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Louisiana

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

Reviewed by Momentary Medical Group West PC

Louisiana's unique healthcare challenges, including high rates of diabetes and hypertension that exceed national averages, make access to affordable primary care visits particularly important for residents. Primary Care Doctor (Family Medicine) patients typically pay between $69 and $222 for their visits, with a median out-of-pocket cost of $99 based on negotiated insurance rates. Louisiana has 56 active Primary Care Doctor (Family Medicine) providers across the state, allowing patients to browse all providers to find the most affordable option for their specific needs.

Average

$130

Median

$99

Lowest

$69

Highest

$222

Providers

56

National avg: $129Louisiana: $130

1% above national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Internal Medicine Visit

Standard office visit with an internist

99214$70$102$20260
Cardiologist Visit

Standard office visit with a cardiologist

99214$80$87$1208

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 Louisiana

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

Louisiana's Primary Care Doctor (Family Medicine) costs average approximately 1% above national rates, reflecting the state's moderate cost of living and healthcare market dynamics. The state's mix of urban medical centers in New Orleans and Baton Rouge with extensive rural areas creates distinct pricing patterns across different regions.

Urban vs. Rural Provider Availability

Louisiana's healthcare access varies dramatically between urban centers like New Orleans and Baton Rouge, which have multiple Primary Care Doctor (Family Medicine) options and competitive pricing, versus rural parishes where provider scarcity can limit choice and increase costs. Many rural areas rely on Federally Qualified Health Centers and Rural Health Clinics that offer sliding-scale fees but may have longer wait times. The state's geography, including areas still recovering from hurricane damage, creates unique access challenges that can affect both availability and pricing of primary care services.

Facility Type and Overhead Costs

Hospital-owned Primary Care Doctor (Family Medicine) practices in Louisiana, particularly those affiliated with major systems like Ochsner Health or LCMC Health, typically charge facility fees that can increase total visit costs by 30-50% compared to independent practices. Independent family medicine practices generally offer more competitive pricing due to lower administrative overhead and more flexible billing practices. Academic medical centers associated with LSU Health or Tulane may charge premium rates but often provide access to the latest treatments and research opportunities.

Insurance Market Competition in Louisiana

Louisiana's insurance market features moderate competition among Blue Cross Blue Shield of Louisiana, UnitedHealthcare, and Aetna, with BCBS maintaining the largest market share and strongest provider networks. This concentration allows major insurers significant negotiating power with Primary Care Doctor (Family Medicine) providers, generally keeping rates reasonable compared to states with less insurer competition. The lack of Medicaid expansion limits the payer mix for many providers, potentially affecting their willingness to offer steep discounts to self-pay patients.

Physician Supply and Demand in Louisiana

With 56 active Primary Care Doctor (Family Medicine) providers serving the entire state, Louisiana faces moderate physician availability relative to its population of 4.6 million residents. This supply-demand balance varies significantly by region, with adequate availability in metro areas but potential shortages in rural parishes that can drive up costs and increase wait times. The state's medical education programs, including residencies at LSU and Tulane, help maintain physician supply, though many graduates leave for higher-paying markets in other states.

Cost by Procedure Type

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

CPT 99213126 providers

Follow-up, low complexity

$66
Range: $45$116
CPT 9921456 providers

Follow-up, moderate complexity

$99
Range: $69$222
CPT 99215125 providers

Follow-up, high complexity

$113
Range: $90$251
CPT 99203125 providers

New patient, low complexity

$90
Range: $69$180
CPT 99204125 providers

New patient, moderate complexity

$120
Range: $90$280
CPT 99205125 providers

New patient, high complexity

$158
Range: $90$352

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 Louisiana

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

Without insurance, Primary Care Doctor (Family Medicine) visits in Louisiana range from $69 to $222, with a median cost of $99 based on negotiated insurance rates. New patient visits typically cost more than established patient follow-ups, with complex visits reaching up to $352 for comprehensive evaluations. Many providers offer self-pay discounts of 20-40% off these rates, so uninsured patients should always ask about cash payment options when scheduling their appointments.

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

Louisiana Medicaid covers Primary Care Doctor (Family Medicine) visits for eligible recipients, which includes pregnant women, children, elderly adults, and disabled individuals who meet strict income requirements. However, Louisiana has not expanded Medicaid, leaving many working adults without coverage regardless of income level. For those who do qualify, Medicaid typically covers visits with minimal or no copays, though finding providers who accept Medicaid can be challenging due to lower reimbursement rates.

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

Start by comparing costs among the 56 Primary Care Doctor (Family Medicine) providers across Louisiana, focusing on independent practices rather than hospital-based clinics which often charge facility fees. Ask about self-pay discounts, sliding-scale fees based on income, and payment plans if you're uninsured or underinsured. Consider Federally Qualified Health Centers and community health centers, which are required to provide care regardless of ability to pay and often offer services at significantly reduced rates.

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

New patient visits with a Primary Care Doctor (Family Medicine) in Louisiana typically cost $90-$158 for routine to complex evaluations, while established patient follow-up visits range from $66-$113 depending on complexity. The cost difference reflects the additional time needed for initial history-taking, comprehensive physical exams, and care plan development during first visits. Simple follow-up visits for stable chronic conditions are usually at the lower end of this range, while complex problem-solving visits may approach new patient pricing.

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

Yes, Primary Care Doctor (Family Medicine) visits are qualified medical expenses that can be paid for using Health Savings Account (HSA) or Flexible Spending Account (FSA) funds. This includes both preventive visits and treatment for specific medical conditions, as well as related services like lab tests or procedures performed during your visit. Using pre-tax HSA or FSA dollars can effectively reduce your out-of-pocket costs by 20-30% depending on your tax bracket.

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

Telemedicine visits with Primary Care Doctor (Family Medicine) providers in Louisiana are often priced 10-30% lower than in-person visits, typically ranging from $50-$150 depending on complexity. Many insurance plans now cover telehealth at the same rate as in-person visits, making virtual care an affordable option for routine follow-ups, medication management, and minor acute care. However, physical exams, procedures, and certain diagnostic services still require in-person visits, so telemedicine works best for established patients with ongoing care relationships.

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