Cost of a General Doctor (Adult) Visit
in Hawaii
Reviewed by Momentary Medical Group West PC
Hawaii's isolated island geography creates unique healthcare delivery challenges, with physician recruitment and retention complicated by distance from the mainland. General Doctor (Adult) visits in Hawaii typically range from $70 to $228, with a median cost of $85 across the state's 16 active providers. While Hawaii ranks 8th nationally for General Doctor (Adult) visit costs, patients can browse all providers statewide to compare pricing and find in-network options that fit their budget.
Average
$128
Median
$85
Lowest
$70
Highest
$228
Providers
16
3% below national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in Hawaii?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $70 | $85 | $239 | 13 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $70 | $98 | $203 | 5 |
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 Hawaii
Dr. Irving Harper, MD
Internal Medicine Physician · Wailea, HI
Dr. Francis Cavanaugh, MD
Internal Medicine Physician · Hilo, HI
Dr. Elliot Kalauawa, MD
Internal Medicine Physician · Honolulu, HI
Dr. Janet Kao, MD
Internal Medicine Physician · Honolulu, HI
Dr. Peter Wai, MD
Internal Medicine Physician · Honolulu, HI
Why General Doctor (Adult) Visit Costs Vary Across Hawaii
Hawaii's General Doctor (Adult) visit costs run approximately 16% above the national average, reflecting the state's island geography, high cost of living, and challenges in recruiting mainland physicians. The concentrated healthcare market across six major islands creates unique cost dynamics compared to continental states.
Urban vs. Rural Provider Availability
Honolulu concentrates most of Hawaii's General Doctor (Adult) providers, with outer islands like Molokai and Lanai facing significant access challenges. Rural communities often rely on visiting specialists or telehealth consultations, while urban Oahu residents benefit from competition among multiple health systems and independent practices.
Facility Type and Overhead Costs
Hospital-based outpatient clinics in Hawaii carry higher overhead due to imported medical equipment and supplies, leading to elevated facility fees compared to independent practices. Major health systems like Hawaii Pacific Health and Kaiser Permanente operate extensive clinic networks, while smaller independent practices may offer more competitive pricing for self-pay patients.
Insurance Market Competition in Hawaii
Hawaii's insurance market features limited competition with HMSA holding dominant market share, followed by UnitedHealthcare and Kaiser Permanente's integrated model. This concentrated market can limit negotiated rate variations compared to states with dozens of competing insurers, potentially contributing to Hawaii's above-average costs.
Physician Supply and Demand in Hawaii
With only 16 active General Doctor (Adult) providers serving the entire state, Hawaii faces a relative shortage compared to its population and tourist volume. This limited supply can drive up costs and extend wait times, particularly on outer islands where patients may need to travel to Honolulu for specialized internal medicine care.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Hawaii.
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 Hawaii
What is the average cost of a General Doctor (Adult) visit in Hawaii without insurance?
Does Hawaii Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in Hawaii?
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 Hawaii?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in Hawaii?
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 |