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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.
Simi Valley, California

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

Simi Valley's healthcare market offers competitive pricing for primary care services, with patients paying between $75 and $157 for a Primary Care Doctor (Family Medicine) visit and a median cost of $88. The city has 32 active providers, consisting entirely of individual practitioners with no large group practices operating in the area.

Cost Summary for Primary Care Doctor (Family Medicine) in Simi Valley

Low Estimate

$75

Median

$88

High Estimate

$157

Providers

12

National avg: $129Simi Valley: $88

32% 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 Simi Valley

Initial consultations with a Primary Care Doctor (Family Medicine) typically cost more than follow-up appointments due to the additional time required for comprehensive health assessments. In Simi Valley, new patient visits (CPT codes 99203 and 99204) and follow-up visits (CPT codes 99213 and 99214) show varying costs based on the complexity of medical decision-making required.

New patient versus follow-up visit cost comparison
Visit TypeLow EstimateHigh Estimate
New Patient VisitCPT 99203/99204$85$238
Follow-Up VisitCPT 99213/99214$75$157

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 Simi Valley

Simi Valley has 32 active Primary Care Doctor (Family Medicine) providers available for patient consultations. The following profiles include detailed information about each provider's background, patient ratings, and accepted insurance plans.

Top-rated doctors for this specialty
ProviderOrganizationLocationSpecialty
Dr. Jeffrey Caputo, MD5.0 stars (2203 reviews)2655 FIRST STREET STE 325, Simi Valley, CA 93065Family Medicine Physician
Dr. Avani Gupta, DO5.0 stars (29 reviews)1950 E LOS ANGELES AVE, Simi Valley, CA 93065Family Medicine Physician
Dr. Robyn Glezer, DO5.0 stars (6 reviews)3900 ALAMO ST, Simi Valley, CA 93063Family Medicine Physician
Dr. Margaret Cheadle, MD5.0 stars (1 reviews)2750 SYCAMORE DR, Simi Valley, CA 93065Family Medicine Physician
Dr. George Carbone, MD5.0 stars (1 reviews)2876 SYCAMORE DR, Simi Valley, CA 93065Family 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 (this city)$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 Simi Valley, 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 Simi Valley

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

Uninsured patients in Simi Valley pay between $75 and $157 for a Primary Care Doctor (Family Medicine) visit, with a median cost of $88. This rate applies to established patients with moderate complexity visits (CPT 99214). New patient consultations may cost slightly more depending on the complexity of the initial assessment.

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

New patient visits in Simi Valley range from $85 to $238 depending on complexity, while follow-up visits cost between $75 and $157. Low-complexity follow-up visits (CPT 99213) have a median cost of $106, compared to moderate-complexity visits (CPT 99214) at $88. The difference reflects the additional time required for initial health history documentation and assessment.

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

Simi Valley already offers some of the most competitive rates in the region, with a median cost of $88 compared to much higher rates in nearby areas. Santa Barbara shows median costs of $234, while Beverly Hills reaches $242, making Simi Valley an excellent value. Most surrounding cities charge significantly more for comparable Primary Care Doctor (Family Medicine) services.

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

Simi Valley has 32 individual Primary Care Doctor (Family Medicine) practitioners to choose from, with costs ranging from $75 to $157. Look for providers who accept your insurance plan and compare patient reviews alongside pricing information. Many providers offer competitive rates within the city's favorable cost structure compared to neighboring areas.

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

Insurance coverage will typically reduce your out-of-pocket costs below the $75 to $157 range that uninsured patients pay in Simi Valley. Your actual cost depends on your specific plan's copay structure, deductible, and whether you've met your annual deductible. Contact your insurance provider to understand your specific coverage for Primary Care Doctor (Family Medicine) visits.

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

There are 32 active Primary Care Doctor (Family Medicine) providers currently practicing in Simi Valley. All of these are individual practitioners, with no large group practices operating in the city. This structure often allows for more personalized care and competitive pricing, as reflected in the city's favorable cost range of $75 to $157.

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

Find the right Primary Care Doctor (Family Medicine) in Simi Valley based on your specific insurance coverage and budget requirements. Our AI-powered cost calculator provides personalized estimates and helps connect you with providers who match your healthcare needs and financial 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 Simi Valley, 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, Simi Valley, 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.