioners, with no large group practices or healthcare organizations in the transparency data. This suggests a market dominated by independent family medicine physicians rather than corporate healthcare systems.

Find an Affordable Primary Care Doctor (Family Medicine) in Berkeley — Powered by AI

Get personalized cost estimates for Primary Care Doctor (Family Medicine) visits in Berkeley based on your specific insurance plan and healthcare needs. Our AI-powered tool analyzes current pricing data to help you find the most affordable, highly-rated providers in your area.

Family Medicine Visit in Other California Cities
View all California family medicine visit costs
JP

Jayant Panwar

CEO & Healthcare Data Analyst, Momentary Labs

Last updated: April 4, 2026

About This Data

Cost data sourced from Transparency in Coverage (TiC) machine-readable files published by UnitedHealthcare as required by the CMS Price Transparency Rule. These are actual negotiated rates between insurers and providers — not estimates.

Prices shown are for Office/outpatient visit, established patient, moderate complexity (CPT 99214) in Berkeley, California.

Actual out-of-pocket costs depend on your insurance plan, deductible, coinsurance, and services received. This is not medical advice.

About this page

Data source: UnitedHealthcare Transparency in Coverage machine-readable files, CPT 99214, Berkeley, California providers. Rates represent in-network negotiated amounts and may vary by plan type.

Editorial policy: Momentary Labs does not accept payment from providers, hospitals, or insurers to influence cost rankings or editorial content. Read our full editorial policy.

Corrections: If you believe any cost figure or clinical information on this page is inaccurate, please report it here. We review all submissions within 5 business days.