Cost of a General Doctor (Adult) Visit
in Indiana
Reviewed by Momentary Medical Group West PC
Indiana ranks 24th among all states for General Doctor (Adult) visit affordability, with healthcare costs running approximately 6% below national averages. Patients typically pay between $74 and $209, with a median out-of-pocket cost of $91 for established patient visits across the state's 114 active General Doctor (Adult) providers. Browse all providers in Indiana to find the most affordable option in your area.
Average
$125
Median
$91
Lowest
$74
Highest
$209
Providers
114
5% below national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in Indiana?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $80 | $88 | $202 | 76 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $81 | $171 | $226 | 12 |
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 Indiana
Dr. Snezana Zubic, MD
Internal Medicine Physician · Valparaiso, IN
Dr. Thomas Devine, MD
Internal Medicine Physician · Valparaiso, IN
Dicky Bhagat, M.D
Internal Medicine Physician · Goshen, IN
Dr. Alan Watanabe, MD
Internal Medicine Physician · Columbus, IN
Dr. Robert Chen, MD
Internal Medicine Physician · Saint John, IN
Why General Doctor (Adult) Visit Costs Vary Across Indiana
Indiana's healthcare costs run approximately 6% below national averages, reflecting the state's moderate cost of living and competitive provider market across both urban centers and rural communities. The state's decision to forgo Medicaid expansion and growing ambulatory surgery center market create unique cost pressures that affect internal medicine pricing structures statewide.
Urban vs. Rural Provider Availability
Indianapolis and Fort Wayne concentrate the majority of Indiana's General Doctor (Adult) specialists, creating cost advantages through competition while rural counties often face provider shortages that can drive up prices. Northern Indiana's proximity to Chicago influences higher pricing in cities like Michigan City and Hammond, while southern regions maintain more affordable rates reflecting lower regional cost structures.
Facility Type and Overhead Costs
Major health systems including IU Health, Community Health Network, and Parkview Health System operate hospital-based outpatient clinics with higher overhead costs than independent practices. These facility fees can add 20-40% to visit costs, while standalone internal medicine practices typically offer more competitive pricing and flexible payment options for self-pay patients.
Insurance Market Competition in Indiana
Anthem dominates Indiana's individual market while UnitedHealthcare and MDwise compete heavily for employer group business, creating moderate competition that helps control negotiated rates. The concentrated market structure means fewer insurer options in many counties, though competition among the major carriers prevents the pricing extremes seen in less competitive states.
Physician Supply and Demand in Indiana
With 114 active General Doctor (Adult) providers serving the state's 6.8 million residents, Indiana maintains adequate but not abundant specialist availability compared to national standards. This moderate supply creates reasonable pricing without the premium costs seen in shortage areas, though wait times for appointments can extend 2-4 weeks in popular urban practices during peak demand periods.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Indiana.
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 Indiana
What is the average cost of a General Doctor (Adult) visit in Indiana without insurance?
Does Indiana Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in Indiana?
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 Indiana?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in Indiana?
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 |