Cost of a Primary Care Doctor (Family Medicine) Visit
in Colorado
Reviewed by Momentary Medical Group West PC
Colorado's high-altitude environment and active outdoor lifestyle contribute to unique healthcare patterns, with the state maintaining Primary Care Doctor (Family Medicine) visit costs approximately 7% above the national average. Patients typically pay between $80 and $210, with a median out-of-pocket cost of $89 for established patient visits. Colorado has 98 active Primary Care Doctor (Family Medicine) providers, offering patients multiple options to browse all providers in Colorado.
Average
$126
Median
$89
Lowest
$80
Highest
$210
Providers
98
2% below national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in Colorado?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $80 | $90 | $203 | 89 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $64 | $108 | $257 | 25 |
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.
Top Rated Family medicine physicians in Colorado
Dr. Kerri Charles, MD
Family Medicine Physician · Lafayette, CO
Dr. Kelly Locke, MD
Family Medicine Physician · Aspen, CO
Dr. Susan Sweeney, MD
Family Medicine Physician · Clifton, CO
Dr. Mark Olson, MD
Family Medicine Physician · Hugo, CO
Dr. Clint Flanagan, MD
Family Medicine Physician · Dacono, CO
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across Colorado
Colorado's healthcare costs run approximately 7% above the national average, driven by the state's desirable location attracting high-income residents and the challenges of providing care across vast rural territories. The Front Range corridor's rapid population growth has created provider shortages in some specialties while concentrating resources in metro areas.
Urban vs. Rural Provider Availability
The Denver-Boulder metropolitan area contains the majority of Colorado's Primary Care Doctor (Family Medicine) providers, creating stark access differences for residents in the Western Slope or Eastern Plains regions. Rural counties often rely on federally qualified health centers or traveling physicians, which can affect both availability and pricing structures. Mountain resort communities face unique challenges with seasonal population swings affecting provider capacity and costs.
Facility Type and Overhead Costs
Hospital-owned practices, particularly those affiliated with Presbyterian/St. Joseph Health System or UCHealth, typically charge facility fees that can double the total visit cost compared to independent physicians. Colorado's certificate of need laws for hospitals create less competition in rural areas, potentially affecting pricing at hospital-employed family medicine clinics. Independent practices often offer more transparent, lower-cost options but may have limited after-hours availability.
Insurance Market Competition in Colorado
UnitedHealthcare, Anthem, and Kaiser Permanente compete actively across Colorado's Front Range, creating favorable negotiated rates for patients in metro areas. Rural regions often have fewer insurer options, with some counties served by only one or two carriers, reducing competition that typically drives down costs. The state's robust individual insurance marketplace through Connect for Health Colorado provides additional competitive pressure on pricing.
Physician Supply and Demand in Colorado
With 98 active Primary Care Doctor (Family Medicine) providers serving Colorado's 5.8 million residents, the state faces mild physician shortages, particularly in rural areas where recruitment challenges persist. This supply constraint contributes to higher costs and longer wait times in underserved regions compared to the Denver metro area. The University of Colorado School of Medicine helps address shortages through residency programs, though many graduates leave for higher-paying markets.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Colorado.
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.
Frequently Asked Questions — Primary Care Doctor (Family Medicine) Costs in Colorado
What is the average cost of a Primary Care Doctor (Family Medicine) visit in Colorado without insurance?
Does Colorado Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in Colorado?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Primary Care Doctor (Family Medicine) visit in Colorado?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in Colorado?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 99214)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Nebraska Range: $91 – $314 | $215 |
| 2 | New Hampshire Range: $101 – $282 | $198 |
| 3 | Iowa Range: $80 – $314 | $187 |
| 4 | Maine Range: $80 – $255 | $180 |
| 5 | Minnesota Range: $81 – $313 | $162 |
| 6 | Wisconsin Range: $73 – $313 | $161 |
| 7 | California Range: $70 – $250 | $154 |
| 8 | Wyoming Range: $80 – $251 | $152 |
| 9 | Illinois Range: $77 – $226 | $148 |
| 10 | Massachusetts Range: $80 – $271 | $144 |
| 11 | Rhode Island Range: $85 – $200 | $143 |
| 12 | North Dakota Range: $91 – $240 | $141 |
| 13 | Texas Range: $70 – $221 | $139 |
| 14 | New Mexico Range: $80 – $178 | $138 |
| 15 | Vermont Range: $107 – $166 | $138 |
| 16 | Mississippi Range: $67 – $249 | $136 |
| 17 | Michigan Range: $66 – $249 | $134 |
| 18 | South Dakota Range: $77 – $239 | $132 |
| 19 | Hawaii Range: $70 – $239 | $131 |
| 20 | New York Range: $78 – $200 | $131 |
| 21 | Pennsylvania Range: $73 – $228 | $130 |
| 22 | Louisiana Range: $69 – $222 | $130 |
| 23 | Colorado Range: $80 – $210 | $126 |
| 24 | Connecticut Range: $80 – $200 | $124 |
| 25 | Oregon Range: $80 – $204 | $124 |
| 26 | Indiana Range: $80 – $202 | $123 |
| 27 | Ohio Range: $70 – $201 | $122 |
| 28 | Georgia Range: $72 – $188 | $122 |
| 29 | South Carolina Range: $68 – $216 | $121 |
| 30 | Washington Range: $80 – $202 | $121 |
| 31 | North Carolina Range: $66 – $210 | $119 |
| 32 | Nevada Range: $48 – $182 | $118 |
| 33 | Virginia Range: $60 – $191 | $116 |
| 34 | Arkansas Range: $70 – $175 | $116 |
| 35 | West Virginia Range: $80 – $133 | $115 |
| 36 | Florida Range: $54 – $200 | $115 |
| 37 | Idaho Range: $75 – $179 | $115 |
| 38 | New Jersey Range: $53 – $188 | $113 |
| 39 | Missouri Range: $67 – $148 | $113 |
| 40 | Kansas Range: $76 – $158 | $113 |
| 41 | Maryland Range: $49 – $194 | $112 |
| 42 | District of Columbia Range: $53 – $199 | $112 |
| 43 | Kentucky Range: $80 – $170 | $110 |
| 44 | Utah Range: $60 – $180 | $110 |
| 45 | Tennessee Range: $70 – $168 | $109 |
| 46 | Oklahoma Range: $70 – $158 | $104 |
| 47 | Arizona Range: $63 – $168 | $104 |
| 48 | Alabama Range: $61 – $160 | $100 |
| 49 | Delaware Range: $58 – $123 | $91 |
| 50 | Alaska Range: $80 – $80 | $80 |
| 51 | Montana Range: $80 – $80 | $80 |