Cost of a General Doctor (Adult) Visit
in District of Columbia
Reviewed by Momentary Medical Group West PC
District of Columbia maintains the highest concentration of physicians per capita in the nation, yet General Doctor (Adult) visits still cost approximately 20% above the national average. Patients typically pay between $59 and $242 for these visits, with a median out-of-pocket cost of $142 across the district's 36 active General Doctor (Adult) providers. You can browse all available providers in District of Columbia to compare costs and find the best fit for your healthcare needs.
Average
$148
Median
$142
Lowest
$59
Highest
$242
Providers
36
12% above national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in District of Columbia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $53 | $85 | $199 | 9 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $71 | $101 | $194 | 10 |
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 District of Columbia
Dr. Timothy Price, MD
Internal Medicine Physician · Washington, DC
Dr. Ferdinand Chua, MD
Internal Medicine Physician · Washington, DC
Dr. Manish Shah, MD
Internal Medicine Physician · Washington, DC
Dr. Zeleke Kassahun, MD
Internal Medicine Physician · Washington, DC
Dr. Fitzgerald Birmingham, MD
Internal Medicine Physician · Washington, DC
Why General Doctor (Adult) Visit Costs Vary Across District of Columbia
District of Columbia's healthcare costs run approximately 20% above the national average, reflecting the area's high cost of living, federal workforce concentration, and premium real estate prices that drive up practice overhead. The district's unique status as a federal enclave creates distinct regulatory and economic pressures on healthcare delivery.
Urban vs. Rural Provider Availability
District of Columbia's entirely urban geography concentrates all 36 General Doctor (Adult) providers within a compact 68-square-mile area, creating intense competition but also higher operating costs. Unlike states with rural access challenges, DC patients face pricing pressures from premium commercial real estate and parking costs that providers must pass along to patients.
Facility Type and Overhead Costs
Hospital-based outpatient clinics affiliated with MedStar, George Washington University Hospital, and Howard University Hospital typically charge higher rates due to facility fees and academic medical center overhead. Independent practices face their own cost pressures from DC's expensive commercial real estate market, though they often offer more competitive pricing without facility fees.
Insurance Market Competition in District of Columbia
The district's insurance market centers around CareFirst BCBS, UHC, and Aetna, with limited competition leading to higher negotiated rates for General Doctor (Adult) visits. Federal employee health plans through OPM create additional market complexity, often securing better rates than individual or small group plans available to private sector workers.
Physician Supply and Demand in District of Columbia
With 36 active General Doctor (Adult) providers serving approximately 700,000 residents, District of Columbia maintains adequate specialist availability but faces demand pressure from surrounding Maryland and Virginia residents seeking specialized care. This cross-border patient flow supports higher pricing while creating longer wait times during peak periods.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in District of Columbia.
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 District of Columbia
What is the average cost of a General Doctor (Adult) visit in District of Columbia without insurance?
Does District of Columbia Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in District of Columbia?
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 District of Columbia?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in District of Columbia?
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 |