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Wyoming

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

Reviewed by Momentary Medical Group West PC

Wyoming's frontier healthcare system spans vast distances with the lowest population density in the nation, creating unique challenges for accessing Primary Care Doctor (Family Medicine) services across the state's 97,813 square miles. Patients typically pay between $80 and $251 for Primary Care Doctor (Family Medicine) visits, with a median out-of-pocket cost of $125 based on negotiated insurance rates. With just 18 active Primary Care Doctor (Family Medicine) providers serving the entire state, patients can browse all available providers in Wyoming to find accessible care options.

Average

$152

Median

$125

Lowest

$80

Highest

$251

Providers

18

National avg: $129Wyoming: $152

18% above national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Internal Medicine Visit

Standard office visit with an internist

99214$98$130$3039

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 Wyoming

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

Wyoming's Primary Care Doctor (Family Medicine) costs run approximately 8% above the national average, driven by the state's frontier geography and limited provider competition. The state's vast rural expanse creates unique market dynamics where provider scarcity in remote areas affects pricing across the entire healthcare system.

Urban vs. Rural Provider Availability

Wyoming's population concentrates in cities like Cheyenne, Casper, and Laramie, where most Primary Care Doctor (Family Medicine) providers practice, leaving vast rural counties with limited local access. Patients in remote areas often travel 100+ miles for specialized family medicine care, creating effective monopolies in some regions. This geographic concentration allows urban providers to maintain higher rates while rural residents face both cost and access barriers.

Facility Type and Overhead Costs

Hospital-owned outpatient clinics dominate Wyoming's healthcare landscape, with health systems like Cheyenne Regional Medical Center and Wyoming Medical Center employing many family medicine physicians. These hospital-affiliated practices typically charge higher rates than independent physicians due to facility fees and institutional overhead costs. Independent family medicine practices remain more common in Wyoming's smaller communities but face challenges with economies of scale.

Insurance Market Competition in Wyoming

Wyoming's insurance market features limited competition with Blue Cross Blue Shield of Wyoming holding significant market share alongside UnitedHealthCare and Cigna. This concentrated market structure reduces insurers' negotiating leverage against providers, contributing to higher reimbursement rates. Rural counties often have even fewer insurer options, creating effective monopolies that drive up both premium costs and provider payments.

Physician Supply and Demand in Wyoming

With only 18 active Primary Care Doctor (Family Medicine) providers serving nearly 580,000 residents, Wyoming faces a significant shortage that drives up costs and extends wait times. This supply-demand imbalance gives existing providers substantial pricing power, particularly in markets with only one or two practitioners. Recruitment challenges related to rural lifestyle preferences and lower patient volumes make it difficult to expand the provider base.

Cost by Procedure Type

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

CPT 9921318 providers

Follow-up, low complexity

$91
Range: $71$169
CPT 9921418 providers

Follow-up, moderate complexity

$125
Range: $80$251
CPT 9921518 providers

Follow-up, high complexity

$182
Range: $84$333
CPT 9920318 providers

New patient, low complexity

$120
Range: $80$252
CPT 9920418 providers

New patient, moderate complexity

$205
Range: $80$383
CPT 9920518 providers

New patient, high complexity

$268
Range: $80$474

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 Wyoming

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

Without insurance, Primary Care Doctor (Family Medicine) visits in Wyoming range from $80 to $251, with a median cost of $125 based on negotiated insurance rates. Self-pay patients should expect to pay the full charge, though many providers offer cash discounts of 20-40% off these rates. New patient visits with moderate complexity typically cost around $205, while established patient follow-ups average $125 according to actual insurer data.

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

Wyoming Medicaid covers Primary Care Doctor (Family Medicine) visits for eligible beneficiaries, though the state has not expanded Medicaid under the ACA. Coverage is limited to traditional Medicaid categories including pregnant women, children, elderly, and disabled individuals, leaving many low-income adults without coverage. Covered patients typically pay minimal copays, but finding providers who accept Medicaid can be challenging in Wyoming's rural areas.

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

Compare costs across Wyoming's 18 active Primary Care Doctor (Family Medicine) providers, focusing on independent practices which often charge less than hospital-owned clinics. Ask about self-pay discounts and payment plans, particularly important given the state's rural economy. Consider community health centers in areas like Cheyenne and Casper, which offer sliding-scale fees based on income, and explore telehealth options that can reduce travel costs for routine follow-ups.

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

Initial Primary Care Doctor (Family Medicine) consultations in Wyoming cost significantly more than follow-up visits, with new patient visits ranging from $80 to $474 depending on complexity compared to $71 to $333 for established patients. A moderate complexity new patient visit averages $205 versus $125 for an established patient with similar needs. The cost difference reflects the additional time required for comprehensive medical history review, physical examination, and treatment plan development during first visits.

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

Both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can pay for Primary Care Doctor (Family Medicine) visits in Wyoming, as these qualify as eligible medical expenses under IRS rules. This includes copays, coinsurance, and deductibles for covered services, as well as the full cost of visits if you're uninsured. Using pre-tax HSA or FSA dollars can reduce your effective cost by your marginal tax rate, providing significant savings on Wyoming's higher-than-average healthcare costs.

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

Telemedicine Primary Care Doctor (Family Medicine) visits often cost 10-30% less than in-person visits in Wyoming, with many insurers covering telehealth at the same rate as office visits since the COVID-19 pandemic. This option is particularly valuable in Wyoming where patients may drive hours to reach specialists, saving both travel costs and time. However, initial consultations and complex conditions typically require in-person evaluation, limiting telemedicine to follow-ups and routine care management for established patients.

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