Cost of a Primary Care Doctor (Family Medicine) Visit
in Missouri
Reviewed by Momentary Medical Group West PC
Missouri's decision not to expand Medicaid has left hundreds of thousands without coverage, yet Primary Care Doctor (Family Medicine) visits remain accessible with costs ranging from $67 to $148 and a median out-of-pocket expense of $125. The state's 443 active Primary Care Doctor (Family Medicine) providers serve communities from the urban corridors of Kansas City and St. Louis to rural counties where provider shortages persist. Browse all Primary Care Doctor (Family Medicine) providers in Missouri to find care that fits your budget.
Average
$113
Median
$125
Lowest
$67
Highest
$148
Providers
443
12% below national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in Missouri?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $72 | $126 | $146 | 558 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $72 | $110 | $198 | 113 |
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 Missouri
Dr. Dorothy Munch, DO
Family Medicine Physician · Poplar Bluff, MO
Dr. Charolette Endsley, MD
Family Medicine Physician · Highlandville, MO
Dr. Alexander Mammen, MD
Family Medicine Physician · Saint Louis, MO
Dr. Robert Robbins, DO
Family Medicine Physician · Charleston, MO
Dr. Cheryl Thompson, MD
Family Medicine Physician · Marshall, MO
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across Missouri
Missouri's healthcare costs run approximately 5% below the national average, reflecting the state's lower cost of living and rural-urban mix that balances expensive metropolitan markets with more affordable rural providers. The state's central location and diverse economy create varied healthcare markets from the research hospitals of St. Louis to small-town family practices serving agricultural communities.
Urban vs. Rural Provider Availability
Metropolitan St. Louis and Kansas City offer abundant Primary Care Doctor (Family Medicine) options with competitive pricing, while rural Missouri counties often face physician shortages that can drive up costs and extend wait times. The state's 114 counties include many with fewer than 25,000 residents, creating access challenges that force patients to travel significant distances for specialized family medicine services. Rural providers often charge less per visit but may have limited scheduling availability.
Facility Type and Overhead Costs
Large health systems like BJC HealthCare and Mercy Health dominate Missouri's healthcare landscape, often charging facility fees at their family medicine clinics that independent practices don't impose. Hospital-owned practices typically have higher overhead costs reflected in their pricing, while independent family medicine providers often offer more transparent, lower-cost alternatives. Federally Qualified Health Centers serve uninsured and underinsured populations across the state with sliding-scale fees.
Insurance Market Competition in Missouri
Missouri's insurance market shows moderate competition among Anthem, UHC, and Cigna, with regional carriers providing additional options in specific areas of the state. The competitive landscape helps keep negotiated rates reasonable compared to monopolistic markets in other states. However, rural counties often have limited insurer options, reducing competition and potentially increasing costs for Primary Care Doctor (Family Medicine) services.
Physician Supply and Demand in Missouri
With 443 active Primary Care Doctor (Family Medicine) providers serving over 6 million residents, Missouri maintains adequate physician supply in urban areas but faces shortages in rural regions. This supply-demand imbalance creates price pressures in underserved counties while keeping costs competitive in metropolitan markets. Many rural providers participate in loan forgiveness programs that help maintain access but don't necessarily reduce visit costs.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Missouri.
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 Missouri
What is the average cost of a Primary Care Doctor (Family Medicine) visit in Missouri without insurance?
Does Missouri Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in Missouri?
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 Missouri?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in Missouri?
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 |