Cost of a Primary Care Doctor (Family Medicine) Visit
in Indiana
Reviewed by Momentary Medical Group West PC
Indiana ranks #16 nationally for Primary Care Doctor (Family Medicine) visit costs, with negotiated rates approximately 6% below national averages despite serving a state where 35% of adults report difficulty affording healthcare. Patients typically pay between $80 and $202 for a Primary Care Doctor (Family Medicine) visit, with a median out-of-pocket cost of $88 across Indiana's 76 active providers. The state's decision not to expand Medicaid creates unique cost dynamics for working families seeking primary care throughout Indiana's 92 counties.
Average
$123
Median
$88
Lowest
$80
Highest
$202
Providers
76
4% below national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in Indiana?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $74 | $91 | $209 | 114 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $81 | $171 | $226 | 12 |
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 Indiana
Dr. Rebecca Small, MD
Family Medicine Physician · Indianapolis, IN
Dr. Young Park, DO
Family Medicine Physician · Carmel, IN
Dr. Merral Lewis, MD
Family Medicine Physician · Evansville, IN
Dr. Dawn Hacker, DO
Family Medicine Physician · Crown Point, IN
Dr. Lisa Richter, DO
Family Medicine Physician · Zionsville, IN
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across Indiana
Indiana maintains Primary Care Doctor (Family Medicine) costs approximately 6% below national averages, influenced by lower overall healthcare spending and moderate physician density across the state's mix of urban centers and agricultural regions. The state's healthcare market features growing ambulatory surgery center competition and moderate regulatory oversight compared to neighboring states.
Urban vs. Rural Provider Availability
Indianapolis and Fort Wayne offer concentrated Primary Care Doctor (Family Medicine) options with competitive pricing, while rural counties in southern and eastern Indiana face provider shortages that can increase wait times but may offer lower per-visit costs. The state's 92 counties show significant variation in specialist access, with some rural residents traveling 45+ minutes for family medicine care.
Facility Type and Overhead Costs
Hospital-owned Primary Care Doctor (Family Medicine) practices in Indiana, particularly those affiliated with Indiana University Health or Community Health Network, typically charge facility fees that increase total visit costs compared to independent practices. Independent family medicine clinics often offer more competitive pricing due to lower overhead costs and streamlined operations.
Insurance Market Competition in Indiana
Indiana's insurance market shows moderate competition with Anthem, UnitedHealthcare, and MDwise as dominant players, though rural counties may have only one or two carrier options. Limited insurer competition in certain regions allows for higher negotiated rates, while metro areas like Indianapolis benefit from stronger rate competition among Primary Care Doctor (Family Medicine) providers.
Physician Supply and Demand in Indiana
Indiana's 76 active Primary Care Doctor (Family Medicine) providers serve a population of 6.8 million, indicating moderate specialist density that varies significantly between urban and rural regions. The state faces projected primary care shortages by 2030, which may increase wait times and costs, particularly in underserved rural counties where existing providers have limited capacity for new patients.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Indiana.
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 Indiana
What is the average cost of a Primary Care Doctor (Family Medicine) visit in Indiana without insurance?
Does Indiana Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in Indiana?
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 Indiana?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in Indiana?
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 |