Cost of a Primary Care Doctor (Family Medicine) Visit
in District of Columbia
Reviewed by Momentary Medical Group West PC
District of Columbia operates as the nation's only federal district healthcare market, creating unique cost dynamics where government employee health plans significantly influence provider pricing structures. Primary Care Doctor (Family Medicine) visits typically cost between $53 and $199, with patients paying a median out-of-pocket cost of $85 across the district's 9 active providers. Browse all Primary Care Doctor (Family Medicine) providers in District of Columbia to find the most affordable option for your specific insurance plan.
Average
$112
Median
$85
Lowest
$53
Highest
$199
Providers
9
13% below national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in District of Columbia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $59 | $142 | $242 | 36 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $71 | $101 | $194 | 10 |
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 District of Columbia
Dr. Robert Solomon, MD
Family Medicine Physician · Washington, DC
Dr. Joel Ang, MD
Family Medicine Physician · Washington, DC
Dr. Eric Marshall, MD
Family Medicine Physician · Washington, DC
Dr. Barry Clark, MD
Family Medicine Physician · Washington, DC
Dr. Daniel Garfinkel, MD
Family Medicine Physician · Washington, DC
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across District of Columbia
District of Columbia's healthcare costs run approximately 20% above national averages, driven by the concentrated federal workforce with generous health benefits and limited geographic competition among the district's 9 Primary Care Doctor (Family Medicine) providers. The district's unique federal jurisdiction creates regulatory complexities that can influence provider operating costs and insurance negotiation dynamics.
Urban vs. Rural Provider Availability
As a fully urban federal district, District of Columbia lacks the rural-urban cost disparities seen in states, but significant variations exist between affluent Northwest neighborhoods with multiple provider options and underserved areas east of the Anacostia River. Provider concentration in areas near major medical centers like George Washington University Hospital creates cost premiums compared to community-based practices.
Facility Type and Overhead Costs
Hospital-affiliated Primary Care Doctor (Family Medicine) practices in District of Columbia often charge facility fees on top of physician fees, particularly those connected to GWU Hospital, MedStar Washington Hospital Center, and Children's National Hospital. Independent practices typically offer lower overhead costs but may have limited access to on-site diagnostic services that hospital systems provide.
Insurance Market Competition in District of Columbia
The dominance of CareFirst BCBS, UHC, and Aetna creates moderate insurer competition, though federal employee health plans through OPM significantly influence the overall market dynamics and negotiated rates. Limited geographic area means Primary Care Doctor (Family Medicine) providers often contract with all major insurers, reducing the price competition seen in larger state markets.
Physician Supply and Demand in District of Columbia
With only 9 active Primary Care Doctor (Family Medicine) providers serving the district's population, this indicates a potential supply constraint that may contribute to higher pricing and longer wait times. The concentration of federal employees and proximity to major medical schools attracts specialists but may limit the number of providers accepting new patients, particularly those with Medicaid coverage.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in District of Columbia.
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 District of Columbia
What is the average cost of a Primary Care Doctor (Family Medicine) visit in District of Columbia without insurance?
Does District of Columbia Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in District of Columbia?
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 District of Columbia?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in District of Columbia?
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 |