Cost of a General Doctor (Adult) Visit
in New Mexico
Reviewed by Momentary Medical Group West PC
New Mexico's physician workforce density remains below the national average, with rural counties experiencing particularly acute shortages that affect access and pricing patterns. General Doctor (Adult) visits in New Mexico typically cost patients between $80 and $234, with a median out-of-pocket expense of $157 for established patient visits. The state maintains 92 active General Doctor (Adult) providers serving its 2.1 million residents, with significant concentration in the Albuquerque and Santa Fe metropolitan areas where patients can browse all available providers.
Average
$157
Median
$157
Lowest
$80
Highest
$234
Providers
92
20% above national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in New Mexico?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $80 | $157 | $178 | 124 |
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 Mexico
Dr. Robert Gardner, MD
Internal Medicine Physician · Rio Rancho, NM
Dr. Shiney Nattakom, MD
Internal Medicine Physician · Las Cruces, NM
Dr. David Gonzales, MD
Internal Medicine Physician · Albuquerque, NM
Dr. Muhannad Kanbour, MD
Internal Medicine Physician · Albuquerque, NM
Dr. Robert Rader, MD
Internal Medicine Physician · Roswell, NM
Why General Doctor (Adult) Visit Costs Vary Across New Mexico
New Mexico's healthcare costs run approximately 3% below national averages despite the state's rural geography and provider shortages. The Land of Enchantment's unique mix of urban centers and vast rural territories creates significant cost and access disparities across its 121,000 square miles.
Urban vs. Rural Provider Availability
Albuquerque and Santa Fe metropolitan areas concentrate most of New Mexico's General Doctor (Adult) specialists, while rural counties like Hidalgo and Catron often lack any internal medicine providers. This geographic maldistribution forces rural patients to travel long distances, creating additional costs beyond the visit fees.
Facility Type and Overhead Costs
Presbyterian Healthcare Services and Christus Health dominate New Mexico's hospital market, with their employed physicians typically charging higher rates than independent practitioners. Hospital-owned outpatient clinics often add facility fees that can increase total visit costs by $50-100 compared to private practice settings.
Insurance Market Competition in New Mexico
Limited insurer competition among Blue Cross Blue Shield of New Mexico, UnitedHealthcare, and Molina Healthcare affects negotiated rates for General Doctor (Adult) services. The state's relatively small population and rural geography reduce insurers' bargaining power, sometimes resulting in higher negotiated rates than in larger markets.
Physician Supply and Demand in New Mexico
With 92 active General Doctor (Adult) providers serving over 2 million residents, New Mexico faces a moderate shortage that affects both availability and pricing. The state's physician-to-population ratio falls below national averages, particularly in internal medicine, creating longer wait times and supporting higher reimbursement rates.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in New Mexico.
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 Mexico
What is the average cost of a General Doctor (Adult) visit in New Mexico without insurance?
Does New Mexico Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in New Mexico?
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 Mexico?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in New Mexico?
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 |