Cost of a Primary Care Doctor (Family Medicine) Visit
in New Mexico
Reviewed by Momentary Medical Group West PC
New Mexico's rural healthcare landscape challenges access across 33 counties, with many residents traveling over 100 miles to reach specialized care. Primary Care Doctor (Family Medicine) visits across the state range from $80 to $178, with most patients paying around $157 out-of-pocket for moderate-complexity appointments. With 124 active Primary Care Doctor (Family Medicine) providers serving the state's 2.1 million residents, patients can browse all available providers in New Mexico to find the most affordable option that accepts their insurance.
Average
$138
Median
$157
Lowest
$80
Highest
$178
Providers
124
7% above national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in New Mexico?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $80 | $157 | $234 | 92 |
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 Mexico
Dr. Reynaldo Martinez, MD
Family Medicine Physician · Roswell, NM
Jonathan Wolkwitz, PA
Family Medicine Physician · Dexter, NM
Dr. Gary Giblin, MD
Family Medicine Physician · Santa Fe, NM
Dr. Paul Bublis, DO
Family Medicine Physician · Hobbs, NM
Dr. Santiago Macias, MD
Family Medicine Physician · Albuquerque, NM
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across New Mexico
New Mexico's healthcare costs run approximately 3% below national averages, reflecting the state's rural geography and lower cost of living compared to coastal regions. The concentration of healthcare resources in Albuquerque and Santa Fe creates significant access disparities for residents in remote areas like the Four Corners region and southeastern plains.
Urban vs. Rural Provider Availability
Albuquerque and Santa Fe contain nearly two-thirds of the state's Primary Care Doctor (Family Medicine) providers, while vast rural counties like Catron and Harding often lack any local specialists. This geographic concentration forces rural patients to travel long distances and sometimes pay premium rates for limited appointment availability.
Facility Type and Overhead Costs
Hospital-based outpatient clinics affiliated with Presbyterian Healthcare Services, University of New Mexico Hospital, and Christus St. Vincent typically charge higher facility fees than independent practices. Rural critical access hospitals often employ family medicine physicians directly, creating different billing structures that may include both professional and facility components.
Insurance Market Competition in New Mexico
The state's insurance landscape features moderate competition between Blue Cross Blue Shield of New Mexico, UnitedHealthcare, and Molina Healthcare, with regional insurers like Presbyterian Health Plan serving local markets. Limited insurer participation in rural counties can reduce negotiating leverage, sometimes resulting in higher contracted rates for Primary Care Doctor (Family Medicine) services.
Physician Supply and Demand in New Mexico
With 124 active Primary Care Doctor (Family Medicine) providers serving over 2 million residents, New Mexico faces a moderate physician shortage that affects both access and pricing. The state's medical school and residency programs help train providers, but retention in rural areas remains challenging, creating higher demand and longer wait times for appointments in underserved regions.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in New Mexico.
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 Mexico
What is the average cost of a Primary Care Doctor (Family Medicine) visit in New Mexico without insurance?
Does New Mexico Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in New Mexico?
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 Mexico?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in New Mexico?
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 |