Cost of a Primary Care Doctor (Family Medicine) Visit
in South Carolina
Reviewed by Momentary Medical Group West PC
South Carolina ranks as the most affordable state in the nation for Primary Care Doctor (Family Medicine) visits, with costs running 26% below the national average despite serving rural communities across 46 counties. Patients typically pay between $68 and $216, with a median out-of-pocket cost of $80 according to insurer negotiated rate data. With 107 active Primary Care Doctor (Family Medicine) providers across the state, patients can browse all providers in South Carolina to find care that fits their budget and location.
Average
$121
Median
$80
Lowest
$68
Highest
$216
Providers
107
6% below national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in South Carolina?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $73 | $80 | $163 | 109 |
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 South Carolina
Dr. Stephen Oehme, MD
Family Medicine Physician · Rock Hill, SC
Dr. Cynthia Reese, MD
Family Medicine Physician · Sumter, SC
Dr. Eugene Mayeaux, MD
Family Medicine Physician · Georgetown, SC
Dr. Frank Sharp, MD
Family Medicine Physician · Lancaster, SC
Dr. Donato Borrillo, MD
Family Medicine Physician · Mount Pleasant, SC
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across South Carolina
South Carolina's healthcare costs run approximately 1% below the national average, reflecting the state's lower cost of living and competitive provider market across both metropolitan areas like Charleston and Columbia and smaller rural communities. The state's moderate healthcare market growth and expanding ambulatory surgery center presence help contain costs while maintaining access across diverse geographic regions.
Urban vs. Rural Provider Availability
South Carolina's Primary Care Doctor (Family Medicine) providers concentrate heavily in the Charleston, Columbia, and Greenville metropolitan areas, leaving many rural counties with limited access and requiring patients to travel significant distances for care. Rural providers often charge less due to lower overhead costs and community economic conditions, while urban practices face higher real estate, staffing, and operational expenses. The state's coastal geography creates additional access challenges, with some barrier island and remote inland communities relying on telehealth or traveling over an hour to reach family medicine providers.
Facility Type and Overhead Costs
Hospital-owned outpatient clinics affiliated with major health systems like MUSC Health, Prisma Health, and AnMed Health typically charge higher rates due to facility fees and corporate overhead structures. Independent family medicine practices often offer lower base rates and more flexibility in pricing, especially for self-pay patients or those seeking direct primary care arrangements. Academic medical centers connected to the University of South Carolina or other medical training programs may have different cost structures that reflect their teaching mission.
Insurance Market Competition in South Carolina
The state's insurance market features moderate competition among major carriers including BCBS SC, UHC, and Aetna, with BlueCross BlueShield of South Carolina maintaining the largest market share and strongest provider networks. Limited insurer competition in rural areas can result in higher premiums and more restrictive networks, affecting which Primary Care Doctor (Family Medicine) providers patients can access affordably. The state's decision not to expand Medicaid has created a coverage gap that impacts provider payment mix and pricing strategies.
Physician Supply and Demand in South Carolina
With 107 active Primary Care Doctor (Family Medicine) providers serving over 5.1 million residents, South Carolina maintains adequate but not abundant primary care capacity, particularly in rural areas where physician recruitment remains challenging. This moderate provider supply helps maintain competitive pricing while avoiding severe shortages that could drive costs significantly higher. Growing population centers like Charleston and Greenville continue attracting new physicians, while rural areas face ongoing challenges recruiting and retaining family medicine providers.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in South Carolina.
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 South Carolina
What is the average cost of a Primary Care Doctor (Family Medicine) visit in South Carolina without insurance?
Does South Carolina Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in South Carolina?
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 South Carolina?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in South Carolina?
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 |
