Cost of a General Doctor (Adult) Visit
in Montana
Reviewed by Momentary Medical Group West PC
Montana's vast geography spans 147,000 square miles with just over 1 million residents, creating unique healthcare delivery challenges that influence provider costs and access patterns. General Doctor (Adult) visits in Montana typically cost patients between $80 and $102, with a median out-of-pocket expense of $80 across 27 active providers statewide. Browse all General Doctor (Adult) providers in Montana to compare costs and find in-network options in your area.
Average
$87
Median
$80
Lowest
$80
Highest
$102
Providers
27
34% below national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in Montana?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $80 | $80 | $80 | 26 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $80 | $80 | $136 | 7 |
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 Montana
Dr. Susan Curtis, MD
Internal Medicine Physician · Missoula, MT
Dr. Jonathan Bodine, DO
Internal Medicine Physician · Butte, MT
Dr. Kevin Sheehan, MD
Internal Medicine Physician · Missoula, MT
Dr. Robert Sherrick, MD
Internal Medicine Physician · Kalispell, MT
Dr. Jose Ness, MD
Internal Medicine Physician · Kalispell, MT
Why General Doctor (Adult) Visit Costs Vary Across Montana
Montana's General Doctor (Adult) visit costs run approximately 4% above the national average despite the state's rural geography and lower population density. The state's 56 counties vary dramatically in healthcare infrastructure, from well-served areas around Billings and Missoula to frontier counties with limited specialist access.
Urban vs. Rural Provider Availability
Montana's two main metropolitan areas, Billings and Missoula, concentrate most General Doctor (Adult) specialists, while rural counties often rely on telemedicine or traveling providers. This geographic disparity creates cost variations where urban practices may charge more due to higher overhead, but rural patients face additional travel costs and limited scheduling options.
Facility Type and Overhead Costs
Hospital-based outpatient clinics operated by major health systems like Billings Clinic, Providence St. Joseph, and Benefis Health System typically charge higher facility fees compared to independent General Doctor (Adult) practices. Montana's rural hospitals often operate specialty clinics that may have different cost structures than urban standalone practices.
Insurance Market Competition in Montana
BCBS MT dominates Montana's insurance market with over 60% market share, followed by PacificSource and UHC, creating a relatively concentrated market that can limit competitive pressure on negotiated rates. Rural areas may have even fewer insurer options, potentially affecting the range of in-network General Doctor (Adult) providers available to patients.
Physician Supply and Demand in Montana
With 27 active General Doctor (Adult) providers serving Montana's 1.1 million residents, the state maintains adequate specialist coverage in urban areas but faces shortages in rural regions. This uneven distribution allows urban practices to command higher rates while rural providers may offer more competitive pricing to attract patients from wider geographic areas.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Montana.
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 Montana
What is the average cost of a General Doctor (Adult) visit in Montana without insurance?
Does Montana Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in Montana?
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 Montana?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in Montana?
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 |