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Costa Mesa, California

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

Reviewed by Momentary Medical Group West PC

Costa Mesa's healthcare market offers competitive pricing for primary care services, with the city hosting several major health systems including MemorialCare and Kaiser Permanente facilities. Patients in Costa Mesa pay between $70 and $203 for a Primary Care Doctor (Family Medicine) visit, with a median cost of $80. The city has 16 active providers, all operating as individual practitioners rather than large group practices.

Cost Summary for Primary Care Doctor (Family Medicine) in Costa Mesa

Low Estimate

$70

Median

$80

High Estimate

$203

Providers

7

National avg: $129Costa Mesa: $80

38% below national average

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
Psychiatric Evaluation

Initial psychiatric evaluation with medical services

90792$81$267$267274

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.

New Patient vs. Follow-Up Costs in Costa Mesa

Initial consultations typically cost more than follow-up visits due to the additional time required for patient history and assessment. The data below shows Costa Mesa pricing for both new patient visits (CPT codes 99203 and 99204) and established patient follow-ups (CPT codes 99213 and 99214).

New patient versus follow-up visit cost comparison
Visit TypeLow EstimateHigh Estimate
New Patient VisitCPT 99203/99204$70$262
Follow-Up VisitCPT 99213/99214$70$203

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 Costa Mesa

Costa Mesa has 16 Primary Care Doctor (Family Medicine) providers currently accepting patients. Each doctor profile below includes verified credentials, patient ratings, and direct scheduling options.

Top-rated doctors for this specialty
ProviderOrganizationLocationSpecialty
Dr. Pravin Shaw, DO5.0 stars (43 reviews)1190 BAKER ST STE 100, Costa Mesa, CA 92626Family Medicine Physician
Dr. Thao Phan, MD5.0 stars (12 reviews)1170 BAKER ST STE H1, Costa Mesa, CA 92626Family Medicine Physician
Jay Lee, MD, MPH5.0 stars (3 reviews)1550 SUPERIOR AVE, Costa Mesa, CA 92627Family Medicine Physician
Dr. Michael Kao, MD5.0 stars (2 reviews)2501 HARBOR BLVD, Costa Mesa, CA 92626Family Medicine Physician
Dr. David Chun, MD5.0 stars (2 reviews)722 BAKER ST, Costa Mesa, CA 92626Family 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$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 (this city)$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 Costa Mesa, 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.

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 Costa Mesa

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

Without insurance, Primary Care Doctor (Family Medicine) visits in Costa Mesa range from $70 to $203, with a median cost of $80. New patient visits typically cost more, ranging from $70 to $262 depending on complexity. Follow-up visits for established patients range from $70 to $203.

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

New patient visits cost significantly more than follow-ups in Costa Mesa. Low-complexity new patient visits (CPT 99203) have a median cost of $137, while moderate-complexity visits (CPT 99204) average $209. In comparison, established patient follow-ups range from $70 for simple visits to $80 for moderate-complexity care.

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

Costa Mesa actually offers some of the lowest Primary Care Doctor (Family Medicine) costs in the region. With a median of $80, Costa Mesa is significantly cheaper than nearby cities like Beverly Hills ($242 median) or Santa Barbara ($234 median). Most surrounding areas show substantially higher rates than Costa Mesa.

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

Costa Mesa has 16 Primary Care Doctor (Family Medicine) providers, all operating as individual practitioners. Look for doctors who accept your insurance and offer transparent pricing. Many providers offer online scheduling and accept both insured and self-pay patients with payment plan options.

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

With insurance, your out-of-pocket cost depends on your specific plan's copay, deductible, and coinsurance structure. Since Costa Mesa providers have negotiated rates ranging from $70 to $203, your insurance will pay these contracted amounts. Your portion could be a flat copay or a percentage based on your plan design.

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

Costa Mesa currently has 16 active Primary Care Doctor (Family Medicine) providers. All 16 operate as individual practitioners rather than large group practices. This provider density offers patients multiple options for primary care while maintaining competitive pricing in the local market.
Family Medicine Visit in Other California Cities
View all California family medicine visit costs