Logo
Laguna Hills, California

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

Reviewed by Momentary Medical Group West PC

Laguna Hills provides patients access to family medicine care through 12 active providers serving the community. Patients in Laguna Hills pay between $70 and $147 for a Primary Care Doctor (Family Medicine) visit, with a median of $80. The local market consists of 12 individual practitioners and 0 group practices.

Cost Summary for Primary Care Doctor (Family Medicine) in Laguna Hills

Low Estimate

$70

Median

$80

High Estimate

$147

Providers

6

National avg: $129Laguna Hills: $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 Laguna Hills

Initial consultations with a Primary Care Doctor (Family Medicine) typically cost more than follow-up visits due to the additional time required for patient history and evaluation. The data below shows pricing for both new patient visits (CPT codes 99203 and 99204) and follow-up appointments (CPT codes 99213 and 99214) in Laguna Hills.

New patient versus follow-up visit cost comparison
Visit TypeLow EstimateHigh Estimate
New Patient VisitCPT 99203/99204$70$209
Follow-Up VisitCPT 99213/99214$51$147

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 Laguna Hills

Laguna Hills has 12 Primary Care Doctor (Family Medicine) providers currently accepting patients. The profiles below include patient ratings, accepted insurance plans, and cost transparency information.

Top-rated doctors for this specialty
ProviderOrganizationLocationSpecialty
Dr. Henry Leung, DO5.0 stars (127 reviews)24801 ALICIA PKWY, Laguna Hills, CA 92653Family Medicine Physician
Dr. Tommy Hicks, MD5.0 stars (10 reviews)23521 PASEO DE VALENCIA, Laguna Hills, CA 92653Family Medicine Physician
Dr. David Rios, MD5.0 stars (7 reviews)24953 PASEO DE VALENCIA, Laguna Hills, CA 92653Family Medicine Physician
Dr. Joan Sy, DO5.0 stars (5 reviews)24953 PASEO DE VALENCIA, Laguna Hills, CA 92653Family Medicine Physician
Dr. Bernard Elpedes, DO4.9 stars (524 reviews)24321 AVENIDA DE LA CARLOTA, Laguna Hills, CA 92653Family 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$70$80$203
Newport Beach$80$80$202
Pismo Beach$80$80$90
Laguna Hills (this city)$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 Laguna Hills, 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 Laguna Hills

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

Without insurance, a Primary Care Doctor (Family Medicine) visit in Laguna Hills costs between $70 and $147, with a median price of $80. This represents significant savings compared to the California state median of $140. The exact cost depends on the complexity of your visit and the specific provider you choose.

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

New patient visits in Laguna Hills range from $70 to $209 depending on complexity, while follow-up visits cost $51 to $147. A moderate complexity new patient visit (CPT 99204) has a median cost of $80, compared to $70 for a moderate complexity follow-up visit (CPT 99213). The difference reflects the additional time needed for initial evaluations and medical history reviews.

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

Laguna Hills already offers some of the lowest Primary Care Doctor (Family Medicine) costs in the region. Nearby cities like Beverly Hills charge a median of $242, while Santa Barbara costs $234 for similar visits. At $80 median cost, Laguna Hills provides excellent value compared to surrounding areas.

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

Laguna Hills has 12 Primary Care Doctor (Family Medicine) providers, all individual practitioners which often means more personalized care and competitive pricing. Look for providers who participate in your insurance network and have transparent pricing policies. The median cost of $80 in Laguna Hills is already well below state and national averages.

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

With insurance, your out-of-pocket costs depend on your plan's copay, deductible, and coinsurance structure. Insurance companies have negotiated rates ranging from $70 to $147 with Laguna Hills providers, with a median of $80. Your portion could be as low as a standard copay if you've met your deductible, or you may pay the full negotiated rate if you haven't.

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

There are currently 12 active Primary Care Doctor (Family Medicine) providers in Laguna Hills. All 12 are individual practitioners rather than group practices, which often allows for more personalized patient relationships. This provider density gives patients good options while maintaining competitive pricing with a median cost of $80 per visit.
Family Medicine Visit in Other California Cities
View all California family medicine visit costs