Cost of a General Doctor (Adult) Visit
in Maryland
Reviewed by Momentary Medical Group West PC
Maryland's all-payer rate setting system creates unique cost transparency for hospital services, though physician office visits remain subject to standard insurer negotiations. General Doctor (Adult) visits across Maryland typically range from $49 to $202, with a median out-of-pocket cost of $86, placing the state 17th nationally for affordability. With 430 active General Doctor (Adult) providers throughout Maryland, patients can browse all available options to find quality care within their budget.
Average
$112
Median
$86
Lowest
$49
Highest
$202
Providers
430
15% below national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in Maryland?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $49 | $94 | $194 | 238 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $57 | $97 | $194 | 89 |
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 Maryland
Kaiser Ahmad, M.D
Internal Medicine Physician · Columbia, MD
Dr. Camille Tawil, MD
Internal Medicine Physician · Baltimore, MD
Dr. Ratnakar Mukherjee, MD
Internal Medicine Physician · Glen Burnie, MD
Dr. Stanley Kman, DO
Internal Medicine Physician · Abingdon, MD
Dr. James Wang, MD
Internal Medicine Physician · Bowie, MD
Why General Doctor (Adult) Visit Costs Vary Across Maryland
Maryland's healthcare costs run approximately 13% above national averages, driven by proximity to high-cost Washington DC metro area and Baltimore's concentration of major academic medical centers. The state's unique all-payer rate setting system for hospitals creates cost predictability for inpatient care, though physician office visits remain subject to standard market negotiations.
Urban vs. Rural Provider Availability
Baltimore-Washington corridor counties like Montgomery and Prince George's maintain high physician density with competitive pricing, while Eastern Shore and Western Maryland face provider shortages that can limit appointment availability. Rural areas often rely on federally qualified health centers and telemedicine to bridge access gaps, creating distinct cost patterns across the state's diverse geography.
Facility Type and Overhead Costs
Hospital-owned practices affiliated with Johns Hopkins, University of Maryland, and MedStar systems often charge facility fees that increase visit costs, particularly in Baltimore and suburban Washington areas. Independent physician practices typically offer lower base costs but may have less integrated care coordination, affecting overall value proposition for patients with complex conditions.
Insurance Market Competition in Maryland
CareFirst BlueCross BlueShield dominates Maryland's individual market while competing with UnitedHealthcare and Aetna in employer plans, creating varied negotiated rates across different regions. Strong competition in metropolitan areas helps moderate costs, while rural counties may have limited insurer participation affecting both choice and pricing leverage.
Physician Supply and Demand in Maryland
Maryland's 430 active General Doctor (Adult) providers create adequate supply for the state's 6 million residents, though distribution favors urban corridors over rural counties. This relatively balanced physician-to-population ratio helps maintain competitive pricing in most markets, though subspecialist concentration in Baltimore and Bethesda can create referral bottlenecks affecting care coordination costs.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Maryland.
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 Maryland
What is the average cost of a General Doctor (Adult) visit in Maryland without insurance?
Does Maryland Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in Maryland?
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 Maryland?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in Maryland?
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 |