Cost of a General Doctor (Adult) Visit
in Michigan
Reviewed by Momentary Medical Group West PC
Michigan's Medicaid expansion program, known as Healthy Michigan Plan, has provided coverage to over 680,000 adults since 2014, contributing to the state's General Doctor (Adult) visit costs running approximately 3% below national averages. Patients typically pay between $66 and $236, with a median out-of-pocket cost of $88 across Michigan's 308 active General Doctor (Adult) providers. From Detroit's hospital systems to rural Upper Peninsula clinics, patients can browse all internists and primary care specialists throughout Michigan to find quality care at transparent prices.
Average
$130
Median
$88
Lowest
$66
Highest
$236
Providers
308
1% below national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in Michigan?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $66 | $88 | $249 | 225 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $66 | $88 | $204 | 57 |
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 Michigan
Dr. Mark Richmond, MD
Internal Medicine Physician · Petoskey, MI
Dr. Jerome Finkel, MD
Internal Medicine Physician · Mount Clemens, MI
Dr. Thomas Ling, MD
Internal Medicine Physician · Petoskey, MI
Dr. Jyothsna Yalavarthi, MD
Internal Medicine Physician · Farmington Hills, MI
Dr. Lanore Najor, DO
Internal Medicine Physician · Farmington Hills, MI
Why General Doctor (Adult) Visit Costs Vary Across Michigan
Michigan's healthcare costs run approximately 3% below national averages, influenced by the state's competitive insurance market and successful Medicaid expansion program that has reduced uncompensated care burdens on providers. The state's diverse geography, from dense urban areas like Detroit and Grand Rapids to sparsely populated Upper Peninsula regions, creates significant cost variations based on provider availability and market competition.
Urban vs. Rural Provider Availability
Michigan's Lower Peninsula metro areas like Detroit, Ann Arbor, and Grand Rapids feature high provider density and competitive pricing, while Upper Peninsula and rural counties face physician shortages that can limit options and drive up costs. The state's 308 active General Doctor (Adult) providers are heavily concentrated in urban corridors, leaving some rural areas dependent on hospital-based outpatient clinics or telehealth services for specialty internal medicine care.
Facility Type and Overhead Costs
Hospital-owned practices, particularly those affiliated with major systems like Beaumont Health, Spectrum Health, and Trinity Health, often charge higher facility fees that increase total visit costs compared to independent physician offices. Michigan's trend toward healthcare consolidation has reduced the number of independent practices, though remaining solo and small group providers frequently offer more competitive self-pay rates and flexible payment arrangements.
Insurance Market Competition in Michigan
The presence of Blue Cross Blue Shield of Michigan, UnitedHealthcare, and Aetna creates robust competition that helps moderate negotiated rates with General Doctor (Adult) providers statewide. Michigan's relatively competitive insurance marketplace, combined with strong state regulatory oversight, has prevented the extreme market concentration seen in some neighboring states, resulting in more favorable pricing for patients across all coverage types.
Physician Supply and Demand in Michigan
With 308 active General Doctor (Adult) providers serving Michigan's nearly 10 million residents, the state maintains adequate specialty internal medicine capacity in urban areas while facing shortages in rural regions. This geographic mismatch creates longer wait times and potentially higher costs in underserved areas, while urban markets benefit from healthy competition that helps keep prices below national averages and provides patients with multiple provider options.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Michigan.
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 Michigan
What is the average cost of a General Doctor (Adult) visit in Michigan without insurance?
Does Michigan Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in Michigan?
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 Michigan?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in Michigan?
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 |