Cost of a General Doctor (Adult) Visit
in New Jersey
Reviewed by Momentary Medical Group West PC
New Jersey's dense population and proximity to major metropolitan areas has created one of the nation's highest physician-to-patient ratios, yet General Doctor (Adult) visit costs vary dramatically across the state. Patients typically pay between $53 and $193 for these visits, with a median out-of-pocket cost of $63, making New Jersey competitively priced compared to neighboring states. With 901 active General Doctor (Adult) providers throughout the state, patients can browse all available options to find the most cost-effective care for their needs.
Average
$103
Median
$63
Lowest
$53
Highest
$193
Providers
901
22% below national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in New Jersey?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $53 | $98 | $188 | 406 |
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 New Jersey
Dr. Arthur Cabales, MD
Internal Medicine Physician · Jersey City, NJ
Dr. Paul Goldberg, MD
Internal Medicine Physician · Lawrenceville, NJ
Dr. Deborah Cheung, MD
Internal Medicine Physician · Berkeley Heights, NJ
Dr. Rosa Neno, DO
Internal Medicine Physician · Bayonne, NJ
Dr. Emanuel Maida, MD
Internal Medicine Physician · Livingston, NJ
Why General Doctor (Adult) Visit Costs Vary Across New Jersey
New Jersey's healthcare costs run approximately 17% above national averages, driven by the state's high cost of living, dense population, and proximity to expensive metropolitan markets in New York and Philadelphia. The state's compact geography creates intense competition for patients while also allowing providers to command higher rates due to regional economic factors.
Urban vs. Rural Provider Availability
Northern New Jersey's proximity to New York City creates higher overhead costs for practices in Bergen, Hudson, and Essex counties, while South Jersey providers compete more directly with Philadelphia-area physicians for patients. The state's limited rural areas mean most General Doctor (Adult) providers operate in suburban or urban settings, reducing the typical rural-urban cost disparities seen in other states.
Facility Type and Overhead Costs
Hospital-owned practices in New Jersey, particularly those affiliated with major systems like Hackensack Meridian Health and RWJBarnabas Health, often charge additional facility fees that can increase total visit costs by 25-50%. Independent physician practices typically offer more competitive pricing due to lower administrative overhead and the ability to negotiate directly with patients on payment terms.
Insurance Market Competition in New Jersey
While Horizon Blue Cross Blue Shield maintains the largest market share in New Jersey, competition from Aetna and UnitedHealthcare has created relatively balanced negotiated rates for most provider networks. The state's moderate market concentration allows insurers to negotiate reasonable rates while giving providers multiple contract options, though hospital consolidation continues to drive up facility-based costs.
Physician Supply and Demand in New Jersey
With 901 active General Doctor (Adult) providers serving approximately 9.3 million residents, New Jersey maintains adequate physician supply in most regions, helping to keep wait times reasonable and preventing extreme price inflation. The state's medical schools and residency programs produce a steady supply of internists, though competition for positions at prestigious health systems can drive up compensation costs that are ultimately reflected in patient pricing.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in New Jersey.
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 New Jersey
What is the average cost of a General Doctor (Adult) visit in New Jersey without insurance?
Does New Jersey Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in New Jersey?
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 New Jersey?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in New Jersey?
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 |