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Nevada

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

Reviewed by Momentary Medical Group West PC

Nevada's healthcare system serves a rapidly growing population that expanded by 15% over the past decade, with concentrated provider networks in Las Vegas and Reno serving urban centers while leaving rural counties with limited access. Primary Care Doctor (Family Medicine) visits in the Silver State typically cost between $48 and $182, with most patients paying around $124 out-of-pocket for established patient visits. With 336 active Primary Care Doctor (Family Medicine) providers statewide, patients can browse available options to find the right match for their healthcare needs and budget.

Average

$118

Median

$124

Lowest

$48

Highest

$182

Providers

336

National avg: $129Nevada: $118

8% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Internal Medicine Visit

Standard office visit with an internist

99214$48$85$202337

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 Nevada

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

Nevada's Primary Care Doctor (Family Medicine) visit costs run approximately 8% above national averages, influenced by the state's rapid population growth and concentration of providers in Las Vegas and Reno metropolitan areas. The state's unique position as a retirement destination and tourism hub creates demand pressures while rural counties face provider shortages that can drive up costs for specialty referrals.

Urban vs. Rural Provider Availability

Nevada's vast geography concentrates most Primary Care Doctor (Family Medicine) providers in Clark County (Las Vegas) and Washoe County (Reno), leaving rural counties like Esmeralda and Mineral with extremely limited access. Patients in rural areas often travel 100+ miles to reach specialists, sometimes crossing state lines to Utah or California for care. This geographic disparity creates higher costs for rural residents due to travel expenses and limited provider competition.

Facility Type and Overhead Costs

Hospital-owned practices have expanded rapidly in Nevada's major metropolitan areas, with health systems like Valley Health and Renown Health acquiring independent Primary Care Doctor (Family Medicine) practices. These acquisitions typically result in higher visit costs due to facility fees and corporate overhead, with patients sometimes paying 30-50% more at hospital-owned clinics. Independent practices remain common in suburban areas and often provide more competitive pricing for cash-pay patients.

Insurance Market Competition in Nevada

Nevada's insurance market shows moderate competition with UHC, Anthem, and Aetna as dominant players, though the state lacks the extreme consolidation seen in some other western states. The absence of a state all-payer claims database limits pricing transparency, potentially allowing wider cost variations among providers. Medicaid expansion has reduced the uninsured rate significantly, giving Primary Care Doctor (Family Medicine) providers more predictable reimbursement and reducing charity care burdens.

Physician Supply and Demand in Nevada

With 336 active Primary Care Doctor (Family Medicine) providers serving nearly 3.2 million residents, Nevada faces moderate provider shortages that intensify in rural areas and contribute to higher visit costs. The state's rapid population growth, particularly among retirees with complex health needs, has outpaced physician supply in many specialties. Wait times for Primary Care Doctor (Family Medicine) appointments average 2-4 weeks in urban areas but can extend much longer in rural counties, reflecting supply-demand imbalances that support higher pricing.

Cost by Procedure Type

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

CPT 99213336 providers

Follow-up, low complexity

$88
Range: $32$129
CPT 99214336 providers

Follow-up, moderate complexity

$124
Range: $48$182
CPT 99215289 providers

Follow-up, high complexity

$161
Range: $73$256
CPT 99203310 providers

New patient, low complexity

$108
Range: $55$169
CPT 99204308 providers

New patient, moderate complexity

$162
Range: $75$248
CPT 99205283 providers

New patient, high complexity

$201
Range: $101$327

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 Nevada

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

Primary Care Doctor (Family Medicine) visits in Nevada cost between $48 and $182 for uninsured patients, with most visits falling around $124 for established patients. New patient visits requiring more time and complexity typically cost $162-$200, while routine follow-up appointments for established patients average $88-$124. These costs represent negotiated insurance rates and may be higher for cash-paying patients, though many providers offer self-pay discounts.

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

Yes, Nevada expanded Medicaid in 2014, providing comprehensive coverage for Primary Care Doctor (Family Medicine) visits with minimal or no copays for eligible residents. Nevada Medicaid covers both routine preventive care and visits for acute health problems, making family medicine services accessible to low-income individuals and families. Patients should verify that their chosen provider accepts Nevada Medicaid, as some practices limit the number of Medicaid patients they serve.

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

Compare costs between independent practices and hospital-owned clinics, as independent providers often charge 20-30% less for the same services. Look for community health centers in Las Vegas, Reno, and Henderson that offer sliding scale fees based on income, and ask about cash-pay discounts which many Nevada providers offer to uninsured patients. Consider telehealth options for routine follow-ups, which typically cost less than in-person visits.

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

New patient Primary Care Doctor (Family Medicine) visits in Nevada cost significantly more than established patient appointments, with initial consultations ranging from $108-$200 depending on complexity compared to $88-$160 for follow-up visits. The higher cost for new patients reflects the additional time needed for comprehensive medical history review, physical examination, and care planning. Routine follow-up visits for established patients average around $124, while complex follow-ups may approach $160.

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

Yes, Primary Care Doctor (Family Medicine) visits qualify as eligible medical expenses for both Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs). You can use these pre-tax dollars to pay for copays, deductibles, and coinsurance related to family medicine visits, as well as any prescribed medications or recommended tests. Keep receipts for your records, as you may need documentation for FSA reimbursement or potential HSA audits.

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

Telemedicine visits with Primary Care Doctor (Family Medicine) providers in Nevada typically cost 20-40% less than in-person appointments, with many insurers offering lower copays for virtual visits. Nevada expanded telehealth access during the pandemic and maintained many of these provisions, making remote consultations a viable option for routine follow-ups and minor acute issues. However, initial consultations and complex medical problems usually require in-person evaluation, and not all providers offer telehealth services.

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