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Louisiana

Cost of a General Doctor (Adult) Visit
in Louisiana

Reviewed by Momentary Medical Group West PC

Louisiana's physician workforce density falls below the national average, particularly affecting rural parishes where specialty care access remains limited. General Doctor (Adult) visits across the state typically cost patients between $70 and $202, with a median out-of-pocket expense of $102. With 60 active General Doctor (Adult) providers statewide, patients can browse all available providers throughout Louisiana to find affordable, in-network options.

Average

$124

Median

$102

Lowest

$70

Highest

$202

Providers

60

National avg: $132Louisiana: $124

5% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Family Medicine Visit

Standard office visit with a family medicine physician

99214$69$99$22256
Cardiologist Visit

Standard office visit with a cardiologist

99214$80$87$1208

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 Louisiana

Why General Doctor (Adult) Visit Costs Vary Across Louisiana

Louisiana's healthcare costs run approximately 1% above national averages despite the state's lower overall cost of living, reflecting limited provider competition in many regions. The concentration of medical facilities in metropolitan areas creates significant cost and access disparities between urban and rural parishes.

Urban vs. Rural Provider Availability

Major metropolitan areas like New Orleans, Baton Rouge, and Shreveport concentrate most General Doctor (Adult) specialists, while rural parishes face severe shortages requiring long-distance travel. This geographic maldistribution drives higher costs in underserved areas where limited competition allows providers to maintain premium pricing. Telehealth adoption has improved access but cannot fully address the need for in-person specialty care in remote parishes.

Facility Type and Overhead Costs

Hospital-owned practices dominate Louisiana's healthcare landscape, with major systems like Ochsner, Willis-Knighton, and Our Lady of the Lake operating extensive specialty networks. These health systems often charge facility fees that independent practices cannot impose, increasing patient costs for equivalent services. Academic medical centers at LSU and Tulane provide teaching hospital services that may include higher overhead costs but offer access to cutting-edge treatments and research protocols.

Insurance Market Competition in Louisiana

BCBS Louisiana maintains the largest market share statewide, with UHC and Aetna providing additional options primarily in metropolitan areas. Limited insurer competition reduces pressure on negotiated rates, particularly in rural markets where BCBS may be the only viable option. The state's regulatory environment and provider network adequacy requirements influence which insurers choose to operate in specific parishes.

Physician Supply and Demand in Louisiana

With only 60 active General Doctor (Adult) providers serving the entire state's 4.6 million residents, Louisiana faces a significant shortage relative to population needs. This supply constraint contributes to longer wait times and higher pricing power for established practices, particularly in subspecialty areas. The state's medical schools graduate new physicians annually, but retention remains challenging due to malpractice costs and limited rural practice incentives.

Cost by Procedure Type

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

CPT 99213176 providers

Follow-up, low complexity

$80
Range: $45$112
CPT 9921460 providers

Follow-up, moderate complexity

$102
Range: $70$202
CPT 99215172 providers

Follow-up, high complexity

$90
Range: $80$206
CPT 99203173 providers

New patient, low complexity

$90
Range: $70$161
CPT 99204171 providers

New patient, moderate complexity

$90
Range: $80$246
CPT 99205168 providers

New patient, high complexity

$90
Range: $86$296

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 Louisiana

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

Uninsured patients in Louisiana typically pay between $70 and $202 for a General Doctor (Adult) visit, with most paying around $102. New patient consultations generally cost more than follow-up visits, ranging from $86 to $296 depending on complexity. Many providers offer self-pay discounts of 15-30% for patients who pay at the time of service, potentially reducing costs below the median rate.

Does Louisiana Medicaid cover General Doctor (Adult) visits?

Louisiana Medicaid covers medically necessary General Doctor (Adult) visits for eligible recipients, though the state chose not to expand Medicaid under the Affordable Care Act. This limits coverage to specific categories like pregnant women, children, and parents earning less than 24% of the federal poverty level. Adults without children or qualifying conditions typically cannot access Medicaid coverage regardless of income level.

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

Compare costs across multiple providers in your area, as prices can vary by over $130 between practices for similar services. Look for community health centers that offer sliding-scale fees based on income, and ask independent practices about cash-pay discounts. Telehealth consultations may provide more affordable options for routine follow-ups, particularly if you live in rural parishes with limited local specialists.

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

New patient visits in Louisiana typically cost $86 to $296 depending on complexity, with most paying around $90 for routine consultations. Established patient follow-up visits range from $45 to $206, with a median cost of $102 for moderate complexity care. The cost difference reflects the additional time and documentation required for initial evaluations and medical history review.

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

Both Health Savings Accounts and Flexible Spending Accounts can be used to pay for General Doctor (Adult) visits, including copays, coinsurance, and deductibles. These accounts provide tax advantages for qualified medical expenses, making specialty care more affordable. Keep receipts for all payments, as you may need documentation for account administrators or tax purposes.

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

Telemedicine consultations typically cost 20-30% less than in-person visits, though not all insurance plans cover virtual specialty care equally. Louisiana expanded telehealth coverage during the pandemic, with many insurers now covering video consultations at the same rate as office visits. Rural patients particularly benefit from telehealth options, eliminating travel costs while accessing specialists located in metropolitan areas like New Orleans or Baton Rouge.

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