Cost of a Primary Care Doctor (Family Medicine) Visit
in Pleasanton
Reviewed by Momentary Medical Group West PC
Pleasanton's healthcare market features a concentrated network of independent family medicine practitioners serving the Tri-Valley region. Patients in Pleasanton pay between $80 and $228 for a Primary Care Doctor (Family Medicine) visit, with a median of $80. The city has 13 active providers, all operating as individual practitioners with no group practices currently represented in the data.
Cost Summary for Primary Care Doctor (Family Medicine) in Pleasanton
Low Estimate
$80
Median
$80
High Estimate
$228
Providers
12
38% below national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in California?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $80 | $85 | $250 | 2,792 |
| Psychiatric Evaluation Initial psychiatric evaluation with medical services | 90792 | $81 | $267 | $267 | 274 |
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 99214 — Office/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 Pleasanton
Initial consultations typically cost more than follow-up visits due to additional time required for medical history review and treatment planning. The data below shows pricing for both new patient visits (CPT codes 99203 and 99204) and established patient follow-ups (CPT codes 99213 and 99214) in Pleasanton.
| Visit Type | Low Estimate | High Estimate |
|---|---|---|
| New Patient VisitCPT 99203/99204 | $80 | $293 |
| Follow-Up VisitCPT 99213/99214 | $80 | $228 |
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 Pleasanton
Pleasanton currently has 13 Primary Care Doctor (Family Medicine) providers accepting patients in the area. Each provider profile includes verified credentials, patient ratings, and accepted insurance plans to help you make an informed choice.
| Provider | Organization | Location | Specialty |
|---|---|---|---|
| Dr. Anupama Velpuri, MD4.8 stars (46 reviews) | — | 4725 1ST ST, Pleasanton, CA 94566 | Family Medicine Physician |
| Dr. E Dennis Glafkides, MD4.8 stars (23 reviews) | — | 1447 CEDARWOOD LANE, Pleasanton, CA 94566 | Family Medicine Physician |
| Dr. Susan Hsu, MD4.6 stars (16 reviews) | — | 7601 STONERIDGE DR, Pleasanton, CA 94588 | Family Medicine Physician |
| Dr. Manisha Shingate, MD4.5 stars (20 reviews) | — | 5820 STONERIDGE MALL RD, Pleasanton, CA 94588 | Family Medicine Physician |
| Dr. Shazia Mughal, MD4.2 stars (18 reviews) | — | 5725 W LAS POSITAS BLVD, Pleasanton, CA 94588 | Family 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 California — 2026
| City | Min Cost | Median Cost | Max 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 (this city) | $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 Pleasanton, California.
Follow-up, low complexity
Follow-up, moderate complexity
Follow-up, high complexity
New patient, low complexity
New patient, moderate complexity
New patient, high complexity
Costs shown are median negotiated rates. Your actual cost depends on your insurance plan and provider.
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.