Logo
By Jayant Panwar, Healthcare Data AnalystUpdated April 4, 2026Editorial policy
Disclaimer: This page provides cost comparison data sourced from insurer Transparency in Coverage files. It is not medical advice. Consult a qualified healthcare provider for medical decisions.Learn about our data methodology.
Laguna Niguel, California

Cost of a General Doctor (Adult) Visit
in Laguna Niguel

Laguna Niguel's healthcare market features a focused network of General Doctor (Adult) providers serving this affluent Orange County community. Patients in Laguna Niguel pay between $147 and $171 for a General Doctor (Adult) visit, with a median of $158. The city has 4 active providers, all individual practitioners with no group practices currently operating in the area.

Cost Summary for General Doctor (Adult) in Laguna Niguel

Low Estimate

$147

Median

$158

High Estimate

$171

Providers

5

National avg: $132Laguna Niguel: $158

20% 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 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.

New Patient vs. Follow-Up Costs in Laguna Niguel

Initial consultations with a General Doctor (Adult) typically cost more than follow-up visits due to the additional time required for comprehensive health assessments and medical history reviews. In Laguna Niguel, new patient visits (CPT codes 99203 and 99204) range from $80 to $370, while follow-up appointments (CPT codes 99213 and 99214) cost between $75 and $171.

New patient versus follow-up visit cost comparison
Visit TypeLow EstimateHigh Estimate
New Patient VisitCPT 99203/99204$80$370
Follow-Up VisitCPT 99213/99214$75$171

New patient visits (CPT 99203/99204) involve more evaluation time. Follow-up visits (CPT 99213/99214) are typically shorter and lower cost.

Top General Doctor (Adult)s in Laguna Niguel

Laguna Niguel currently has 4 General Doctor (Adult) providers available for new patients across various insurance networks and payment options. Each provider profile below includes verified credentials, patient ratings, and accepted insurance plans to help you make an informed decision.

Top-rated doctors for this specialty
ProviderOrganizationLocationSpecialty
Dr. Bassam Bilal, MD5.0 stars (1 reviews)30281 GOLDEN LANTERN, Laguna Niguel, CA 92677Internal Medicine Physician
Dr. Sonja Krafcik, MD4.8 stars (26 reviews)25500 RANCHO NIGUEL RD, Laguna Niguel, CA 92677Internal Medicine Physician
Dr. Warner Carr, MD4.0 stars (112 reviews)28202 CABOT RD STE 105, Laguna Niguel, CA 92677Internal Medicine Physician
Dr. Amitpal Kohli, MD3.8 stars (29 reviews)30281 GOLDEN LANTERN, Laguna Niguel, CA 92677Internal Medicine Physician

Provider information sourced from the CMS NPI Registry. In-network status varies by insurance plan — verify directly with the provider and your insurer before booking.

Seeing a General Doctor (Adult) in Laguna Niguel Without Insurance

Uninsured patients in Laguna Niguel can expect to pay between $147 and $171 for a General Doctor (Adult) visit, with many providers offering cash-pay discounts or payment plans. The providers listed below have been selected based on competitive pricing and strong patient satisfaction scores for self-pay patients.

Affordable self-pay providers priced at or below the city median
ProviderLocationPhoneMedian RateRatingReviews
Dr. Sonja Krafcik, MD25500 RANCHO NIGUEL RD, Laguna Niguel, CA 926779498313686$854.826
Dr. Warner Carr, MD28202 CABOT RD STE 105, Laguna Niguel, CA 926779493642900$854.0112
Dr. Amitpal Kohli, MD30281 GOLDEN LANTERN, Laguna Niguel, CA 926779494957144$853.829

Providers listed are priced at or below the city median and carry a minimum patient rating of 3.8 stars with at least 10 reviews. Rating threshold was adjusted due to limited local data.

General Doctor (Adult) Visit Costs by City in California2026

General Doctor (Adult) visit costs across cities in California
CityMin CostMedian CostMax Cost
Chula Vista$130$287$287
La Mesa$130$287$287
Beverly Hills$85$242$251
West Hollywood$85$242$251
Tarzana$80$242$242
Marina Del Rey$85$242$242
Clovis$85$238$238
San Diego$80$236$287
Santa Barbara$80$234$236
Walnut Creek$85$228$228
Concord$85$228$251
Orinda$85$228$251
San Ramon$203$228$228
Danville$80$228$228
Mission Viejo$131$202$204
Fullerton$82$202$204
Santa Rosa$150$202$204
Newport Beach$80$202$204
Napa$88$202$228
Huntington Beach$70$202$238
Eureka$202$202$204
Santa Ana$70$202$204
San Clemente$70$202$204
Yorba Linda$80$202$204
Salinas$168$196$196
Fresno$70$194$238
Visalia$88$194$194
Anaheim$70$180$204
Pasadena$85$178$242
Mission Hills$70$178$203
Covina$80$178$178
Arcadia$178$178$178
Duarte$80$178$205
Garden Grove$129$178$203
Glendora$178$178$178
San Gabriel$159$178$184
Montebello$82$173$178
Torrance$85$168$250
San Juan Capistrano$70$165$202
Laguna Niguel (this city)$147$158$171
Bakersfield$70$150$202
San Rafael$150$150$169
Greenbrae$150$150$214
Poway$130$147$287
Sacramento$80$144$228
Redlands$121$141$160
Fremont$80$140$201
Westminster$88$137$203
La Jolla$70$130$287
Vista$86$130$164
Lodi$75$129$159
Pomona$80$116$245
Los Gatos$80$116$236
Morgan Hill$80$109$242
Chico$87$94$287
Redwood City$80$88$251
Escondido$80$88$147
Glendale$78$88$178
Redding$88$88$91
Hanford$75$88$157
Stockton$70$88$152
Atascadero$80$88$113
Marysville$86$88$98
Los Angeles$80$85$251
San Francisco$80$85$251
Santa Monica$80$85$251
Oakland$80$85$251
Long Beach$70$85$250
Burbank$85$85$242
Berkeley$80$85$251
Emeryville$80$85$88
Riverside$80$85$202
Daly City$85$85$251
Valencia$85$85$85
Thousand Oaks$80$85$106
San Leandro$80$85$251
Sylmar$85$85$202
Simi Valley$85$85$88
Encino$85$85$169
Porter Ranch$85$85$85
Hayward$80$85$221
Burlingame$85$85$251
Palmdale$79$82$88
Stanford$80$80$80
Orange$80$80$202
San Jose$80$80$202
Palo Alto$80$80$80
Irvine$70$80$202
Pleasanton$80$80$228
Modesto$80$80$202
Mountain View$80$80$202
Menlo Park$80$80$80
Laguna Hills$70$80$203
San Luis Obispo$72$80$90
Palm Springs$80$80$85
Castro Valley$80$80$228
Loma Linda$73$80$168
Lancaster$80$80$126
Costa Mesa$80$80$202
Roseville$80$80$88
Santa Maria$80$80$90
Fountain Valley$70$70$178
Rancho Mirage$68$70$287

Costs reflect self-pay estimates based on insurer-negotiated rates. Insured patients may pay significantly less depending on plan type, deductible status, and network tier.

Cost by Procedure Type

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

CPT 992132,776 providers

Follow-up, low complexity

$85
Range: $75$169
CPT 992142,792 providers

Follow-up, moderate complexity

$85
Range: $80$250
CPT 992152,545 providers

Follow-up, high complexity

$88
Range: $80$351
CPT 992032,662 providers

New patient, low complexity

$88
Range: $80$244
CPT 992042,655 providers

New patient, moderate complexity

$88
Range: $80$370
CPT 992052,439 providers

New patient, high complexity

$85
Range: $80$460

Costs shown are median negotiated rates. Your actual cost depends on your insurance plan and provider.

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Family Medicine Visit

Standard office visit with a family medicine physician

99214$70$140$2501,828
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 Laguna Niguel

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

Without insurance, a General Doctor (Adult) visit in Laguna Niguel costs between $147 and $171, with a median price of $158. These rates represent negotiated amounts from insurance transparency data and may serve as a baseline for self-pay discussions. Many providers offer cash discounts that could reduce these amounts for uninsured patients.

How much more does a new patient consultation cost compared to a follow-up in Laguna Niguel?

New patient consultations in Laguna Niguel range from $80 to $370 depending on complexity, while follow-up visits cost $75 to $171. The difference reflects the additional time internists spend on initial health assessments, medical history reviews, and establishing care plans. Most established patients can expect to pay around the median follow-up rate of $158 for moderate complexity visits.

Are there lower-cost General Doctor (Adult) options in cities near Laguna Niguel?

Laguna Niguel's median rate of $158 is actually competitive within the regional market and significantly higher than the California state median of $85. While some areas of California offer lower rates, the quality and convenience of local providers often make Laguna Niguel a preferred choice for residents. Travel costs and time should be factored when considering distant alternatives.

How do I find a highly rated, affordable General Doctor (Adult) in Laguna Niguel?

With only 4 active General Doctor (Adult) providers in Laguna Niguel, patients have a focused selection of individual practitioners to choose from. All local providers fall within the $147 to $171 cost range, so selection often comes down to insurance acceptance, availability, and patient reviews. Scheduling consultations with multiple providers can help determine the best fit for your healthcare needs.

What should I expect to pay for a General Doctor (Adult) visit in Laguna Niguel with insurance?

With insurance, your out-of-pocket cost depends on your plan's copay structure, deductible, and whether you've met your annual deductible. The underlying negotiated rates in Laguna Niguel range from $147 to $171, but your actual payment could be significantly lower with good insurance coverage. Contact your insurance provider to understand your specific benefits for internist visits.

How many General Doctor (Adult)s are currently practicing in Laguna Niguel?

Laguna Niguel currently has 4 active General Doctor (Adult) providers, all operating as individual practitioners rather than group practices. This smaller provider network means patients often develop closer relationships with their internists but may have fewer scheduling options compared to larger medical communities. The focused selection also helps maintain consistent quality standards across local providers.

Find an Affordable General Doctor (Adult) in Laguna Niguel — Powered by AI

Ready to find the right General Doctor (Adult) in Laguna Niguel for your budget and insurance plan? Our AI-powered cost calculator provides personalized estimates based on your specific coverage and local provider rates. Get instant, transparent pricing information tailored to your healthcare needs in Laguna Niguel.

Internal Medicine Visit in Other California Cities
View all California internal medicine visit costs
JP

Jayant Panwar

CEO & Healthcare Data Analyst, Momentary Labs

Last updated: April 4, 2026

About This Data

Cost data sourced from Transparency in Coverage (TiC) machine-readable files published by UnitedHealthcare as required by the CMS Price Transparency Rule. These are actual negotiated rates between insurers and providers — not estimates.

Prices shown are for Office/outpatient visit, established patient, moderate complexity (CPT 99214) in Laguna Niguel, California.

Actual out-of-pocket costs depend on your insurance plan, deductible, coinsurance, and services received. This is not medical advice.

About this page

Data source: UnitedHealthcare Transparency in Coverage machine-readable files, CPT 99214, Laguna Niguel, California providers. Rates represent in-network negotiated amounts and may vary by plan type.

Editorial policy: Momentary Labs does not accept payment from providers, hospitals, or insurers to influence cost rankings or editorial content. Read our full editorial policy.

Corrections: If you believe any cost figure or clinical information on this page is inaccurate, please report it here. We review all submissions within 5 business days.