Cost of a Primary Care Doctor (Family Medicine) Visit
in Washington
Reviewed by Momentary Medical Group West PC
Washington's healthcare system operates under Medicaid expansion while ranking as the most affordable state nationally for Primary Care Doctor (Family Medicine) visits. Patients typically pay between $80 and $202, with a median out-of-pocket cost of $80 according to insurer negotiated rate data—approximately 29% below national averages. The state maintains 613 active Primary Care Doctor (Family Medicine) providers serving communities from Seattle's urban core to rural eastern counties, allowing patients to browse all providers in Washington for competitive pricing options.
Average
$121
Median
$80
Lowest
$80
Highest
$202
Providers
613
6% below national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in Washington?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $80 | $80 | $242 | 566 |
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 Washington
Rhonda Bass, M. D.
Family Medicine Physician · Monroe, WA
Dr. Jennifer Benson, MD
Family Medicine Physician · Mount Vernon, WA
Aloysius Yinug, M.D
Family Medicine Physician · Stanwood, WA
Dr. Jonathan Gamson, MD
Family Medicine Physician · Mount Vernon, WA
Dr. Sonja Maddox, MD
Family Medicine Physician · Renton, WA
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across Washington
Washington's healthcare costs run approximately 10% above national averages despite ranking first nationally for Primary Care Doctor (Family Medicine) affordability, creating unique market dynamics between urban centers and rural communities. The state's geography spans from densely populated Puget Sound region to sparsely populated eastern counties, significantly affecting provider availability and pricing structures.
Urban vs. Rural Provider Availability
Seattle and surrounding King County concentrate the majority of Washington's Primary Care Doctor (Family Medicine) providers, creating intense competition that helps maintain the state's low median costs of $80. Rural counties in eastern Washington often rely on critical access hospitals and federally qualified health centers to deliver primary care services, with some patients traveling over 100 miles to reach specialized family medicine practices. This urban-rural divide affects both accessibility and pricing, with rural providers sometimes offering lower cash-pay rates to attract patients from wider geographic areas.
Facility Type and Overhead Costs
Major health systems like UW Medicine, Swedish Health Services, and Providence dominate Washington's hospital-based outpatient market, often charging facility fees in addition to physician charges for Primary Care Doctor (Family Medicine) visits. Independent family medicine practices maintain significant market share throughout the state, particularly in suburban and rural areas where they can offer more competitive pricing without hospital overhead costs. The state's strong independent practice network contributes to cost transparency and patient-friendly billing practices.
Insurance Market Competition in Washington
Washington's insurance landscape features moderate competition between Premera Blue Cross, Regence BlueShield, Kaiser Permanente, and UnitedHealthcare, each maintaining different provider networks and negotiated rate structures. The state's insurance marketplace offers multiple carrier options in most counties, creating competitive pressure that helps keep negotiated rates reasonable for Primary Care Doctor (Family Medicine) services. Regional variations exist, with some rural counties having limited insurer participation that can affect provider reimbursement rates and patient costs.
Physician Supply and Demand in Washington
With 613 active Primary Care Doctor (Family Medicine) providers serving approximately 7.7 million residents, Washington maintains adequate physician supply in metropolitan areas while facing shortages in rural regions. The state's strong medical education infrastructure, including University of Washington's family medicine residency programs, helps maintain provider pipeline and competitive pricing in urban markets. Rural provider incentive programs and loan forgiveness initiatives aim to address geographic disparities, though wait times for appointments can vary significantly between urban and rural practices.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Washington.
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 Washington
What is the average cost of a Primary Care Doctor (Family Medicine) visit in Washington without insurance?
Does Washington Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in Washington?
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 Washington?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in Washington?
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 |