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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.
Pleasanton, California

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

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

National avg: $129Pleasanton: $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 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.

New patient versus follow-up visit cost comparison
Visit TypeLow EstimateHigh 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.

Top-rated doctors for this specialty
ProviderOrganizationLocationSpecialty
Dr. Anupama Velpuri, MD4.8 stars (46 reviews)4725 1ST ST, Pleasanton, CA 94566Family Medicine Physician
Dr. E Dennis Glafkides, MD4.8 stars (23 reviews)1447 CEDARWOOD LANE, Pleasanton, CA 94566Family Medicine Physician
Dr. Susan Hsu, MD4.6 stars (16 reviews)7601 STONERIDGE DR, Pleasanton, CA 94588Family Medicine Physician
Dr. Manisha Shingate, MD4.5 stars (20 reviews)5820 STONERIDGE MALL RD, Pleasanton, CA 94588Family Medicine Physician
Dr. Shazia Mughal, MD4.2 stars (18 reviews)5725 W LAS POSITAS BLVD, Pleasanton, CA 94588Family 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 (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.

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 Pleasanton

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

Without insurance, Primary Care Doctor (Family Medicine) visits in Pleasanton range from $80 to $228 depending on visit complexity, with a median cost of $80. Low complexity follow-up visits (CPT 99213) typically cost between $80 and $162, while moderate complexity visits (CPT 99214) range from $80 to $228. New patient consultations can cost up to $293 for moderate complexity cases.

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

New patient consultations cost significantly more than follow-up visits in Pleasanton. While established patient visits (CPT 99214) max out at $228, new patient moderate complexity visits (CPT 99204) can reach $293. The difference reflects additional time needed for initial medical history, physical examination, and treatment plan development. However, both visit types start at the same $80 minimum rate.

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

Pleasanton already offers some of the most competitive Primary Care Doctor (Family Medicine) pricing in the Bay Area region. Nearby cities like San Ramon, Danville, and Walnut Creek show identical maximum rates of $228 for moderate complexity visits. More distant California cities like La Mesa and Santee have significantly higher median costs of $287, making Pleasanton a cost-effective choice for family medicine care.

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

Pleasanton has 13 active Primary Care Doctor (Family Medicine) providers, all operating as individual practitioners. Since the median cost is $80 and maximum is $228, most providers fall within an affordable range. Focus on providers who accept your insurance plan and have convenient scheduling availability, as pricing variation is relatively modest across the local market.

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

With insurance, your out-of-pocket cost depends on your specific plan's copay structure and deductible requirements. The negotiated rates between insurers and Pleasanton providers range from $80 to $228 for moderate complexity visits. Your actual cost may be a fixed copay (typically $20-40 for primary care) or a percentage of the negotiated rate if you haven't met your deductible.

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

Pleasanton currently has 13 active Primary Care Doctor (Family Medicine) providers according to recent transparency data. All 13 operate as individual practitioners, with no group practices represented in the current provider network. This relatively small but focused group serves the Pleasanton community and surrounding Tri-Valley region.

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

Ready to find the right Primary Care Doctor (Family Medicine) for your needs and budget in Pleasanton? Our AI-powered tool matches you with local providers based on your insurance, location preferences, and specific healthcare requirements.

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 Pleasanton, 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, Pleasanton, 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.