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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.
San Clemente, California

Cost of a General Doctor (Adult) Visit
in San Clemente

San Clemente's coastal healthcare market features a concentrated network of individual practitioners serving the community's internal medicine needs. Patients in San Clemente pay between $70 and $204 for a General Doctor (Adult) visit, with a median of $202. The city has 9 active providers, consisting entirely of individual practitioners with no group practice organizations.

Cost Summary for General Doctor (Adult) in San Clemente

Low Estimate

$70

Median

$202

High Estimate

$204

Providers

7

National avg: $132San Clemente: $202

54% 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 San Clemente

Initial consultations with a General Doctor (Adult) typically cost more than follow-up visits due to the additional time required for medical history review and examination. The data below shows San Clemente pricing for new patient visits (CPT codes 99203 and 99204) and established patient follow-ups (CPT codes 99213 and 99214).

New patient versus follow-up visit cost comparison
Visit TypeLow EstimateHigh Estimate
New Patient VisitCPT 99203/99204$70$262
Follow-Up VisitCPT 99213/99214$70$204

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 San Clemente

San Clemente has 9 General Doctor (Adult) providers currently accepting patients in the area. Each provider profile below includes cost estimates, insurance acceptance, and patient review information to help you make an informed decision.

Top-rated doctors for this specialty
ProviderOrganizationLocationSpecialty
Dr. Karen Garner, MD5.0 stars (20 reviews)831 VIA SUERTE STE 102, San Clemente, CA 92673Internal Medicine Physician
Dr. Lawrence Chang, MD5.0 stars (1 reviews)665 CAMINO DE LOS MARES, San Clemente, CA 92673Internal Medicine Physician
Dr. Kenneth Rexinger, MD4.8 stars (127 reviews)831 VIA SUERTE, San Clemente, CA 92673Internal Medicine Physician
Dr. Torsten Kruse, MD4.5 stars (16 reviews)831 VIA SUERTE, San Clemente, CA 92673Internal Medicine Physician
Dr. Nick Karahalios, MD4.5 stars (8 reviews)665 CAMINO DE LOS MARES STE 309, San Clemente, CA 92673Internal 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 San Clemente Without Insurance

Uninsured patients in San Clemente can expect to pay between $70 and $204 for a General Doctor (Adult) visit depending on visit complexity and provider. The providers listed below have been selected based on affordability for self-pay patients and positive patient feedback scores.

Affordable self-pay providers priced at or below the city median
ProviderLocationPhoneMedian RateRatingReviews
Dr. Karen Garner, MD831 VIA SUERTE STE 102, San Clemente, CA 926739493645600$855.020
Dr. Torsten Kruse, MD831 VIA SUERTE, San Clemente, CA 926739493645600$854.516
Dr. Greg Brown, MD655 CAMINO DE LOS MARES, San Clemente, CA 926739496619657$854.441

Providers listed are priced at or below the city median and carry a minimum patient rating of 4.0 stars with at least 10 reviews.

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 (this city)$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$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 San Clemente, 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 San Clemente

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

Uninsured patients in San Clemente pay a median of $202 for a General Doctor (Adult) visit, with costs ranging from $70 to $204 depending on visit complexity. Low-complexity follow-up visits (CPT 99213) cost a median of $123, while moderate-complexity visits (CPT 99214) cost $202. New patient consultations range from $176 for low complexity to $262 for moderate complexity visits.

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

New patient visits cost significantly more than follow-ups in San Clemente. A moderate-complexity new patient visit (CPT 99204) costs a median of $262 compared to $202 for an established patient visit of similar complexity. Low-complexity new patient visits cost $176 versus $123 for follow-up appointments, representing a $53 to $60 difference.

Are there lower-cost General Doctor (Adult) options in cities near San Clemente?

Most nearby California cities actually cost more than San Clemente's $202 median, including San Diego at $236, Santa Barbara at $234, and Chula Vista at $287. San Clemente offers relatively competitive pricing within the Southern California market, though the city's costs are still 138% above the California state median of $85.

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

San Clemente has 9 active General Doctor (Adult) providers, all operating as individual practitioners rather than group practices. Cost estimates show a range from $70 to $204, so comparing specific providers can yield meaningful savings. Patient ratings and insurance acceptance vary by provider, making comparison shopping valuable.

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

Insurance coverage significantly reduces your out-of-pocket costs, though exact amounts depend on your plan's copay, deductible, and coinsurance structure. The negotiated rates shown ($70 to $204 range) represent what insurers pay providers, but your personal cost will be determined by your specific insurance benefits and whether you've met your annual deductible.

How many General Doctor (Adult)s are currently practicing in San Clemente?

San Clemente has 9 active General Doctor (Adult) providers currently serving patients in the area. All 9 are individual practitioners, with no group practice organizations offering internal medicine services. This concentrated market may contribute to the city's higher-than-average pricing compared to areas with more provider competition.

Find an Affordable General Doctor (Adult) in San Clemente — Powered by AI

Ready to find an affordable General Doctor (Adult) in San Clemente? Our AI-powered cost calculator provides personalized estimates based on your insurance coverage and specific needs. Get instant quotes from local providers and book your appointment today.

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 San Clemente, 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, San Clemente, 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.