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Arizona

Cost of a General Doctor (Adult) Visit
in Arizona

Reviewed by Momentary Medical Group West PC

Arizona ranks 20th nationally for General Doctor (Adult) visit costs, with the state's 452 active providers charging between $65 and $179 for established patient visits, and a typical median cost of $88. The Grand Canyon State's mix of urban medical centers in Phoenix and Scottsdale alongside rural frontier communities creates significant cost variation across regions. Patients can browse all General Doctor (Adult) providers in Arizona to compare rates and find affordable care options.

Average

$111

Median

$88

Lowest

$65

Highest

$179

Providers

452

National avg: $132Arizona: $111

16% below national average

Compare Similar Procedures

How does internal medicine visit compare to related procedures in Arizona?

ProcedureCPTLowMedianHighProviders
Family Medicine Visit

Standard office visit with a family medicine physician

99214$63$80$168432
Cardiologist Visit

Standard office visit with a cardiologist

99214$65$80$154100

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 internal 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 Internists in Arizona

Why General Doctor (Adult) Visit Costs Vary Across Arizona

Arizona's General Doctor (Adult) visit costs run approximately 5% above the national average, driven by the state's rapid population growth, large retiree demographic, and significant urban-rural healthcare access disparities. The concentration of medical facilities in Phoenix and Tucson creates pricing pressures while leaving rural areas underserved, forcing many patients to travel significant distances for specialist care.

Urban vs. Rural Provider Availability

Arizona's 452 General Doctor (Adult) providers are heavily concentrated in the Phoenix and Tucson metropolitan areas, leaving vast rural regions like the Four Corners and southeastern counties with limited specialist access. Rural patients often travel 100+ miles to see internists in urban centers, creating additional costs for transportation and time off work. The state's frontier designation for many counties reflects extreme provider shortages that drive up demand and costs in accessible urban markets.

Facility Type and Overhead Costs

Hospital-based outpatient practices in Arizona, particularly those affiliated with Banner Health, Dignity Health, and Mayo Clinic, typically charge facility fees that can double the cost of General Doctor (Adult) visits compared to independent practices. These health systems dominate major metropolitan markets, creating pricing power through network effects and reduced competition. Independent practices face pressure from rising real estate costs in growth areas like Chandler and Gilbert, but still offer lower total visit costs without facility fees.

Insurance Market Competition in Arizona

Arizona's insurance marketplace features robust competition among UnitedHealthcare, Blue Cross Blue Shield Arizona, and Aetna, which helps moderate negotiated rates for General Doctor (Adult) services compared to states with limited carrier options. The state's decision not to implement strong rate regulation allows market forces to drive pricing, benefiting consumers through competitive pressure on both insurers and providers. However, rural areas often have fewer in-network options, reducing competitive pricing benefits for patients outside metropolitan areas.

Physician Supply and Demand in Arizona

Arizona's 452 active General Doctor (Adult) providers serve a rapidly growing population that includes large numbers of retirees with complex medical needs, creating strong demand pressures that support higher pricing. The state's medical schools and residency programs are expanding to address physician shortages, but current supply remains tight relative to population growth of over 10% in the past decade. High demand for internal medicine specialists in retirement communities like Scottsdale and Prescott allows providers to maintain premium pricing while rural areas struggle with access issues.

Cost by Procedure Type

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

CPT 99213438 providers

Follow-up, low complexity

$75
Range: $42$123
CPT 99214452 providers

Follow-up, moderate complexity

$88
Range: $65$179
CPT 99215405 providers

Follow-up, high complexity

$119
Range: $70$262
CPT 99203417 providers

New patient, low complexity

$88
Range: $62$176
CPT 99204412 providers

New patient, moderate complexity

$134
Range: $80$269
CPT 99205341 providers

New patient, high complexity

$170
Range: $70$347

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 — General Doctor (Adult) Costs in Arizona

What is the average cost of a General Doctor (Adult) visit in Arizona without insurance?

Without insurance, General Doctor (Adult) visits in Arizona typically range from $65 to $179, with a median cost of $88 for established patients. New patient visits cost more, ranging from $62 to $346 depending on complexity. Many providers offer self-pay discounts of 20-40% for patients paying at the time of service, potentially reducing these costs significantly.

Does Arizona Medicaid cover General Doctor (Adult) visits?

Yes, Arizona Medicaid (AHCCCS) covers General Doctor (Adult) visits for eligible adults, including those covered under the state's Medicaid expansion program. Coverage typically includes minimal or no copays for preventive visits and standard copays for treatment visits. Patients should verify that their chosen internist accepts AHCCCS, as not all providers participate in the Medicaid program.

How do I find an affordable General Doctor (Adult) near me in Arizona?

Compare prices across different facility types, as independent practices typically cost less than hospital-based clinics that charge facility fees. Ask about self-pay discounts, payment plans, and consider community health centers or federally qualified health centers that offer sliding scale fees based on income. Rural areas like Flagstaff and Prescott often have lower baseline costs than metropolitan Phoenix or Scottsdale.

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

New patient visits with a General Doctor (Adult) in Arizona cost significantly more than follow-up visits, with initial consultations ranging from $87 to $346 depending on complexity versus established patient visits ranging from $75 to $119. The median cost for a new patient moderate complexity visit is $134 compared to $88 for an established patient visit. This pricing difference reflects the additional time and documentation required for comprehensive initial evaluations.

Can I use an HSA or FSA to pay for a General Doctor (Adult) visit in Arizona?

Yes, General Doctor (Adult) visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This includes both preventive care visits and treatment for medical conditions. Using pre-tax HSA or FSA funds can provide significant savings, especially for patients in higher tax brackets, and these accounts can cover copays, deductibles, and coinsurance associated with internist visits.

How does telemedicine affect the cost of seeing a General Doctor (Adult) in Arizona?

Telemedicine visits with General Doctor (Adult) specialists in Arizona typically cost 20-30% less than in-person visits, with many providers offering virtual consultations for follow-up care and medication management. Arizona has favorable telehealth laws that support remote care delivery, and most major insurers cover virtual visits at the same rate as office visits. However, initial consultations and physical examinations still require in-person visits for comprehensive evaluation.

Click a state to compare costs

Average Visit Cost

$84
$236

Office visit (CPT 99214)

Compare With Other States

RankStateAverage
1Nebraska
Range: $80$314
$236
2New Hampshire
Range: $113$282
$205
3Maine
Range: $85$255
$197
4Wyoming
Range: $98$303
$177
5Iowa
Range: $80$274
$165
6Wisconsin
Range: $73$315
$162
7Minnesota
Range: $73$313
$159
8Vermont
Range: $73$243
$158
9New Mexico
Range: $80$234
$157
10South Dakota
Range: $80$293
$154
11Illinois
Range: $73$226
$151
12District of Columbia
Range: $59$242
$148
13Delaware
Range: $80$200
$141
14Massachusetts
Range: $80$255
$140
15California
Range: $80$250
$138
16New York
Range: $73$200
$135
17Washington
Range: $80$242
$134
18Michigan
Range: $66$236
$130
19Hawaii
Range: $70$228
$128
20Georgia
Range: $74$202
$127
21Connecticut
Range: $80$202
$125
22Arkansas
Range: $72$175
$125
23Indiana
Range: $74$209
$125
24Louisiana
Range: $70$202
$124
25Colorado
Range: $80$203
$124
26West Virginia
Range: $80$159
$124
27Oregon
Range: $80$206
$124
28Ohio
Range: $70$201
$124
29Rhode Island
Range: $80$200
$123
30Pennsylvania
Range: $74$202
$122
31Kentucky
Range: $80$201
$122
32Utah
Range: $75$204
$121
33North Dakota
Range: $80$188
$120
34North Carolina
Range: $73$200
$119
35Florida
Range: $55$207
$117
36Tennessee
Range: $73$173
$115
37Missouri
Range: $72$146
$115
38Maryland
Range: $49$202
$112
39Nevada
Range: $48$202
$112
40Kansas
Range: $72$151
$111
41Arizona
Range: $65$179
$111
42South Carolina
Range: $73$163
$105
43Oklahoma
Range: $72$158
$105
44New Jersey
Range: $53$193
$103
45Alabama
Range: $64$160
$101
46Mississippi
Range: $64$150
$101
47Idaho
Range: $75$125
$93
48Montana
Range: $80$102
$87
49Alaska
Range: $80$91
$84
Internal Medicine Visit in Other States