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Florida

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

Reviewed by Momentary Medical Group West PC

Florida's vast network spans from the Panhandle to the Keys, creating diverse healthcare access patterns across 359 active Primary Care Doctor (Family Medicine) providers statewide. Based on negotiated insurance rates, patients typically pay between $54 and $200 for Primary Care Doctor (Family Medicine) visits, with a median out-of-pocket cost of $91. Browse all Primary Care Doctor (Family Medicine) providers in Florida to find the best match for your location and insurance plan.

Average

$115

Median

$91

Lowest

$54

Highest

$200

Providers

359

National avg: $129Florida: $115

11% below national average

Compare Similar Procedures

How does family medicine visit compare to related procedures in Florida?

ProcedureCPTLowMedianHighProviders
Internal Medicine Visit

Standard office visit with an internist

99214$55$91$207510
Cardiologist Visit

Standard office visit with a cardiologist

99214$67$96$200130

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.

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 Florida

Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across Florida

Florida's healthcare costs run approximately 2% above the national average, influenced by the state's rapid population growth, high proportion of retirees, and competitive insurance markets dominated by national carriers. The Sunshine State's unique geography stretches healthcare resources across urban corridors, suburban sprawl, and rural agricultural regions.

Urban vs. Rural Provider Availability

Florida's population concentrates along the I-4 corridor from Tampa to Orlando and Southeast Coast from Miami to Palm Beach, creating dense provider networks in metropolitan areas while leaving rural counties underserved. Northern Florida's Panhandle and central agricultural regions often require patients to travel significant distances for specialized family medicine care. This geographic imbalance drives up costs in rural areas where limited competition allows providers to command higher rates.

Facility Type and Overhead Costs

Hospital systems like Orlando Health, Tampa General, Baptist Health, and Jackson Health dominate Florida's major metropolitan markets, operating outpatient family medicine clinics that often charge facility fees alongside professional fees. Independent Primary Care Doctor (Family Medicine) practices face rising real estate costs in desirable coastal markets but typically offer lower total visit costs. The state's large ambulatory surgery center market creates competition that helps moderate some specialty healthcare costs.

Insurance Market Competition in Florida

UnitedHealthcare, Blue Cross Blue Shield of Florida, and Aetna compete across most Florida markets, creating moderate negotiating leverage that keeps Primary Care Doctor (Family Medicine) rates relatively competitive. However, some rural counties have limited insurer participation, reducing competition and allowing higher negotiated rates. The state's decision not to expand Medicaid concentrates uncompensated care costs among safety-net providers, potentially affecting their pricing structures.

Physician Supply and Demand in Florida

Florida's 359 active Primary Care Doctor (Family Medicine) providers serve a population exceeding 22 million residents, creating moderate supply pressure that supports current pricing levels. The state's rapid population growth, driven by retirees and transplants from higher-cost states, increases demand faster than new physicians enter practice. This supply-demand imbalance contributes to longer wait times in popular metropolitan areas and supports providers' ability to maintain competitive rates.

Cost by Procedure Type

Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Florida.

CPT 99213362 providers

Follow-up, low complexity

$80
Range: $36$137
CPT 99214359 providers

Follow-up, moderate complexity

$91
Range: $54$200
CPT 99215287 providers

Follow-up, high complexity

$120
Range: $70$269
CPT 99203338 providers

New patient, low complexity

$92
Range: $52$192
CPT 99204308 providers

New patient, moderate complexity

$133
Range: $80$269
CPT 99205283 providers

New patient, high complexity

$173
Range: $80$350

Costs shown are median negotiated rates. Your actual cost depends on your insurance plan and provider.

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 Florida

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

Self-pay patients in Florida typically pay between $54 and $200 for Primary Care Doctor (Family Medicine) visits, with a median cost of $91 for established patient follow-ups. New patient visits with moderate complexity average $133, while simple follow-up visits for established patients cost around $80. Many providers offer cash-pay discounts of 20-40% off these rates, and some practices provide sliding-scale fees based on income.

Does Florida Medicaid cover Primary Care Doctor (Family Medicine) visits?

Yes, Florida Medicaid covers Primary Care Doctor (Family Medicine) visits for eligible beneficiaries, though the state chose not to expand Medicaid, limiting coverage to very low-income families, pregnant women, children, and disabled individuals. Working adults without children typically don't qualify unless they meet strict income and asset requirements. Provider participation in Medicaid varies across Florida, with some regions having limited options for Medicaid patients.

How do I find an affordable Primary Care Doctor (Family Medicine) near me in Florida?

Compare costs across different facility types, as independent practices often cost less than hospital-owned clinics that charge facility fees. Ask about self-pay discounts, which many Florida providers offer to uninsured patients paying at the time of service. Consider federally qualified health centers and community health centers, which operate in most Florida metropolitan areas and offer sliding-scale fees based on income.

What is the difference in cost between an initial consultation and a follow-up visit?

New patient visits in Florida cost significantly more than follow-ups, with initial consultations ranging from $52 to $350 depending on complexity, compared to follow-up visits ranging from $36 to $269. A typical new patient visit with moderate complexity costs around $133, while an established patient follow-up averages $91. The cost difference reflects the additional time required for comprehensive history-taking, examination, and care planning during initial visits.

Can I use an HSA or FSA to pay for a Primary Care Doctor (Family Medicine) visit in Florida?

Yes, Primary Care Doctor (Family Medicine) visits qualify as eligible medical expenses for both Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs). You can use these pre-tax dollars for copays, deductibles, and coinsurance related to family medicine visits. Keep receipts and documentation for tax purposes, and remember that HSA funds roll over year to year while FSA funds typically must be used within the plan year.

How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in Florida?

Telemedicine visits with Primary Care Doctor (Family Medicine) providers in Florida often cost 10-30% less than in-person visits, though exact savings depend on your insurance plan's telehealth coverage. Many insurers now cover virtual visits at the same rate as office visits, eliminating cost differences for insured patients. Self-pay telehealth visits typically range from $40-75, making them an affordable option for routine follow-ups and medication management.

Click a state to compare costs

Average Visit Cost

$80
$215

Office visit (CPT 99214)

Compare With Other States

RankStateAverage
1Nebraska
Range: $91$314
$215
2New Hampshire
Range: $101$282
$198
3Iowa
Range: $80$314
$187
4Maine
Range: $80$255
$180
5Minnesota
Range: $81$313
$162
6Wisconsin
Range: $73$313
$161
7California
Range: $70$250
$154
8Wyoming
Range: $80$251
$152
9Illinois
Range: $77$226
$148
10Massachusetts
Range: $80$271
$144
11Rhode Island
Range: $85$200
$143
12North Dakota
Range: $91$240
$141
13Texas
Range: $70$221
$139
14New Mexico
Range: $80$178
$138
15Vermont
Range: $107$166
$138
16Mississippi
Range: $67$249
$136
17Michigan
Range: $66$249
$134
18South Dakota
Range: $77$239
$132
19Hawaii
Range: $70$239
$131
20New York
Range: $78$200
$131
21Pennsylvania
Range: $73$228
$130
22Louisiana
Range: $69$222
$130
23Colorado
Range: $80$210
$126
24Connecticut
Range: $80$200
$124
25Oregon
Range: $80$204
$124
26Indiana
Range: $80$202
$123
27Ohio
Range: $70$201
$122
28Georgia
Range: $72$188
$122
29South Carolina
Range: $68$216
$121
30Washington
Range: $80$202
$121
31North Carolina
Range: $66$210
$119
32Nevada
Range: $48$182
$118
33Virginia
Range: $60$191
$116
34Arkansas
Range: $70$175
$116
35West Virginia
Range: $80$133
$115
36Florida
Range: $54$200
$115
37Idaho
Range: $75$179
$115
38New Jersey
Range: $53$188
$113
39Missouri
Range: $67$148
$113
40Kansas
Range: $76$158
$113
41Maryland
Range: $49$194
$112
42District of Columbia
Range: $53$199
$112
43Kentucky
Range: $80$170
$110
44Utah
Range: $60$180
$110
45Tennessee
Range: $70$168
$109
46Oklahoma
Range: $70$158
$104
47Arizona
Range: $63$168
$104
48Alabama
Range: $61$160
$100
49Delaware
Range: $58$123
$91
50Alaska
Range: $80$80
$80
51Montana
Range: $80$80
$80
Family Medicine Visit in Other States