Cost of a Primary Care Doctor (Family Medicine) Visit
in Texas
Reviewed by Momentary Medical Group West PC
Texas leads the nation with over 7,000 federally qualified health center sites serving medically underserved communities across its 254 counties. When seeking a Primary Care Doctor (Family Medicine) in the Lone Star State, patients typically pay between $70 and $221, with a median out-of-pocket cost of $126 for established patient visits. Texas maintains 1,214 active Primary Care Doctor (Family Medicine) providers statewide, giving patients access to browse providers from the Panhandle Plains to the Rio Grande Valley.
Average
$139
Median
$126
Lowest
$70
Highest
$221
Providers
1,214
8% above national average
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 Texas
Keith Stout, M. D.
Family Medicine Physician · Beaumont, TX
Dr. Aimee Flournoy, MD
Family Medicine Physician · Glen Rose, TX
Dr. Odis Gossett, MD
Family Medicine Physician · Nederland, TX
Dr. Lewis King, MD
Family Medicine Physician · Gilmer, TX
Dr. Robert Johnston, MD
Family Medicine Physician · La Porte, TX
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across Texas
Texas Primary Care Doctor (Family Medicine) costs run approximately 4% below the national average, reflecting the state's lower overall cost of living and competitive healthcare marketplace. The Lone Star State's massive geographic footprint creates dramatic variations in healthcare costs, from expensive urban centers like Austin and Dallas to more affordable rural counties across East Texas and the Panhandle Plains.
Urban vs. Rural Provider Availability
Texas's 254 counties create stark disparities in Primary Care Doctor (Family Medicine) access, with metropolitan areas like Houston and San Antonio offering abundant provider choices while rural counties in West Texas may have only one or two family medicine practices serving thousands of square miles. Rural providers often charge lower rates due to reduced overhead costs, but patients may face longer travel distances and limited appointment availability compared to urban counterparts.
Facility Type and Overhead Costs
Hospital-affiliated Primary Care Doctor (Family Medicine) clinics in Texas, particularly those connected to major systems like Houston Methodist, Baylor Scott & White, or UT Health, typically charge higher rates than independent family practices due to institutional overhead and facility fees. Independent family medicine practices throughout Texas often provide more competitive pricing and greater flexibility in payment arrangements, especially for self-pay patients.
Insurance Market Competition in Texas
Texas maintains a relatively competitive insurance market with UnitedHealthCare, Blue Cross Blue Shield of Texas, Aetna, and Cigna all holding significant market share across different regions, creating downward pressure on negotiated rates for Primary Care Doctor (Family Medicine) services. The state's large population and multiple metropolitan markets give insurers substantial negotiating power with provider networks, generally resulting in more favorable rates compared to smaller or less competitive state markets.
Physician Supply and Demand in Texas
With 1,214 active Primary Care Doctor (Family Medicine) providers serving a population exceeding 30 million, Texas maintains adequate overall physician supply in metropolitan areas while facing shortages in rural regions. This supply-demand imbalance creates higher costs and longer wait times in underserved rural areas, while urban markets benefit from competitive pricing due to provider abundance and established medical education programs producing new family medicine physicians annually.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Texas.
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 Texas
What is the average cost of a Primary Care Doctor (Family Medicine) visit in Texas without insurance?
Does Texas Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in Texas?
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 Texas?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in Texas?
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 |