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Georgia

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

Reviewed by Momentary Medical Group West PC

Georgia's healthcare landscape features a diverse network spanning from metro Atlanta's academic medical centers to rural health clinics serving agricultural communities across the state. Primary Care Doctor (Family Medicine) visits in Georgia typically cost between $72 and $188, with a median out-of-pocket expense of $106 based on negotiated insurance rates. The state maintains 294 active Primary Care Doctor (Family Medicine) providers, allowing patients to browse all available options across Georgia's 159 counties.

Average

$122

Median

$106

Lowest

$72

Highest

$188

Providers

294

National avg: $129Georgia: $122

6% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Internal Medicine Visit

Standard office visit with an internist

99214$74$105$202293
Cardiologist Visit

Standard office visit with a cardiologist

99214$75$134$21659

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 Georgia

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

Georgia's healthcare costs run approximately 1% below national averages, reflecting the state's moderate cost of living and competitive provider market spanning from metropolitan Atlanta to agricultural regions across South Georgia. The state's decision to forgo Medicaid expansion combined with a growing ambulatory surgery center market creates unique pricing dynamics for specialty medical services.

Urban vs. Rural Provider Availability

Metro Atlanta concentrates the highest number of Primary Care Doctor (Family Medicine) providers, creating competitive pricing and shorter wait times, while rural counties in South Georgia face provider shortages that can drive up costs and extend appointment availability. Coastal regions around Savannah maintain moderate provider density, though seasonal population fluctuations can strain capacity during peak tourism periods. Patients in rural areas often travel to regional hubs like Augusta, Columbus, or Macon for specialized family medicine care.

Facility Type and Overhead Costs

Hospital-owned outpatient clinics affiliated with major health systems like Piedmont Healthcare, Northside Hospital, or Augusta University Health typically charge higher facility fees compared to independent Primary Care Doctor (Family Medicine) practices throughout Georgia. Academic medical centers carry additional overhead costs related to teaching and research missions, while ambulatory surgery centers and standalone clinics operate with lower fixed costs. The state's growing number of retail health clinics and urgent care centers provides additional cost-competitive options for routine family medicine services.

Insurance Market Competition in Georgia

Georgia's insurance market features moderate competition among major carriers including Anthem Blue Cross Blue Shield, UHC, and Cigna, with regional insurers providing additional options in specific markets across the state. The competitive landscape allows Primary Care Doctor (Family Medicine) providers to negotiate varying rates with different insurers, creating cost differences based on your specific coverage. Limited insurer competition in some rural counties can result in higher negotiated rates compared to metropolitan areas with broader carrier participation.

Physician Supply and Demand in Georgia

With 294 active Primary Care Doctor (Family Medicine) providers serving Georgia's population of 10.9 million, the state maintains adequate specialist availability in urban areas while facing shortages in rural regions. This geographic imbalance influences both pricing and access patterns, with rural patients often facing longer wait times and higher travel costs for specialized family medicine care. The ongoing physician shortage in primary care specialties creates upward pressure on visit costs, particularly in underserved areas designated by the Health Resources and Services Administration.

Cost by Procedure Type

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

CPT 99213300 providers

Follow-up, low complexity

$91
Range: $48$133
CPT 99214294 providers

Follow-up, moderate complexity

$106
Range: $72$188
CPT 99215250 providers

Follow-up, high complexity

$175
Range: $80$265
CPT 99203287 providers

New patient, low complexity

$112
Range: $72$193
CPT 99204284 providers

New patient, moderate complexity

$167
Range: $80$291
CPT 99205248 providers

New patient, high complexity

$231
Range: $80$381

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 Georgia

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

Uninsured patients in Georgia typically pay between $72 and $188 for a Primary Care Doctor (Family Medicine) visit, with the median cost being $106 based on negotiated insurance rates. New patient visits involving comprehensive evaluations generally cost more than follow-up appointments for established patients. Many providers offer cash-pay discounts of 10-30% for patients who pay at the time of service, potentially reducing these costs significantly.

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

Georgia Medicaid covers Primary Care Doctor (Family Medicine) visits for eligible beneficiaries, though the state has not expanded Medicaid, limiting coverage primarily to pregnant women, children, parents with very low incomes, and individuals with disabilities. Covered visits include routine care, chronic disease management, and medically necessary consultations when provided by Medicaid-participating providers. Adults without children or qualifying conditions often fall into a coverage gap and must seek care through community health centers or pay privately.

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

Start by comparing costs across different facility types, as independent practices often charge less than hospital-owned clinics throughout Georgia. Community health centers and federally qualified health centers provide sliding-scale fees based on income for uninsured and underinsured patients. Ask about cash-pay discounts, payment plans, and consider telehealth options which may offer reduced rates for routine follow-up visits and consultations.

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

New patient Primary Care Doctor (Family Medicine) visits in Georgia typically cost between $111-$167 for routine to moderate complexity evaluations, while established patient follow-up visits range from $91-$106 for similar complexity levels. Initial consultations involve comprehensive health history reviews, physical examinations, and care planning, justifying the higher fees compared to focused follow-up appointments. Complex cases requiring extensive evaluation and planning can reach $231-$175 for new and established patients respectively.

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

Yes, Primary Care Doctor (Family Medicine) visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) in Georgia. You can use these pre-tax dollars to pay for copays, coinsurance, or full visit costs if you haven't met your deductible. Keep detailed receipts for tax purposes, and remember that HSA funds roll over annually 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 Georgia?

Telemedicine Primary Care Doctor (Family Medicine) visits in Georgia often cost 10-30% less than in-person appointments, with many providers offering virtual consultations for routine follow-ups, medication management, and minor acute care. Insurance coverage for telehealth varies by plan, though most major carriers now cover virtual visits at the same rate as office visits. Cash-pay telehealth options may be even more affordable, particularly for brief consultations that don't require physical examination.

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