Cost of a General Doctor (Adult) Visit
in Missouri
Reviewed by Momentary Medical Group West PC
Missouri's lack of Medicaid expansion affects healthcare access for over 200,000 adults who fall into the coverage gap, making cost transparency for General Doctor (Adult) visits particularly important. Patients typically pay between $72 and $146 for an established patient visit, with a median cost of $126 across the state's 558 active General Doctor (Adult) providers. Browse all available providers to compare costs and find the right internist for your healthcare needs.
Average
$115
Median
$126
Lowest
$72
Highest
$146
Providers
558
13% below national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in Missouri?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $67 | $125 | $148 | 443 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $72 | $110 | $198 | 113 |
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 Missouri
Dr. Michael Quinlan, MD
Internal Medicine Physician · Mexico, MO
Dr. Kanti Havaldar, MD
Internal Medicine Physician · Maryville, MO
Dr. Anthony Gutierrez, MD
Internal Medicine Physician · Kansas City, MO
Dr. Gary Meltz, MD
Internal Medicine Physician · Saint Peters, MO
Dr. Bradford Carper, DO
Internal Medicine Physician · Warrensburg, MO
Why General Doctor (Adult) Visit Costs Vary Across Missouri
Missouri's healthcare costs run approximately 5% below national averages, reflecting the state's moderate cost of living and competitive provider markets in major metropolitan areas. The state's geographic diversity creates distinct cost patterns between urban centers like St. Louis and Kansas City versus rural counties with limited provider options.
Urban vs. Rural Provider Availability
Missouri's extensive rural areas face provider shortages that can drive up costs due to limited competition, while metropolitan regions around St. Louis and Kansas City benefit from higher physician density and competitive pricing. Rural counties often rely on federally qualified health centers and critical access hospitals for primary care services. Travel distances to specialists in rural areas can add indirect costs for patients seeking General Doctor (Adult) care.
Facility Type and Overhead Costs
Major health systems including BJC HealthCare, SSM Health, and Saint Luke's Health System dominate Missouri's market, with their hospital-based clinics typically charging higher rates than independent practices. Academic medical centers affiliated with Washington University and University of Missouri create additional pricing tiers in their respective regions. Independent practices often offer more competitive self-pay rates due to lower overhead costs and administrative efficiency.
Insurance Market Competition in Missouri
Anthem Blue Cross Blue Shield maintains significant market share in Missouri, competing with UHC, Cigna, and regional plans in most areas of the state. The moderate level of insurer competition allows for negotiated rate variations but prevents the extreme pricing disparities seen in less competitive markets. Rural areas may have fewer insurance options, potentially affecting provider network size and negotiated rates.
Physician Supply and Demand in Missouri
Missouri's 558 active General Doctor (Adult) providers serve a population of over 6 million, creating adequate supply in urban areas but potential shortages in rural counties. The state's medical schools and residency programs help maintain physician supply, though rural recruitment remains challenging. Higher provider density in metropolitan areas creates competitive pressure that can benefit patients through lower costs and better availability.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Missouri.
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 Missouri
What is the average cost of a General Doctor (Adult) visit in Missouri without insurance?
Does Missouri Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in Missouri?
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 Missouri?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in Missouri?
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 |