Cost of a Primary Care Doctor (Family Medicine) Visit
in Idaho
Reviewed by Momentary Medical Group West PC
Idaho's healthcare system serves a predominantly rural population where 23% of residents live more than 30 minutes from their nearest hospital, creating unique access patterns for primary care services. Patients seeking a Primary Care Doctor (Family Medicine) typically pay between $75 and $179 for their visit, with a median out-of-pocket cost of $90 based on negotiated insurance rates. The state maintains 29 active Primary Care Doctor (Family Medicine) providers to serve Idaho's 1.8 million residents, and patients can browse all available providers throughout Idaho to find the most convenient and affordable option for their healthcare needs.
Average
$115
Median
$90
Lowest
$75
Highest
$179
Providers
29
11% below national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in Idaho?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $75 | $80 | $125 | 19 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $90 | $90 | $150 | 9 |
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 Idaho
Dr. Nani Cabrera, DO
Family Medicine Physician · Fruitland, ID
Dr. Yvette Sweet, DO
Family Medicine Physician · Payette, ID
Dr. Jennifer Garwick, MD
Family Medicine Physician · Bonners Ferry, ID
Dr. Scott Shappard, DO
Family Medicine Physician · Boise, ID
Dr. Wallace Baker, MD
Family Medicine Physician · Idaho Falls, ID
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across Idaho
Idaho's healthcare costs run approximately 3% below the national average, reflecting the state's lower cost of living and rural market dynamics where provider competition is limited but overhead expenses remain manageable. The state's geography spans from agricultural valleys to mountainous regions, creating distinct cost variations between urban centers like Boise and remote communities that rely on critical access hospitals.
Urban vs. Rural Provider Availability
Boise and Coeur d'Alene concentrate most of Idaho's Primary Care Doctor (Family Medicine) specialists, while rural counties often depend on traveling physicians or telemedicine consultations to supplement local primary care options. This geographic disparity can create higher effective costs for rural patients who must travel long distances or pay premium rates for limited local specialists. Some remote areas rely on nurse practitioners working under physician supervision rather than full-time family medicine physicians.
Facility Type and Overhead Costs
Saint Alphonsus and Saint Luke's health systems operate many hospital-based Primary Care Doctor (Family Medicine) clinics throughout Idaho, which typically charge higher facility fees than independent practices. Independent family medicine practices remain common in Idaho's smaller communities, often offering more competitive cash-pay rates due to lower administrative overhead. Federally qualified health centers serve several rural Idaho communities and typically offer sliding fee scales based on patient income.
Insurance Market Competition in Idaho
Regence BlueCross and PacificSource dominate Idaho's individual and small group insurance markets, creating a moderately competitive environment for negotiated provider rates. The state's insurance market is less concentrated than some neighboring states, allowing for reasonable rate negotiations between insurers and Primary Care Doctor (Family Medicine) providers. Idaho's participation in healthcare sharing ministries and self-funded employer plans also influences the local insurance landscape and provider pricing strategies.
Physician Supply and Demand in Idaho
With 29 active Primary Care Doctor (Family Medicine) providers serving Idaho's 1.8 million residents, the state maintains adequate specialist availability in urban areas but faces shortages in rural regions. This moderate provider supply helps keep costs reasonable in competitive markets like Boise while potentially driving up prices in underserved areas where patients have fewer options. Idaho's medical education programs and recruitment incentives aim to address rural physician shortages, but geographic barriers continue to affect both access and pricing patterns.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Idaho.
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 Idaho
What is the average cost of a Primary Care Doctor (Family Medicine) visit in Idaho without insurance?
Does Idaho Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in Idaho?
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 Idaho?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in Idaho?
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 |
