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
13% below national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in Maryland?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $49 | $86 | $202 | 430 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $57 | $97 | $194 | 89 |
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 Maryland
Dr. Melissa Asuncion, MD
Family Medicine Physician · Frederick, MD
Dr. James Chamberlain, MD
Family Medicine Physician · Queenstown, MD
Dr. Raymond Banfer, MD
Family Medicine Physician · Cumberland, MD
Dr. Karen Donaldson, MD
Family Medicine Physician · Baltimore, MD
Dr. Teresa Hanyok, MD
Family Medicine Physician · Manchester, MD
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.
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 Maryland
What is the average cost of a Primary Care Doctor (Family Medicine) visit in Maryland without insurance?
Does Maryland Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in Maryland?
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 Maryland?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in Maryland?
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 |
