Cost of a General Doctor (Adult) Visit
in Colorado
Reviewed by Momentary Medical Group West PC
Colorado's high altitude and active outdoor lifestyle contribute to unique healthcare patterns, with the state's 5.8 million residents having one of the nation's lowest obesity rates but increased risks of altitude-related conditions. General Doctor (Adult) visits in Colorado typically cost between $80 and $203, with patients paying a median of $90 out-of-pocket for established patient visits. With 89 active General Doctor (Adult) providers across the state, patients can browse all available options to find affordable care that fits their budget and location.
Average
$124
Median
$90
Lowest
$80
Highest
$203
Providers
89
5% below national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in Colorado?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $80 | $89 | $210 | 98 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $64 | $108 | $257 | 25 |
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 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 Colorado
Dr. Floyd Russak, MD
Internal Medicine Physician · Greenwood Village, CO
Dr. Marcus Reinhardt, MD
Internal Medicine Physician · Greeley, CO
Dr. John Scala, MD
Internal Medicine Physician · Centennial, CO
Dr. Carrie Campbell Broughton, MD
Internal Medicine Physician · Fort Collins, CO
Dr. Celinde Strohl, MD
Internal Medicine Physician · Littleton, CO
Why General Doctor (Adult) Visit Costs Vary Across Colorado
Colorado's healthcare costs run approximately 7% above the national average, driven by the state's high cost of living, concentration of medical tourism in resort areas, and strong physician demand from an educated, health-conscious population. The state's geography creates significant cost disparities between expensive Front Range metro areas and more affordable rural communities on the eastern plains.
Urban vs. Rural Provider Availability
Colorado's Front Range corridor from Fort Collins to Colorado Springs contains the majority of General Doctor (Adult) providers, creating intense competition and higher pricing in Denver metro while leaving eastern plains communities underserved. Rural areas like the San Luis Valley and northeastern Colorado often rely on telemedicine and traveling specialists, which can reduce costs but limit access. Mountain resort communities face seasonal provider shortages and premium pricing due to high real estate costs and tourist populations.
Facility Type and Overhead Costs
Hospital-owned practices affiliated with major systems like Presbyterian/Saint Joseph, UCHealth, and Centura Health typically charge 30-50% more than independent General Doctor (Adult) providers due to facility fees and higher overhead costs. Colorado's competitive market includes numerous independent practices and medical groups that often offer more transparent pricing and flexible payment options. Academic medical centers like University of Colorado Hospital may have higher base rates but provide access to subspecialty expertise and clinical trials.
Insurance Market Competition in Colorado
Colorado's insurance landscape is dominated by UnitedHealth, Anthem, and Kaiser Permanente, with robust competition on the state's health insurance marketplace contributing to negotiated rate transparency. The state's All Payer Claims Database and price transparency initiatives have pressured insurers and providers to offer more competitive rates. Regional insurers and self-funded employer plans also influence pricing, particularly in smaller communities outside the Denver metro area.
Physician Supply and Demand in Colorado
With 89 active General Doctor (Adult) providers serving 5.8 million residents, Colorado maintains adequate specialist availability in urban areas but faces shortages in rural regions. The state's growing population and aging demographics create increasing demand for internal medicine services, particularly in fast-growing areas like Douglas County and El Paso County. Colorado's physician-friendly regulatory environment and quality of life attract specialists, helping maintain competitive pricing in major metropolitan areas.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Colorado.
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 — General Doctor (Adult) Costs in Colorado
What is the average cost of a General Doctor (Adult) visit in Colorado without insurance?
Does Colorado Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in Colorado?
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 General Doctor (Adult) visit in Colorado?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in Colorado?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 99214)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Nebraska Range: $80 – $314 | $236 |
| 2 | New Hampshire Range: $113 – $282 | $205 |
| 3 | Maine Range: $85 – $255 | $197 |
| 4 | Wyoming Range: $98 – $303 | $177 |
| 5 | Iowa Range: $80 – $274 | $165 |
| 6 | Wisconsin Range: $73 – $315 | $162 |
| 7 | Minnesota Range: $73 – $313 | $159 |
| 8 | Vermont Range: $73 – $243 | $158 |
| 9 | New Mexico Range: $80 – $234 | $157 |
| 10 | South Dakota Range: $80 – $293 | $154 |
| 11 | Illinois Range: $73 – $226 | $151 |
| 12 | District of Columbia Range: $59 – $242 | $148 |
| 13 | Delaware Range: $80 – $200 | $141 |
| 14 | Massachusetts Range: $80 – $255 | $140 |
| 15 | California Range: $80 – $250 | $138 |
| 16 | New York Range: $73 – $200 | $135 |
| 17 | Washington Range: $80 – $242 | $134 |
| 18 | Michigan Range: $66 – $236 | $130 |
| 19 | Hawaii Range: $70 – $228 | $128 |
| 20 | Georgia Range: $74 – $202 | $127 |
| 21 | Connecticut Range: $80 – $202 | $125 |
| 22 | Arkansas Range: $72 – $175 | $125 |
| 23 | Indiana Range: $74 – $209 | $125 |
| 24 | Louisiana Range: $70 – $202 | $124 |
| 25 | Colorado Range: $80 – $203 | $124 |
| 26 | West Virginia Range: $80 – $159 | $124 |
| 27 | Oregon Range: $80 – $206 | $124 |
| 28 | Ohio Range: $70 – $201 | $124 |
| 29 | Rhode Island Range: $80 – $200 | $123 |
| 30 | Pennsylvania Range: $74 – $202 | $122 |
| 31 | Kentucky Range: $80 – $201 | $122 |
| 32 | Utah Range: $75 – $204 | $121 |
| 33 | North Dakota Range: $80 – $188 | $120 |
| 34 | North Carolina Range: $73 – $200 | $119 |
| 35 | Florida Range: $55 – $207 | $117 |
| 36 | Tennessee Range: $73 – $173 | $115 |
| 37 | Missouri Range: $72 – $146 | $115 |
| 38 | Maryland Range: $49 – $202 | $112 |
| 39 | Nevada Range: $48 – $202 | $112 |
| 40 | Kansas Range: $72 – $151 | $111 |
| 41 | Arizona Range: $65 – $179 | $111 |
| 42 | South Carolina Range: $73 – $163 | $105 |
| 43 | Oklahoma Range: $72 – $158 | $105 |
| 44 | New Jersey Range: $53 – $193 | $103 |
| 45 | Alabama Range: $64 – $160 | $101 |
| 46 | Mississippi Range: $64 – $150 | $101 |
| 47 | Idaho Range: $75 – $125 | $93 |
| 48 | Montana Range: $80 – $102 | $87 |
| 49 | Alaska Range: $80 – $91 | $84 |