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Maryland

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

Reviewed by Momentary Medical Group West PC

Maryland's rate-setting system for hospital services creates unusual pricing transparency across the healthcare market, though Primary Care Doctor (Family Medicine) visits still show significant variation. Patients typically pay between $49 and $194 for these visits, with a median out-of-pocket cost of $94, placing Maryland 28th nationally for affordability. With 238 active Primary Care Doctor (Family Medicine) providers across the state, patients can browse all available options to find the most cost-effective care in Maryland.

Average

$112

Median

$94

Lowest

$49

Highest

$194

Providers

238

National avg: $129Maryland: $112

13% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Internal Medicine Visit

Standard office visit with an internist

99214$49$86$202430
Cardiologist Visit

Standard office visit with a cardiologist

99214$57$97$19489

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 Maryland

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

Maryland's healthcare costs run approximately 13% above national averages, driven by the state's proximity to high-cost Washington D.C. markets and above-average physician salaries. The state's unique all-payer rate-setting system for hospitals creates pricing transparency but doesn't directly affect physician office visits, leading to the cost variations seen in Primary Care Doctor (Family Medicine) services.

Urban vs. Rural Provider Availability

Maryland's population concentrates heavily in the Baltimore-Washington corridor, creating abundant Primary Care Doctor (Family Medicine) options in urban areas while leaving rural Eastern Shore and Western Maryland counties with limited choices. The state's 238 providers cluster around major metropolitan areas, with Baltimore and Montgomery County offering the most competitive pricing due to higher provider density. Rural areas often see higher costs due to limited competition and providers' need to cover higher overhead costs across smaller patient volumes.

Facility Type and Overhead Costs

Major health systems like Johns Hopkins, University of Maryland Medical System, and MedStar dominate Maryland's healthcare landscape, operating numerous Primary Care Doctor (Family Medicine) clinics with higher overhead costs than independent practices. Hospital-owned outpatient clinics typically charge facility fees on top of physician fees, significantly increasing total visit costs. Independent practices and urgent care centers generally offer more transparent, lower pricing without additional facility charges.

Insurance Market Competition in Maryland

CareFirst BlueCross BlueShield maintains the largest market share in Maryland, competing primarily with UnitedHealthcare and Aetna for commercial enrollment. This concentrated market gives major insurers significant leverage in negotiating rates with Primary Care Doctor (Family Medicine) providers, generally keeping costs more predictable than in highly fragmented insurance markets. The state's robust insurance marketplace and Medicaid expansion create multiple coverage options that help maintain competitive pricing pressure.

Physician Supply and Demand in Maryland

With 238 active Primary Care Doctor (Family Medicine) providers serving approximately 6.2 million residents, Maryland maintains adequate physician supply in urban areas but faces shortages in rural counties. The state's proximity to major medical schools including Johns Hopkins and University of Maryland helps attract physicians, though many gravitate toward higher-paying specialties rather than primary care. This supply-demand balance keeps Primary Care Doctor (Family Medicine) pricing competitive in metropolitan areas while creating premium pricing in underserved rural regions.

Cost by Procedure Type

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

CPT 99213237 providers

Follow-up, low complexity

$66
Range: $32$133
CPT 99214238 providers

Follow-up, moderate complexity

$94
Range: $49$194
CPT 99215229 providers

Follow-up, high complexity

$127
Range: $70$257
CPT 99203236 providers

New patient, low complexity

$93
Range: $48$190
CPT 99204232 providers

New patient, moderate complexity

$142
Range: $80$290
CPT 99205229 providers

New patient, high complexity

$180
Range: $105$366

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 Maryland

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

Uninsured patients in Maryland pay between $49 and $194 for Primary Care Doctor (Family Medicine) visits, with a median cost of $94. New patient visits typically cost more ($92-$180 median depending on complexity) while established patient follow-ups range from $66-$127 median. Many providers offer cash-pay discounts of 20-40% off their standard rates, and community health centers provide sliding-scale fees based on income.

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

Yes, Maryland expanded Medicaid under the Affordable Care Act and covers Primary Care Doctor (Family Medicine) visits with no copays for most beneficiaries. The state's HealthChoice program includes comprehensive primary care benefits, preventive services, and care coordination. Patients should verify that their chosen provider accepts Maryland Medicaid, as not all practices participate in the program.

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

Compare costs across independent practices versus hospital-owned clinics, as independent providers typically charge 30-50% less for the same services. Look for federally qualified health centers that offer sliding-scale fees, and ask about cash-pay discounts at private practices. Community health centers in Baltimore, Silver Spring, and other urban areas often provide the most affordable options for uninsured patients.

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

Initial Primary Care Doctor (Family Medicine) consultations in Maryland cost $93-$180 median depending on complexity, while follow-up visits for established patients range from $66-$127 median. New patient visits require more time for comprehensive health history and examination, justifying the higher cost. The complexity of your medical condition and time spent with the physician determine which billing code and price tier applies to your visit.

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

Yes, Primary Care Doctor (Family Medicine) visits qualify as eligible medical expenses for Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these pre-tax dollars to pay deductibles, copays, and coinsurance for covered services. Keep receipts and documentation for tax purposes, and note that HSA funds can be used for qualified medical expenses even if you haven't met your insurance deductible.

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

Telemedicine visits with Primary Care Doctor (Family Medicine) providers in Maryland typically cost 15-30% less than in-person visits, with many insurers covering virtual consultations at the same rate as office visits. Maryland expanded telehealth access during the pandemic, and many providers now offer hybrid care models combining virtual and in-person visits. Some practices offer direct-pay telemedicine options for minor concerns, often priced between $40-75 per consultation.

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