Cost of a Primary Care Doctor (Family Medicine) Visit
in North Dakota
Reviewed by Momentary Medical Group West PC
North Dakota's Medicaid expansion has improved access for low-income residents, yet the state maintains only 33 active Primary Care Doctor (Family Medicine) providers serving its entire population. Patients typically pay between $91 and $240 for specialist visits, with a median out-of-pocket cost of $91 according to insurance company negotiated rates. You can browse all Primary Care Doctor (Family Medicine) providers across North Dakota to find the most affordable options in your area.
Average
$141
Median
$91
Lowest
$91
Highest
$240
Providers
33
9% above national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in North Dakota?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $80 | $91 | $188 | 39 |
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 North Dakota
Dr. John Erickstad, MD
Family Medicine Physician · Bismarck, ND
Dr. Shawna Baker, MD
Family Medicine Physician · Dickinson, ND
Dr. Carol Johnson, MD
Family Medicine Physician · Fargo, ND
Dr. Steven Scherr, MD
Family Medicine Physician · Bismarck, ND
Dr. Richard Vetter, MD
Family Medicine Physician · West Fargo, ND
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across North Dakota
North Dakota's healthcare costs run approximately 4% above the national average, reflecting the state's rural geography and limited provider competition in many counties. The concentration of specialists in Fargo, Bismarck, and Grand Forks creates cost disparities between urban and rural areas.
Urban vs. Rural Provider Availability
Most of North Dakota's 33 Primary Care Doctor (Family Medicine) providers practice in the Fargo-Moorhead metropolitan area and along the I-94 corridor, leaving many rural counties underserved. Patients in western counties may travel over 100 miles to reach specialized family medicine care, often resulting in higher total care costs due to transportation and time off work.
Facility Type and Overhead Costs
Sanford Health and Essentia Health dominate North Dakota's healthcare landscape, operating most hospital-based outpatient clinics where Primary Care Doctor (Family Medicine) services are provided. These health system-owned facilities typically charge higher rates than independent practices due to facility fees and higher overhead costs associated with hospital infrastructure.
Insurance Market Competition in North Dakota
Blue Cross Blue Shield of North Dakota maintains the largest market share, followed by Sanford Health Plan and UnitedHealthcare, creating limited insurer competition that can affect negotiated rates. This concentrated market structure means most Primary Care Doctor (Family Medicine) providers accept similar reimbursement rates across different insurance plans, contributing to the state's consistent median pricing of $91.
Physician Supply and Demand in North Dakota
With only 33 active Primary Care Doctor (Family Medicine) providers serving the entire state, North Dakota faces a significant physician shortage relative to its geographic size and aging population. This supply constraint can lead to longer wait times and potentially higher prices, though the state's smaller population helps maintain reasonable access in metropolitan areas like Fargo and Bismarck.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in North Dakota.
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 North Dakota
What is the average cost of a Primary Care Doctor (Family Medicine) visit in North Dakota without insurance?
Does North Dakota Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in North Dakota?
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 North Dakota?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in North Dakota?
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 |