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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.
Pismo Beach, California

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

Pismo Beach's healthcare market features a concentrated network of individual practitioners serving this coastal community. Patients in Pismo Beach pay between $80 and $90 for a Primary Care Doctor (Family Medicine) visit, with a median of $80. The city has 9 active providers, consisting of 9 individual practitioners and 0 group practices.

Cost Summary for Primary Care Doctor (Family Medicine) in Pismo Beach

Low Estimate

$80

Median

$80

High Estimate

$90

Providers

7

National avg: $129Pismo Beach: $80

38% 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 Pismo Beach

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

New patient versus follow-up visit cost comparison
Visit TypeLow EstimateHigh Estimate
New Patient VisitCPT 99203/99204$80$370
Follow-Up VisitCPT 99213/99214$80$90

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 Pismo Beach

Pismo Beach has 9 Primary Care Doctor (Family Medicine) providers currently practicing in the area. Each doctor profile below includes ratings, specialties, and accepted insurance plans to help you make an informed choice.

Top-rated doctors for this specialty
ProviderOrganizationLocationSpecialty
Dr. David Ruiz, MD5.0 stars (127 reviews)931 OAK PARK BLVD, Pismo Beach, CA 93449Family Medicine Physician
Dr. Roger Guthrie, MD5.0 stars (3 reviews)931 OAK PARK BLVD, Pismo Beach, CA 93449Family Medicine Physician
Dr. Megan Malzone, MD4.8 stars (20 reviews)931 OAK PARK BLVD STE 101, Pismo Beach, CA 93449Family Medicine Physician
Dr. Jonathan Lien, MD4.8 stars (13 reviews)877 OAK PARK BLVD, Pismo Beach, CA 93449Family Medicine Physician
Dr. Scott Robertson, MD4.2 stars (10 reviews)877 OAK PARK BLVD, Pismo Beach, CA 93449Family 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 (this city)$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 Pismo Beach, 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 Pismo Beach

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

Without insurance, a Primary Care Doctor (Family Medicine) visit in Pismo Beach typically costs between $80 and $90, with a median price of $80. This represents excellent value compared to the California state median of $140 for the same service. Most providers offer self-pay discounts that can help reduce costs further.

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

New patient consultations cost significantly more than follow-up visits in Pismo Beach. Low-complexity new patient visits (CPT 99203) range from $80 to $244 with a median of $151, while moderate-complexity new visits (CPT 99204) range from $80 to $370 with a median of $209. In contrast, follow-up visits for both low and moderate complexity consistently cost $80 to $90.

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

Pismo Beach already offers some of the lowest Primary Care Doctor (Family Medicine) costs in the region. Nearby Santa Barbara has median costs of $234, significantly higher than Pismo Beach's $80 median. Most other California cities show substantially higher pricing, making Pismo Beach one of the most affordable options on the Central Coast.

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

With 9 individual Primary Care Doctor (Family Medicine) practitioners in Pismo Beach, patients have several options to choose from. Most providers in the area offer competitive rates within the $80 to $90 range. Focus on doctors who accept your insurance plan and have convenient scheduling availability, as pricing remains relatively consistent across providers.

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

With insurance, your cost will depend on your specific plan's copay structure and whether you've met your deductible. The negotiated rates between insurers and Pismo Beach providers range from $80 to $90, which is 43% below the California state median. Your out-of-pocket cost will typically be a fraction of these negotiated amounts.

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

There are currently 9 active Primary Care Doctor (Family Medicine) providers in Pismo Beach, all of whom are individual practitioners rather than group practices. This gives patients direct access to personalized care while maintaining the competitive pricing range of $80 to $90 per visit that makes Pismo Beach an attractive healthcare destination.

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

Get personalized cost estimates for Primary Care Doctor (Family Medicine) visits in Pismo Beach based on your specific insurance plan and healthcare needs. Our AI-powered tool helps you understand exactly what you'll pay and connects you with the right provider for your situation.

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 Pismo Beach, 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, Pismo Beach, 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.