Cost of a Primary Care Doctor (Family Medicine) Visit
in Ohio
Reviewed by Momentary Medical Group West PC
Ohio's healthcare system benefits from Medicaid expansion and a competitive insurer market, with Primary Care Doctor (Family Medicine) visits running approximately 2% below national averages. Patients typically pay between $70 and $201, with a median out-of-pocket cost of $96 across Ohio's 856 active Primary Care Doctor (Family Medicine) providers. Browse all providers in Ohio to compare costs and check your insurance coverage before scheduling.
Average
$122
Median
$96
Lowest
$70
Highest
$201
Providers
856
5% below national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in Ohio?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $70 | $100 | $201 | 823 |
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 Ohio
Dr. Mark Evans, MD
Family Medicine Physician · Columbiana, OH
Dr. Rebecca Siders, DO
Family Medicine Physician · Waterville, OH
Dr. Joel Macy, MD
Family Medicine Physician · Fairborn, OH
Dr. Jerry Kunz, MD
Family Medicine Physician · Chillicothe, OH
Dr. Brett Kuns, DO
Family Medicine Physician · Castalia, OH
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across Ohio
Ohio's healthcare costs run approximately 2% below national averages, benefiting from competitive insurer markets and diverse provider networks across metropolitan areas. The state's mix of urban medical centers and rural practices creates significant cost variations, with patients in major cities like Cincinnati paying double the rates found in smaller markets like Toledo.
Urban vs. Rural Provider Availability
Ohio's population concentrates in metropolitan areas like Columbus, Cleveland, and Cincinnati, where provider competition helps moderate costs despite higher overhead expenses. Rural counties in southeastern Ohio face limited provider access, often requiring patients to travel to regional medical centers for specialized family medicine services. The state's 856 active Primary Care Doctor (Family Medicine) providers cluster heavily around major health systems, creating cost disparities between urban and rural markets.
Facility Type and Overhead Costs
Hospital-owned outpatient clinics affiliated with major systems like Cleveland Clinic, OhioHealth, and UC Health typically charge higher rates due to facility fees and administrative overhead. Independent Primary Care Doctor (Family Medicine) practices often offer more competitive pricing and flexible payment options compared to their hospital-affiliated counterparts. The growing presence of urgent care chains and retail clinics provides additional cost-effective alternatives for routine family medicine services.
Insurance Market Competition in Ohio
Ohio's insurance market benefits from competition between Medical Mutual of Ohio, Anthem Blue Cross Blue Shield, and UnitedHealthcare, preventing any single insurer from dominating rate negotiations. This competitive environment helps keep negotiated rates reasonable compared to states with more concentrated insurance markets. The variety of plan options gives patients leverage in choosing coverage that optimizes their Primary Care Doctor (Family Medicine) visit costs.
Physician Supply and Demand in Ohio
With 856 active Primary Care Doctor (Family Medicine) providers serving Ohio's 11.8 million residents, the state maintains adequate but not abundant specialist availability compared to national ratios. This moderate supply prevents severe shortages that drive up costs in other states while avoiding oversupply that might compromise quality through volume pressures. Wait times for appointments typically range from 1-3 weeks in major markets, with rural areas experiencing longer delays that can affect pricing dynamics.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Ohio.
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 Ohio
What is the average cost of a Primary Care Doctor (Family Medicine) visit in Ohio without insurance?
Does Ohio Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in Ohio?
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 Ohio?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in Ohio?
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 |