Cost of a Primary Care Doctor (Family Medicine) Visit
in Kansas
Reviewed by Momentary Medical Group West PC
Kansas has not expanded Medicaid, leaving approximately 150,000 adults in the coverage gap and making affordable primary care access a priority for many residents. For a Primary Care Doctor (Family Medicine) visit, patients typically pay between $76 and $158, with a median out-of-pocket cost of $105, reflecting rates about 7% below the national average. With 211 active Primary Care Doctor (Family Medicine) providers across the state, patients can browse all available options to find the right provider for their needs.
Average
$113
Median
$105
Lowest
$76
Highest
$158
Providers
211
12% below national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in Kansas?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $72 | $110 | $151 | 85 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $65 | $110 | $151 | 25 |
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 Kansas
Dr. Timothy Spears, DO
Family Medicine Physician · Iola, KS
Dr. Dirk Smith, MD
Family Medicine Physician · Wichita, KS
Dr. Donald Seery, MD
Family Medicine Physician · Wichita, KS
Dr. Kent Erickson, MD
Family Medicine Physician · Clay Center, KS
Dr. Timothy Penner, MD
Family Medicine Physician · Clay Center, KS
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across Kansas
Kansas healthcare costs run approximately 7% below the national average, reflecting the state's lower cost of living and rural economy. However, the decision not to expand Medicaid creates financial pressures on both patients and providers that influence pricing dynamics across the state.
Urban vs. Rural Provider Availability
The Kansas City metro area and Wichita support higher provider concentrations with more competitive pricing, while western Kansas counties often have limited Primary Care Doctor (Family Medicine) options, potentially driving up costs. Rural health clinics and Critical Access Hospitals serve much of the state's agricultural regions, often with different reimbursement structures that affect patient pricing.
Facility Type and Overhead Costs
Hospital-owned practices typically charge more than independent Primary Care Doctor (Family Medicine) clinics due to higher facility fees and administrative costs. Major health systems like University of Kansas Health System and Ascension Via Christi have significant market presence, though Kansas still maintains many independent practices that often offer more competitive self-pay rates.
Insurance Market Competition in Kansas
BCBS Kansas, UHC, and Aetna dominate the state's insurance market, with BCBS holding particularly strong rural market share that gives them significant negotiating power with providers. Limited insurer competition in many counties means fewer plan options and potentially higher negotiated rates, though the state's overall lower cost structure helps offset this factor.
Physician Supply and Demand in Kansas
With 211 active Primary Care Doctor (Family Medicine) providers serving nearly 3 million residents, Kansas faces moderate physician shortages, particularly in rural areas where recruitment remains challenging. This supply constraint can create longer wait times and potentially higher costs in underserved regions, while urban areas maintain more competitive pricing due to better provider availability.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Kansas.
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 Kansas
What is the average cost of a Primary Care Doctor (Family Medicine) visit in Kansas without insurance?
Does Kansas Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in Kansas?
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 Kansas?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in Kansas?
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 |