Cost of a General Doctor (Adult) Visit
in Kentucky
Reviewed by Momentary Medical Group West PC
Kentucky's Medicaid expansion has provided coverage to over 500,000 additional adults, yet General Doctor (Adult) visit costs still range significantly across the state. Patients typically pay between $80 and $201, with a median out-of-pocket cost of $85, placing Kentucky eighth among all states for affordability. With 106 active General Doctor (Adult) providers practicing across the Commonwealth, patients can browse all available providers to find care that fits their budget and location.
Average
$122
Median
$85
Lowest
$80
Highest
$201
Providers
106
7% below national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in Kentucky?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $80 | $80 | $170 | 104 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $79 | $80 | $170 | 15 |
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 Kentucky
Dr. Dan Miller, MD
Internal Medicine Physician · Murray, KY
Dr. Don Duff, MD
Internal Medicine Physician · Louisville, KY
Dr. Kimberly Baldock, MD
Internal Medicine Physician · Ashland, KY
Dr. Frank Simon, MD
Internal Medicine Physician · Louisville, KY
Dr. Patrick Gipe, MD
Internal Medicine Physician · Owensboro, KY
Why General Doctor (Adult) Visit Costs Vary Across Kentucky
Kentucky's healthcare costs run approximately 5% below the national average, reflecting the state's lower cost of living and rural geography that keeps overhead expenses manageable. The Commonwealth's mix of Appalachian communities, Bluegrass region cities, and Ohio River valley towns creates distinct healthcare markets with varying provider density and pricing structures.
Urban vs. Rural Provider Availability
Louisville and Lexington concentrate most of Kentucky's General Doctor (Adult) specialists, while rural counties in eastern and western Kentucky often rely on traveling physicians or telemedicine for specialist care. This geographic disparity means urban patients enjoy more competitive pricing and shorter wait times, while rural residents may face limited options but often benefit from lower base costs and community-oriented payment arrangements.
Facility Type and Overhead Costs
Hospital-owned practices affiliated with systems like Baptist Health, UofL Health, and UK HealthCare typically charge higher facility fees than independent internal medicine practices throughout Kentucky. Academic medical centers in Lexington and Louisville command premium pricing due to their teaching hospital status and subspecialty expertise, while rural critical access hospitals often maintain more affordable fee structures.
Insurance Market Competition in Kentucky
The presence of major insurers Anthem, UHC, and Humana creates moderate competition in Kentucky's insurance market, though rural areas may have fewer plan options than metropolitan regions. This competitive landscape helps keep negotiated rates reasonable for General Doctor (Adult) visits, though provider networks vary significantly between insurers and plan types across different regions of the state.
Physician Supply and Demand in Kentucky
With 106 active General Doctor (Adult) providers serving Kentucky's 4.5 million residents, the state maintains adequate specialist coverage in urban areas but faces shortages in rural counties. This supply-demand imbalance contributes to higher costs in underserved regions while keeping metropolitan pricing competitive, and many providers maintain flexible scheduling to accommodate patients traveling from distant counties.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Kentucky.
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 Kentucky
What is the average cost of a General Doctor (Adult) visit in Kentucky without insurance?
Does Kentucky Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in Kentucky?
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 Kentucky?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in Kentucky?
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 |