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Oregon

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

Reviewed by Momentary Medical Group West PC

Oregon's healthcare system serves a growing population with 51 active Primary Care Doctor (Family Medicine) providers, ranking 14th nationally for affordability despite costs running approximately 9% above the national average. Patients typically pay between $80 and $204 for Primary Care Doctor (Family Medicine) visits, with a median out-of-pocket cost of $87 according to insurer negotiated rate data. Browse all Primary Care Doctor (Family Medicine) providers across Oregon to find the most affordable options for your specific insurance plan.

Average

$124

Median

$87

Lowest

$80

Highest

$204

Providers

51

National avg: $129Oregon: $124

4% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Internal Medicine Visit

Standard office visit with an internist

99214$80$85$20677

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 Oregon

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

Oregon's healthcare costs run approximately 9% above the national average, influenced by the state's proximity to high-cost California markets and concentration of providers in urban corridors like Portland and Eugene. The state's moderate insurer competition and growing ambulatory surgery center market create varied pricing dynamics across different regions and facility types.

Urban vs. Rural Provider Availability

Oregon's Primary Care Doctor (Family Medicine) providers concentrate heavily in the Willamette Valley and Portland metro area, while eastern Oregon counties face significant access challenges requiring patients to travel 100+ miles for specialized care. This geographic disparity creates higher costs in underserved rural areas where limited provider supply drives up pricing and reduces insurer negotiating power.

Facility Type and Overhead Costs

Hospital-owned outpatient clinics in Oregon, including those operated by OHSU, Legacy Health, and Samaritan Health Services, typically charge higher facility fees that increase total visit costs compared to independent Primary Care Doctor (Family Medicine) practices. These health system consolidations have reduced independent practice options in many Oregon communities, affecting pricing competition and patient choice.

Insurance Market Competition in Oregon

Oregon's insurance landscape features moderate competition with Regence BCBS holding significant market share alongside PacificSource and UHC, creating reasonable negotiating leverage for contracted rates with Primary Care Doctor (Family Medicine) providers. The state's lack of a comprehensive all-payer claims database limits price transparency efforts, though insurer rate negotiations remain competitive enough to keep Oregon costs closer to national averages than neighboring California.

Physician Supply and Demand in Oregon

With 51 active Primary Care Doctor (Family Medicine) providers serving Oregon's 4.2 million residents, the state maintains adequate specialist supply in urban areas while facing shortages in rural regions east of the Cascades. This uneven distribution creates longer wait times and higher costs in underserved areas, while Portland and Salem benefit from robust provider networks that help moderate pricing through competition.

Cost by Procedure Type

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

CPT 9921351 providers

Follow-up, low complexity

$87
Range: $71$141
CPT 9921451 providers

Follow-up, moderate complexity

$87
Range: $80$204
CPT 9921544 providers

Follow-up, high complexity

$87
Range: $80$333
CPT 9920352 providers

New patient, low complexity

$87
Range: $80$240
CPT 9920449 providers

New patient, moderate complexity

$87
Range: $80$359
CPT 9920541 providers

New patient, high complexity

$87
Range: $80$436

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 Oregon

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

Without insurance, Primary Care Doctor (Family Medicine) visits in Oregon typically cost between $80 and $204, with a median cost of $87 for established patient visits of moderate complexity. New patient visits may cost more, with high-complexity consultations reaching up to $436 at some providers. Many practices offer self-pay discounts of 20-40% for uninsured patients who pay at the time of service.

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

Yes, Oregon expanded Medicaid under the Affordable Care Act, covering Primary Care Doctor (Family Medicine) visits for adults earning up to 138% of the federal poverty level. Most visits require minimal or no copays for Medicaid recipients. Oregon Health Plan members can access family medicine services through coordinated care organizations that manage their benefits.

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

Compare costs across different provider types, as independent practices often charge less than hospital-owned clinics for the same services. Ask about self-pay discounts if you're uninsured, and consider federally qualified health centers which offer sliding-scale fees based on income. Community health centers in Portland, Eugene, and other cities provide affordable Primary Care Doctor (Family Medicine) services regardless of insurance status.

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

Initial consultations with a Primary Care Doctor (Family Medicine) in Oregon typically cost the same as follow-up visits, with both ranging from $80 to $87 for standard complexity visits. However, high-complexity new patient visits can reach up to $436, while high-complexity established patient visits max out around $333. The complexity of your medical issues, not whether you're a new or returning patient, primarily determines the final cost.

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

Yes, Primary Care Doctor (Family Medicine) visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these pre-tax dollars to pay for copays, deductibles, and out-of-pocket costs related to family medicine care. Keep receipts and documentation for tax purposes when using HSA or FSA funds.

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

Telemedicine visits with Primary Care Doctor (Family Medicine) providers in Oregon often cost 20-30% less than in-person appointments, with many insurers covering virtual visits at the same rate as office visits since the pandemic. Oregon has maintained expanded telehealth coverage policies, making virtual family medicine consultations more accessible and affordable. However, some procedures and examinations still require in-person visits for proper evaluation.

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