Cost of a General Doctor (Adult) Visit
in Delaware
Reviewed by Momentary Medical Group West PC
Delaware's small geographic footprint concentrates healthcare delivery within three counties, yet General Doctor (Adult) visits remain 11% above the national average. Patients typically pay between $80 and $200 for established patient visits, with a median out-of-pocket cost of $144 across the state's 8 active General Doctor (Adult) providers. Browse all providers in Delaware to compare costs and find the best match for your healthcare needs.
Average
$141
Median
$144
Lowest
$80
Highest
$200
Providers
8
8% above national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in Delaware?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $58 | $93 | $123 | 4 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $80 | $80 | $100 | 2 |
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 Delaware
Dr. Daniel Fisher, MD
Internal Medicine Physician · Dover, DE
Dr. Asma Mian, MD
Internal Medicine Physician · Newark, DE
Dr. John Donnelly, MD
Internal Medicine Physician · Newark, DE
Dr. Allen Friedland, MD
Internal Medicine Physician · Newark, DE
Dr. Lourdes Aponte, MD
Internal Medicine Physician · Lewes, DE
Why General Doctor (Adult) Visit Costs Vary Across Delaware
Delaware's healthcare costs run approximately 11% above the national average, driven by the state's proximity to high-cost northeastern markets and limited provider competition. The concentration of healthcare delivery within three counties creates unique pricing dynamics compared to larger, more geographically diverse states.
Urban vs. Rural Provider Availability
Northern Delaware around Wilmington hosts the majority of General Doctor (Adult) providers, with easier access and more competitive pricing than rural southern counties. Kent and Sussex counties rely heavily on providers affiliated with Beebe Healthcare and Nanticoke Health Services, limiting price competition. The state's small size means rural patients often travel to Wilmington for specialized care, adding transportation costs to medical expenses.
Facility Type and Overhead Costs
ChristianaCare and Nemours dominate Delaware's healthcare landscape, with hospital-based outpatient clinics typically charging higher facility fees than independent practices. These health systems' substantial infrastructure investments in electronic records and specialty equipment contribute to higher operational costs passed to patients. Independent practices in Delaware face pressure to affiliate with larger systems, gradually reducing lower-cost alternatives.
Insurance Market Competition in Delaware
Delaware's small population limits insurer participation, with Highmark Blue Cross Blue Shield, Aetna, and UnitedHealthcare controlling most of the commercial market. This moderate competition allows for some price negotiation but lacks the aggressive rate pressures seen in larger markets with more insurer choices. The state's regulatory environment and proximity to larger metropolitan areas influence how insurers set reimbursement rates for Delaware providers.
Physician Supply and Demand in Delaware
With only 8 active General Doctor (Adult) providers serving the entire state, Delaware faces a relative shortage compared to national benchmarks for internal medicine specialists. This limited supply allows providers to maintain higher pricing without significant competitive pressure, contributing to costs above the national average. Wait times for non-urgent appointments often extend 2-4 weeks, indicating demand exceeding available capacity and supporting current pricing levels.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Delaware.
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 Delaware
What is the average cost of a General Doctor (Adult) visit in Delaware without insurance?
Does Delaware Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in Delaware?
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 Delaware?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in Delaware?
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 |