Cost of a General Doctor (Adult) Visit
in Connecticut
Reviewed by Momentary Medical Group West PC
Connecticut's proximity to high-cost metropolitan areas like New York and Boston influences regional healthcare pricing patterns, though the state maintains more moderate costs than its neighbors. General Doctor (Adult) visits in Connecticut typically range from $80 to $202, with a median out-of-pocket cost of $93 for established patient visits. With 158 active General Doctor (Adult) providers distributed across the state, patients can browse all available internists in Connecticut to compare costs and network status.
Average
$125
Median
$93
Lowest
$80
Highest
$202
Providers
158
5% below national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in Connecticut?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $80 | $93 | $200 | 58 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $93 | $93 | $207 | 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 Connecticut
Dr. Catherine Holmes, MD
Internal Medicine Physician · New Britain, CT
Dr. Scott Allen, MD
Internal Medicine Physician · Farmington, CT
Dr. Benedict Fernando, MD
Internal Medicine Physician · West Haven, CT
Dr. Christopher Morren, MD
Internal Medicine Physician · New Haven, CT
Dr. Mary Scheimann, MD
Internal Medicine Physician · Guilford, CT
Why General Doctor (Adult) Visit Costs Vary Across Connecticut
Connecticut's healthcare costs run approximately 14% above national averages, influenced by the state's high cost of living and proximity to expensive metropolitan markets in New York and Massachusetts. The state's relatively small geographic footprint creates unique market dynamics, with major health systems like Yale-New Haven and Hartford HealthCare wielding significant influence over regional pricing patterns.
Urban vs. Rural Provider Availability
Connecticut's urban corridor from New Haven to Hartford concentrates most specialist providers, while rural areas in the northwest and eastern regions face provider shortages that can drive up costs. Patients in Litchfield County or eastern Connecticut may need to travel to urban centers for specialized care, adding transportation costs to their healthcare expenses. This geographic concentration gives urban providers more pricing power in rural markets.
Facility Type and Overhead Costs
Large health systems like Yale-New Haven Health and Hartford HealthCare have consolidated many independent practices, often resulting in higher facility fees and overhead charges. Hospital-owned outpatient clinics typically charge 20-40% more than independent practices due to higher administrative costs and facility fees. The state's Certificate of Need regulations can limit competition by restricting new facility construction, potentially keeping prices elevated.
Insurance Market Competition in Connecticut
Connecticut's insurance market shows moderate concentration with Anthem, Cigna, and UnitedHealthcare dominating coverage, though smaller carriers like ConnectiCare provide regional competition. The state's proximity to New York's high-cost market influences rate negotiations, as providers often benchmark their rates against Manhattan and Westchester County practices. Limited insurer competition in some regions reduces pressure on negotiated rates, contributing to above-average healthcare costs.
Physician Supply and Demand in Connecticut
With 158 active General Doctor (Adult) providers serving a population of 3.6 million, Connecticut maintains adequate internist availability in urban areas but faces shortages in rural regions. The state's aging population and high rates of chronic conditions like diabetes and heart disease create strong demand for internal medicine services. This supply-demand imbalance, particularly in affluent suburbs where patients prefer concierge-style practices, allows providers to maintain premium pricing.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Connecticut.
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 Connecticut
What is the average cost of a General Doctor (Adult) visit in Connecticut without insurance?
Does Connecticut Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in Connecticut?
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 Connecticut?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in Connecticut?
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 |