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Florida

Cost of a General Doctor (Adult) Visit
in Florida

Reviewed by Momentary Medical Group West PC

Florida's status as the nation's largest ambulatory surgery center market reflects a healthcare system increasingly focused on outpatient care delivery. General Doctor (Adult) visits across Florida's 510 active providers range from $55 to $207, with patients typically facing a median out-of-pocket cost of $91 for established patient visits. Browse all General Doctor (Adult) providers in Florida to compare costs and find care that fits your budget.

Average

$117

Median

$91

Lowest

$55

Highest

$207

Providers

510

National avg: $132Florida: $117

11% below national average

Compare Similar Procedures

How does internal medicine visit compare to related procedures in Florida?

ProcedureCPTLowMedianHighProviders
Family Medicine Visit

Standard office visit with a family medicine physician

99214$54$91$200359
Cardiologist Visit

Standard office visit with a cardiologist

99214$67$96$200130

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.

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 Florida

Why General Doctor (Adult) Visit Costs Vary Across Florida

Florida's healthcare costs run approximately 2% above the national average, driven by the state's position as the nation's largest ambulatory surgery center market and rapid population growth straining provider capacity. The concentration of retirees and seasonal residents creates unique demand patterns that influence General Doctor (Adult) pricing across different regions.

Urban vs. Rural Provider Availability

Florida's healthcare delivery concentrates heavily in metropolitan corridors from Miami-Dade through Broward and Palm Beach counties, Central Florida around Orlando and Tampa, and Jacksonville in the northeast, leaving rural counties with limited specialist access. This geographic disparity forces many patients to travel significant distances for General Doctor (Adult) care, with telehealth partially filling gaps in underserved areas. Rural markets often support fewer providers, reducing competitive pricing pressure compared to urban centers.

Facility Type and Overhead Costs

Hospital consolidation across Florida has created large health systems like BayCare, Baptist Health, and Orlando Health that operate extensive outpatient clinic networks with higher overhead costs than independent practices. These hospital-affiliated clinics often charge facility fees in addition to physician charges, significantly increasing total visit costs. Independent practices typically offer more competitive pricing but may have limited access to specialized testing or imaging capabilities.

Insurance Market Competition in Florida

Florida's insurance market features robust competition among UnitedHealthcare, Blue Cross Blue Shield of Florida, and Aetna, along with numerous regional plans and Medicare Advantage products serving the large retiree population. This competitive environment generally moderates negotiated rates, though consolidation among health systems has strengthened provider leverage in contract negotiations. The state's decision not to expand Medicaid creates a larger uninsured population that affects pricing strategies across providers.

Physician Supply and Demand in Florida

With 510 active General Doctor (Adult) providers serving Florida's 22+ million residents, the state maintains adequate specialist availability in urban areas but faces shortages in rural regions and high-growth suburban markets. This supply-demand imbalance allows providers in underserved areas to maintain higher pricing power, while competitive urban markets moderate costs. The influx of new residents and seasonal population swings create appointment availability challenges that can affect both pricing and wait times.

Cost by Procedure Type

Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Florida.

CPT 99213509 providers

Follow-up, low complexity

$80
Range: $36$147
CPT 99214510 providers

Follow-up, moderate complexity

$91
Range: $55$207
CPT 99215444 providers

Follow-up, high complexity

$128
Range: $71$311
CPT 99203474 providers

New patient, low complexity

$98
Range: $52$218
CPT 99204460 providers

New patient, moderate complexity

$138
Range: $80$322
CPT 99205435 providers

New patient, high complexity

$176
Range: $80$385

Costs shown are median negotiated rates. Your actual cost depends on your insurance plan and provider.

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 Florida

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

General Doctor (Adult) visits in Florida cost between $55 and $207 for self-pay patients, with a median cost of $91 for established patient visits. New patient consultations typically cost more, ranging from $97 to $176 depending on visit complexity. These rates reflect negotiated insurance prices and may be reduced through cash-pay discounts offered by many providers.

Does Florida Medicaid cover General Doctor (Adult) visits?

Florida has not expanded Medicaid, limiting eligibility to specific groups including pregnant women, children, parents below certain income thresholds, and disabled individuals. Qualified Medicaid recipients receive full coverage for General Doctor (Adult) visits with no copay when seeing participating providers. Adults without children or qualifying conditions generally cannot access Medicaid coverage regardless of income level.

How do I find an affordable General Doctor (Adult) near me in Florida?

Compare costs across Florida's 510 General Doctor (Adult) providers using transparent pricing tools, as rates vary significantly even within the same city. Independent practices often offer lower costs than hospital-based clinics, and many provide cash-pay discounts of 20-40% for uninsured patients. Community health centers throughout Florida offer sliding-scale fees based on income, providing affordable options for qualifying individuals.

What is the difference in cost between an initial consultation and a follow-up visit?

New patient visits with a General Doctor (Adult) in Florida cost between $97-$176 (median), while established patient visits range from $91-$128 depending on complexity. Initial consultations require more time for history-taking and examination, justifying higher costs. Follow-up visits for ongoing conditions typically fall in the lower cost range, making continued care more affordable.

Can I use an HSA or FSA to pay for a General Doctor (Adult) visit in Florida?

Yes, General Doctor (Adult) visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). These tax-advantaged funds can cover copays, deductibles, and coinsurance for internal medicine consultations. Keep receipts for tax documentation, and note that HSA funds roll over year to year while FSA funds typically have use-it-or-lose-it provisions.

How does telemedicine affect the cost of seeing a General Doctor (Adult) in Florida?

Telemedicine visits with General Doctor (Adult) providers in Florida typically cost 20-30% less than in-person consultations, though not all conditions are suitable for virtual evaluation. Many insurers cover telehealth at the same rate as office visits, making virtual care an affordable option for follow-up visits and medication management. Florida's large rural areas particularly benefit from telehealth access, reducing travel costs and time while maintaining quality care.

Click a state to compare costs

Average Visit Cost

$84
$236

Office visit (CPT 99214)

Compare With Other States

RankStateAverage
1Nebraska
Range: $80$314
$236
2New Hampshire
Range: $113$282
$205
3Maine
Range: $85$255
$197
4Wyoming
Range: $98$303
$177
5Iowa
Range: $80$274
$165
6Wisconsin
Range: $73$315
$162
7Minnesota
Range: $73$313
$159
8Vermont
Range: $73$243
$158
9New Mexico
Range: $80$234
$157
10South Dakota
Range: $80$293
$154
11Illinois
Range: $73$226
$151
12District of Columbia
Range: $59$242
$148
13Delaware
Range: $80$200
$141
14Massachusetts
Range: $80$255
$140
15California
Range: $80$250
$138
16New York
Range: $73$200
$135
17Washington
Range: $80$242
$134
18Michigan
Range: $66$236
$130
19Hawaii
Range: $70$228
$128
20Georgia
Range: $74$202
$127
21Connecticut
Range: $80$202
$125
22Arkansas
Range: $72$175
$125
23Indiana
Range: $74$209
$125
24Louisiana
Range: $70$202
$124
25Colorado
Range: $80$203
$124
26West Virginia
Range: $80$159
$124
27Oregon
Range: $80$206
$124
28Ohio
Range: $70$201
$124
29Rhode Island
Range: $80$200
$123
30Pennsylvania
Range: $74$202
$122
31Kentucky
Range: $80$201
$122
32Utah
Range: $75$204
$121
33North Dakota
Range: $80$188
$120
34North Carolina
Range: $73$200
$119
35Florida
Range: $55$207
$117
36Tennessee
Range: $73$173
$115
37Missouri
Range: $72$146
$115
38Maryland
Range: $49$202
$112
39Nevada
Range: $48$202
$112
40Kansas
Range: $72$151
$111
41Arizona
Range: $65$179
$111
42South Carolina
Range: $73$163
$105
43Oklahoma
Range: $72$158
$105
44New Jersey
Range: $53$193
$103
45Alabama
Range: $64$160
$101
46Mississippi
Range: $64$150
$101
47Idaho
Range: $75$125
$93
48Montana
Range: $80$102
$87
49Alaska
Range: $80$91
$84
Internal Medicine Visit in Other States