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Minnesota

Cost of a General Doctor (Adult) Visit
in Minnesota

Reviewed by Momentary Medical Group West PC

Minnesota's healthcare workforce density ranks above the national average, with the state maintaining one of the highest physician-to-patient ratios in the upper Midwest. General Doctor (Adult) visits in Minnesota typically cost between $73 and $313, with most patients paying around $91 for a standard follow-up appointment according to insurer negotiated rates. With 154 active General Doctor (Adult) providers across the state, patients can browse all available Minnesota providers to find the most cost-effective care options in their area.

Average

$159

Median

$91

Lowest

$73

Highest

$313

Providers

154

National avg: $132Minnesota: $159

21% above national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Family Medicine Visit

Standard office visit with a family medicine physician

99214$81$91$313218
Cardiologist Visit

Standard office visit with a cardiologist

99214$80$141$25034

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 Minnesota

Why General Doctor (Adult) Visit Costs Vary Across Minnesota

Minnesota's healthcare costs run approximately 2% above the national average, influenced by the state's high physician density and competitive insurance market dominated by Blue Cross Blue Shield Minnesota, UnitedHealthcare, and HealthPartners. The state's geography creates distinct cost patterns, with Twin Cities metropolitan providers typically charging premium rates while rural areas offer more affordable options.

Urban vs. Rural Provider Availability

The Twin Cities metropolitan area contains the majority of Minnesota's General Doctor (Adult) providers, creating competitive pricing in Minneapolis and St. Paul while suburban communities like Edina and Plymouth command higher rates. Rural regions in northern and western Minnesota face provider shortages that can drive up costs and extend wait times for specialty care. Rochester benefits from Mayo Clinic's presence, which attracts numerous internal medicine specialists and helps moderate pricing through increased competition.

Facility Type and Overhead Costs

Hospital-owned clinics affiliated with major health systems like M Health Fairview, Allina Health, and Essentia Health typically charge higher rates due to facility fees and administrative overhead. Independent family medicine and internal medicine practices across Minnesota often offer more competitive pricing, particularly in smaller cities like Duluth or Rochester. The state's strong cooperative healthcare tradition has fostered numerous multi-specialty group practices that balance quality care with cost efficiency.

Insurance Market Competition in Minnesota

Minnesota maintains a relatively competitive insurance market with Blue Cross Blue Shield Minnesota, UnitedHealthcare, and HealthPartners negotiating rates across most provider networks. The state's robust regulatory environment and high insurance penetration rates help keep General Doctor (Adult) visit costs predictable, though premium plan options in affluent suburbs can drive up pricing. Minnesota's state-based health insurance exchange provides additional coverage options that influence market dynamics and provider reimbursement rates.

Physician Supply and Demand in Minnesota

With 154 active General Doctor (Adult) providers serving Minnesota's 5.7 million residents, the state maintains adequate specialist availability in most regions, helping moderate pricing through healthy competition. The Mayo Clinic's presence in Rochester and the University of Minnesota's medical programs attract top talent, creating a strong physician workforce that supports both quality and cost-effectiveness. However, rural counties still face internist shortages that can drive up costs and limit access, particularly in the state's northern and western regions.

Cost by Procedure Type

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

CPT 99213155 providers

Follow-up, low complexity

$91
Range: $73$222
CPT 99214154 providers

Follow-up, moderate complexity

$91
Range: $73$313
CPT 99215148 providers

Follow-up, high complexity

$190
Range: $73$439
CPT 99203151 providers

New patient, low complexity

$131
Range: $73$273
CPT 99204150 providers

New patient, moderate complexity

$120
Range: $73$408
CPT 99205143 providers

New patient, high complexity

$256
Range: $80$539

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 Minnesota

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

Uninsured patients in Minnesota typically pay between $73 and $313 for a General Doctor (Adult) visit, with most standard follow-up appointments costing around $91 according to negotiated insurance rates. New patient visits tend to cost more, ranging from $131 for low-complexity cases to $256 for comprehensive evaluations. Many Minnesota providers offer cash-pay discounts of 10-30% for self-pay patients, and community health centers provide sliding-scale fees based on income to make care more affordable.

Does Minnesota Medicaid cover General Doctor (Adult) visits?

Yes, Minnesota's expanded Medicaid program covers General Doctor (Adult) visits with little to no cost-sharing for eligible patients. The state expanded Medicaid under the Affordable Care Act, providing coverage to adults earning up to 138% of the federal poverty level. Most preventive visits are covered at 100%, while other visits may require small copays depending on the specific Medicaid plan and services provided.

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

Start by comparing costs among Minnesota's 154 General Doctor (Adult) providers, as prices can vary from $73 to over $300 for the same visit. Independent practices often offer lower rates than hospital-affiliated clinics, and rural providers typically charge less than those in the Twin Cities metro area. Community health centers, federally qualified health centers, and providers offering cash-pay discounts can significantly reduce costs for uninsured or underinsured patients.

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

New patient General Doctor (Adult) visits in Minnesota typically cost more than established patient visits, with initial consultations ranging from $131 to $256 depending on complexity. Follow-up visits for existing patients generally cost between $91 and $190, with most routine appointments falling around the $91 median rate. The cost difference reflects the additional time and comprehensive evaluation required for new patients, including detailed medical history review and initial care planning.

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

Yes, General Doctor (Adult) visits are qualified medical expenses that can be paid for using Health Savings Account (HSA) or Flexible Spending Account (FSA) funds. This includes both preventive visits and treatment for medical conditions, allowing you to use pre-tax dollars to reduce your overall healthcare costs. Keep all receipts and documentation for tax purposes, and remember that HSA funds roll over year to year while most FSA funds must be used within the plan year.

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

Telemedicine visits with General Doctor (Adult) providers in Minnesota often cost 20-30% less than in-person appointments, making them an attractive option for routine follow-ups and medication management. Most major Minnesota insurers including Blue Cross Blue Shield Minnesota and HealthPartners cover telehealth visits at the same rate as office visits. Many providers expanded their telehealth offerings since 2020, giving Minnesota patients greater access to affordable care, especially in rural areas where specialist access is limited.

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