Cost of a General Doctor (Adult) Visit
in Georgia
Reviewed by Momentary Medical Group West PC
Georgia's lack of Medicaid expansion affects healthcare access for roughly 400,000 adults, yet the state maintains General Doctor (Adult) visit costs approximately 1% below the national average. Patients typically pay between $74 and $202 for established patient visits, with a median out-of-pocket cost of $105, serviced by 293 active General Doctor (Adult) providers across the state. Browse all available providers in Georgia to compare costs and find care that fits your budget.
Average
$127
Median
$105
Lowest
$74
Highest
$202
Providers
293
4% below national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in Georgia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $72 | $106 | $188 | 294 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $75 | $134 | $216 | 59 |
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 Georgia
Dr. Anil Modi, MD
Internal Medicine Physician · Lagrange, GA
Dr. Hugh Hall, MD
Internal Medicine Physician · Augusta, GA
Dr. Sean Sumner, MD
Internal Medicine Physician · Gainesville, GA
Dr. Gary Dalley, MD
Internal Medicine Physician · Braselton, GA
Dr. Richard Gomez, MD
Internal Medicine Physician · Gainesville, GA
Why General Doctor (Adult) Visit Costs Vary Across Georgia
Georgia's healthcare costs run approximately 1% below the national average, reflecting the state's lower cost of living outside metro Atlanta and a competitive provider market in urban areas. However, the state's rural-urban divide creates significant disparities in both access and pricing across Georgia's 159 counties.
Urban vs. Rural Provider Availability
Metro Atlanta concentrates most of Georgia's specialty care, with suburban areas like Alpharetta and Marietta offering competitive pricing due to provider density, while rural counties often have limited or no General Doctor (Adult) options. Patients in south Georgia frequently drive 50+ miles to reach internists in cities like Albany or Valdosta, creating higher effective costs when including travel expenses.
Facility Type and Overhead Costs
Hospital-owned practices affiliated with major systems like Emory Healthcare, Piedmont Healthcare, and Augusta University Health typically charge 20-30% more than independent internists due to facility fees and administrative overhead. Many Georgia physicians have sold their practices to health systems in recent years, reducing independent options and contributing to price standardization at higher rates.
Insurance Market Competition in Georgia
Anthem Blue Cross Blue Shield dominates Georgia's individual and group markets, followed by UnitedHealthcare and Cigna, creating moderate insurer competition that helps contain negotiated rates. The ACA marketplace has limited carrier participation in many counties, reducing competition and allowing insurers to negotiate lower reimbursement rates that some providers offset with higher cash prices.
Physician Supply and Demand in Georgia
Georgia's 293 active General Doctor (Adult) providers serve a population of 10.8 million, indicating moderate supply that varies dramatically by region, with metro Atlanta well-served while rural areas face significant shortages. This uneven distribution allows urban providers to maintain competitive pricing while rural internists may charge premium rates due to limited alternatives and higher overhead costs per patient.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Georgia.
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 Georgia
What is the average cost of a General Doctor (Adult) visit in Georgia without insurance?
Does Georgia Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in Georgia?
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 Georgia?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in Georgia?
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 |