Cost of a Primary Care Doctor (Family Medicine) Visit
in New Jersey
Reviewed by Momentary Medical Group West PC
New Jersey's healthcare costs run approximately 17% above the national average, yet Primary Care Doctor (Family Medicine) visits remain competitively priced compared to neighboring states like New York. Patients typically pay between $53 and $188, with a median out-of-pocket cost of $98 for family medicine physician consultations across the state. With 406 active Primary Care Doctor (Family Medicine) providers throughout New Jersey, patients can browse all providers to find the most affordable option for their specific location and insurance plan.
Average
$113
Median
$98
Lowest
$53
Highest
$188
Providers
406
12% below national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in New Jersey?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $53 | $63 | $193 | 901 |
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 New Jersey
Dr. Marwan Hammoud, MD
Family Medicine Physician · Green Brook, NJ
Dr. Raymond Buch, MD
Family Medicine Physician · Phillipsburg, NJ
Dr. Eugene Decker, DO
Family Medicine Physician · Phillipsburg, NJ
Dr. Sixto Lirio, MD
Family Medicine Physician · Cape May Court House, NJ
Dr. James Runfola, MD
Family Medicine Physician · Haddonfield, NJ
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across New Jersey
New Jersey's healthcare costs run approximately 17% above the national average, driven by high physician practice overhead, stringent state regulations, and proximity to expensive metropolitan markets in New York and Philadelphia. The state's dense population and concentrated provider networks create intense competition in urban areas while leaving some rural counties with limited family medicine options.
Urban vs. Rural Provider Availability
Northern New Jersey's proximity to New York City creates higher practice costs and physician compensation expectations, while southern counties near Philadelphia benefit from cross-border competition. Rural areas in northwestern and southwestern New Jersey face provider shortages that can drive up costs and extend wait times for Primary Care Doctor (Family Medicine) appointments.
Facility Type and Overhead Costs
Hospital-owned outpatient clinics affiliated with major health systems like RWJBarnabas Health and Atlantic Health System typically charge higher facility fees than independent family medicine practices. The trend toward hospital consolidation in New Jersey has reduced the number of independent practices, potentially contributing to higher overall costs for routine primary care visits.
Insurance Market Competition in New Jersey
Horizon Blue Cross Blue Shield dominates the individual market while competing with Aetna and UnitedHealthcare for employer-sponsored coverage, creating moderate competition that helps contain negotiated rates. The state's regulatory environment and mandated benefits increase baseline costs, but aggressive rate review processes help prevent excessive Primary Care Doctor (Family Medicine) pricing compared to nearby states.
Physician Supply and Demand in New Jersey
With 406 active Primary Care Doctor (Family Medicine) providers serving 9.3 million residents, New Jersey maintains adequate but not surplus physician capacity in most regions. This moderate supply-demand balance supports stable pricing and reasonable appointment availability, though patients in rural counties may face longer travel distances and higher costs due to limited local options.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in New Jersey.
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 New Jersey
What is the average cost of a Primary Care Doctor (Family Medicine) visit in New Jersey without insurance?
Does New Jersey Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in New Jersey?
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 New Jersey?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in New Jersey?
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 |