Cost of a General Doctor (Adult) Visit
in Maine
Reviewed by Momentary Medical Group West PC
Maine faces significant rural healthcare access challenges, with over 60% of the state's land area classified as medically underserved. General Doctor (Adult) visits in Maine typically range from $85 to $255, with a median out-of-pocket cost of $250, placing the state among the most expensive nationally for internal medicine care. With 133 active General Doctor (Adult) providers distributed across Maine's 16 counties, patients can browse all available specialists to find the most cost-effective care option in their area.
Average
$197
Median
$250
Lowest
$85
Highest
$255
Providers
133
50% above national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in Maine?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $80 | $204 | $255 | 145 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $114 | $255 | $255 | 42 |
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 Maine
Dr. Saima Rashid, MD
Internal Medicine Physician · Belfast, ME
Dr. James Harris, MD
Internal Medicine Physician · Fort Kent, ME
Dr. Lise Cloutier, MD
Internal Medicine Physician · Kennebunk, ME
Dr. Rabee Kiwan, MD
Internal Medicine Physician · Portland, ME
Dr. Amy Etzweiler, MD
Internal Medicine Physician · Bath, ME
Why General Doctor (Adult) Visit Costs Vary Across Maine
Maine's General Doctor (Adult) visit costs run approximately 12% above the national average, driven by the state's rural geography, limited provider competition, and higher practice overhead costs. The state's aging population and geographic isolation create unique healthcare delivery challenges that contribute to premium pricing across most medical specialties.
Urban vs. Rural Provider Availability
Portland and its suburbs concentrate over 40% of Maine's General Doctor (Adult) providers, creating competitive pricing and shorter wait times in the greater Portland area. Rural counties like Piscataquis and Washington face significant provider shortages, forcing many residents to travel substantial distances for internal medicine care and often resulting in higher fees due to limited competition. The state's extensive rural geography means many providers serve catchment areas exceeding 50 miles.
Facility Type and Overhead Costs
Maine's healthcare landscape is dominated by large health systems including MaineHealth, Northern Light Health, and Central Maine Healthcare, which operate numerous hospital-affiliated outpatient clinics with higher overhead costs. Independent General Doctor (Adult) practices remain common in smaller communities but often struggle with the high costs of medical malpractice insurance and recruitment in Maine's challenging practice environment. Hospital-owned clinics typically charge facility fees that can add $50-100 to visit costs.
Insurance Market Competition in Maine
Anthem Blue Cross Blue Shield holds the largest market share in Maine, followed by Harvard Pilgrim Health Care and UnitedHealthcare, creating moderate competition that helps control negotiated rates in urban areas. Rural markets often have limited insurer participation, reducing competitive pressure on pricing and sometimes leading to higher out-of-network costs. The state's small population and geographic challenges limit the number of insurers willing to establish comprehensive provider networks statewide.
Physician Supply and Demand in Maine
With 133 active General Doctor (Adult) providers serving a population of 1.4 million, Maine maintains adequate specialist coverage in urban areas but faces shortages in rural regions. The state's aging physician workforce and challenges recruiting younger doctors to rural practice areas create upward pressure on pricing, particularly outside the Portland metro area. Many providers maintain waiting lists for new patients, especially for non-urgent appointments, which can drive patients to higher-cost urgent care or emergency settings.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Maine.
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 Maine
What is the average cost of a General Doctor (Adult) visit in Maine without insurance?
Does Maine Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in Maine?
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 Maine?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in Maine?
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 |