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Merced, California

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

Reviewed by Momentary Medical Group West PC

Merced's healthcare market serves the Central Valley with a compact network of family medicine providers focused on community care. Patients in Merced pay between $80 and $191 for a Primary Care Doctor (Family Medicine) visit, with a median of $90. The city has 32 active providers, all individual practitioners with no group practices currently operating.

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

Low Estimate

$80

Median

$90

High Estimate

$191

Providers

7

National avg: $129Merced: $90

30% 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 Merced

Initial consultations with a Primary Care Doctor (Family Medicine) cost more than follow-up appointments due to the additional time required for medical history review and examination. The data below shows Merced pricing across new patient visits (CPT 99203/99204) and established patient follow-ups (CPT 99213/99214).

New patient versus follow-up visit cost comparison
Visit TypeLow EstimateHigh Estimate
New Patient VisitCPT 99203/99204$80$370
Follow-Up VisitCPT 99213/99214$61$191

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 Merced

Merced has 32 active Primary Care Doctor (Family Medicine) providers to choose from for your healthcare needs. The profiles below include patient ratings and detailed cost information to help you select the right physician.

Top-rated doctors for this specialty
ProviderOrganizationLocationSpecialty
Dr. John Paik-Tesch, MD5.0 stars (127 reviews)3385 G ST STE A, Merced, CA 95340Family Medicine Physician
Dr. James Adrian, MD5.0 stars (4 reviews)535 W 25TH ST, Merced, CA 95340Family Medicine Physician
Dr. Simren Claire, MD5.0 stars (2 reviews)333 MERCY AVE, Merced, CA 95340Family Medicine Physician
Dr. Pamela Roussos, DO5.0 stars (1 reviews)1146 OLIVEWOOD DR, Merced, CA 95348Family Medicine Physician
Dr. Eduardo Villarama, MD4.8 stars (127 reviews)847 W CHILDS AVE STE C, Merced, CA 95341Family 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 (this city)$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$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 Merced, 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 Merced

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

Uninsured patients in Merced typically pay between $80 and $191 for a Primary Care Doctor (Family Medicine) visit, with a median cost of $90. The final price depends on the complexity of your visit and the specific services provided. This represents good value compared to California's statewide median of $140.

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

New patient visits in Merced range from $80 to $370 depending on complexity, while follow-up appointments cost $61 to $191. A moderate complexity new patient visit (CPT 99204) has a median cost of $209, compared to $90 for an established patient visit of similar complexity. The higher initial cost reflects the additional time needed for medical history review and examination.

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

Merced already offers some of the most competitive Primary Care Doctor (Family Medicine) pricing in California with a median of $90. This rate is 36% below the California state median of $140, making Merced itself an affordable option. Most other California cities show significantly higher median costs for the same services.

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

Merced has 32 individual Primary Care Doctor (Family Medicine) practitioners to choose from, with costs ranging from $80 to $191. Look for providers who publish transparent pricing and maintain high patient satisfaction scores. Many offer both insurance billing and self-pay options to accommodate different financial situations.

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

Insurance coverage significantly affects your out-of-pocket costs, which depend on your specific plan's copay, deductible, and coinsurance structure. The negotiated rates between insurers and Merced providers range from $80 to $191, with a median of $90. Your actual cost will be a portion of these amounts based on your coverage terms.

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

Merced currently has 32 active Primary Care Doctor (Family Medicine) providers, all operating as individual practitioners. There are no group practices currently included in the network data for the city. This represents a focused but adequate provider base for the local population's family medicine needs.
Family Medicine Visit in Other California Cities
View all California family medicine visit costs