Logo
Nebraska

Cost of a General Doctor (Adult) Visit
in Nebraska

Reviewed by Momentary Medical Group West PC

Nebraska's rural physician shortage affects over 70% of the state's counties, yet General Doctor (Adult) visit costs remain competitive nationally. Patients typically pay between $80 and $314, with a median out-of-pocket cost of $314 based on negotiated insurance rates. With 133 active General Doctor (Adult) providers serving the state, patients can browse all providers in Nebraska to find the best match for their healthcare needs.

Average

$236

Median

$314

Lowest

$80

Highest

$314

Providers

133

National avg: $132Nebraska: $236

79% above national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Family Medicine Visit

Standard office visit with a family medicine physician

99214$91$240$314196

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 Nebraska

Why General Doctor (Adult) Visit Costs Vary Across Nebraska

Nebraska's healthcare costs run approximately 1% below national averages, reflecting the state's lower cost of living and moderate provider competition. The state's agricultural economy and scattered rural population create unique access challenges that influence pricing patterns across different regions.

Urban vs. Rural Provider Availability

Omaha and Lincoln concentrate most of Nebraska's General Doctor (Adult) specialists, while rural counties often face physician shortages that can drive up costs and extend wait times. Patients in western Nebraska may need to travel significant distances to major medical centers, adding transportation costs to their healthcare expenses.

Facility Type and Overhead Costs

Hospital-based outpatient clinics in Nebraska typically charge higher facility fees than independent physician practices, reflecting higher overhead costs for health systems like Nebraska Medicine and CHI Health. Rural critical access hospitals often have limited internal medicine specialists, requiring partnerships with urban providers or telemedicine services.

Insurance Market Competition in Nebraska

The state's insurance market features moderate competition between BCBS Nebraska, UHC, and Aetna, with Blue Cross Blue Shield historically maintaining the largest market share. Limited insurer competition in some rural areas can result in higher premiums and fewer in-network provider options for General Doctor (Adult) care.

Physician Supply and Demand in Nebraska

With 133 active General Doctor (Adult) providers serving approximately 1.9 million residents, Nebraska faces moderate physician density that varies dramatically between urban and rural areas. This supply imbalance creates longer wait times and potentially higher costs in underserved regions, while metropolitan areas maintain more competitive pricing and availability.

Cost by Procedure Type

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

CPT 99213133 providers

Follow-up, low complexity

$222
Range: $68$222
CPT 99214133 providers

Follow-up, moderate complexity

$314
Range: $80$314
CPT 99215133 providers

Follow-up, high complexity

$441
Range: $135$441
CPT 99203133 providers

New patient, low complexity

$271
Range: $84$271
CPT 99204133 providers

New patient, moderate complexity

$407
Range: $148$407
CPT 99205133 providers

New patient, high complexity

$536
Range: $193$536

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 Nebraska

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

General Doctor (Adult) visits in Nebraska range from $80 to $314 without insurance, with a median cost of $314 based on negotiated rates between insurers and providers. New patient visits typically cost more than follow-up appointments, and complex visits requiring extensive evaluation cost more than routine check-ups. Many providers offer self-pay discounts that can reduce these costs by 20-40% for uninsured patients.

Does Nebraska Medicaid cover General Doctor (Adult) visits?

Yes, Nebraska Medicaid covers General Doctor (Adult) visits following the state's Medicaid expansion in 2020. Adults earning up to 138% of the federal poverty level qualify for coverage with minimal copays, typically $3-4 per visit. Prior authorization may be required for certain specialized tests or procedures, but routine internal medicine consultations are generally covered.

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

Compare costs between hospital-affiliated clinics and independent practices, as independent physicians often charge less for the same services. Look into community health centers, federally qualified health centers (FQHCs), and university-affiliated clinics that may offer sliding scale fees based on income. Ask providers directly about self-pay discounts and payment plans if you're uninsured or underinsured.

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

Initial General Doctor (Adult) consultations in Nebraska range from $84 to $537 depending on complexity, while follow-up visits cost between $68 and $441. New patient visits typically cost 20-40% more than established patient visits because they require comprehensive history-taking and examination. The median cost for a moderate complexity new patient visit is $407, compared to $314 for an established patient visit of similar complexity.

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

Yes, General Doctor (Adult) visits qualify as eligible medical expenses for both Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs). You can use these tax-advantaged funds to pay for copays, deductibles, and the full cost of visits if you haven't met your deductible. Keep receipts and documentation for reimbursement or when using HSA/FSA debit cards.

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

Telemedicine visits with General Doctor (Adult) providers in Nebraska typically cost 10-30% less than in-person visits, though exact savings vary by provider and insurance plan. Most major insurers in Nebraska now cover telehealth visits at the same rate as office visits, especially for follow-up care and chronic disease management. Rural patients particularly benefit from telemedicine options that eliminate travel costs and time to reach specialists in Omaha or Lincoln.

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