Cost of a General Doctor (Adult) Visit
in New York
Reviewed by Momentary Medical Group West PC
New York operates one of the nation's most complex healthcare markets with over 2,500 General Doctor (Adult) providers serving a diverse population across 62 counties, from Manhattan's dense medical districts to rural upstate regions. Patients typically pay between $73 and $200 for General Doctor (Adult) visits, with a median out-of-pocket cost of $131, reflecting the state's position as 22% above national averages. New York maintains 2,566 active General Doctor (Adult) providers, allowing patients to browse extensive options across metropolitan and rural areas.
Average
$135
Median
$131
Lowest
$73
Highest
$200
Providers
2,566
2% above national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in New York?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $78 | $115 | $200 | 1,461 |
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 York
Dr. Lola Iskhakova, MD
Internal Medicine Physician · Ozone Park, NY
Dr. Bindu Mathew, MD
Internal Medicine Physician · Ossining, NY
Dr. Stephen Chrzanowski, MD
Internal Medicine Physician · West Seneca, NY
Dr. Cristina Gonzalez, MD
Internal Medicine Physician · Bronx, NY
Dr. Adam Mor, MD
Internal Medicine Physician · New York, NY
Why General Doctor (Adult) Visit Costs Vary Across New York
New York's General Doctor (Adult) visit costs run approximately 22% above national averages, driven by the state's high operating costs, stringent regulatory requirements, and concentrated metropolitan markets. The dramatic geographic and economic diversity from Manhattan's premium medical districts to rural Adirondack communities creates substantial cost variations within a single state.
Urban vs. Rural Provider Availability
The New York City metropolitan area and Long Island maintain dense provider concentrations with over 1,500 General Doctor (Adult) specialists, while rural counties in northern and western New York face significant shortages affecting both access and pricing. Upstate regions including the Finger Lakes, Southern Tier, and North Country often require patients to travel significant distances for specialized care, with providers able to command premium pricing due to limited competition.
Facility Type and Overhead Costs
Hospital-owned practices dominate New York's market through systems like NewYork-Presbyterian, NYU Langone, and Northwell Health, often charging facility fees that can double patient costs compared to independent practices. Academic medical centers including Columbia, Cornell, and Mount Sinai operate extensive outpatient networks with varying cost structures, while remaining independent practices face pressure from high real estate and malpractice insurance costs.
Insurance Market Competition in New York
Empire BlueCross BlueShield holds significant market share alongside national players UnitedHealthcare, Aetna, and Cigna, creating competitive negotiated rates in most regions. The state's robust regulatory oversight through the Department of Financial Services influences rate negotiations, while Medicaid's large enrollment provides substantial bargaining power. Regional insurers like MVP Health Care and Excellus compete primarily in upstate markets, affecting local pricing dynamics.
Physician Supply and Demand in New York
With 2,566 active General Doctor (Adult) providers serving nearly 20 million residents, New York maintains adequate overall supply but faces geographic maldistribution favoring metropolitan areas. The state's medical schools and residency programs produce substantial numbers of new physicians annually, yet many locate in high-paying urban markets rather than underserved rural regions. This supply imbalance allows downstate providers to maintain premium pricing while creating access challenges in rural counties.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in New York.
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 York
What is the average cost of a General Doctor (Adult) visit in New York without insurance?
Does New York Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in New York?
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 York?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in New York?
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 |