Cost of a General Doctor (Adult) Visit
in North Dakota
Reviewed by Momentary Medical Group West PC
North Dakota maintains one of the smallest physician workforces in the nation, with just 39 active General Doctor (Adult) providers serving a state that spans over 70,000 square miles. Patients seeking internal medicine care typically pay between $80 and $188, with a median out-of-pocket cost of $91 for routine visits. Browse all General Doctor (Adult) providers in North Dakota to compare costs and verify insurance coverage before scheduling your appointment.
Average
$120
Median
$91
Lowest
$80
Highest
$188
Providers
39
9% below national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in North Dakota?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $91 | $91 | $240 | 33 |
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 North Dakota
Dr. Michael Sheldon, MD
Internal Medicine Physician · Fargo, ND
Dr. Mevan Wijetunga, MD
Internal Medicine Physician · Grand Forks, ND
Dr. Adetola Haastrup, MD
Internal Medicine Physician · Grand Forks, ND
Dr. Vani Nagala, MD
Internal Medicine Physician · Oakes, ND
Dr. Brian Hebert, MD
Internal Medicine Physician · Bismarck, ND
Why General Doctor (Adult) Visit Costs Vary Across North Dakota
North Dakota's healthcare costs run approximately 4% above the national average, reflecting the state's oil boom economy, sparse population density, and limited provider competition across vast geographic distances. The state's unique energy sector wealth creates pockets of high-cost healthcare markets while rural agricultural regions struggle with access and affordability.
Urban vs. Rural Provider Availability
Fargo and Bismarck house most of the state's 39 General Doctor (Adult) providers, creating cost advantages through competition and shared resources, while frontier counties often rely on traveling specialists or telemedicine. Rural patients frequently drive 100+ miles for specialty care, adding transportation costs to already higher per-visit fees at critical access hospitals.
Facility Type and Overhead Costs
Sanford Health and Essentia Health dominate North Dakota's hospital markets, with their employed physician model creating standardized but often higher pricing compared to independent practices. Hospital-owned clinics typically add facility fees ranging from $50-150 on top of physician charges, while rural critical access hospitals receive cost-plus reimbursement that can inflate prices.
Insurance Market Competition in North Dakota
BCBS ND maintains the largest market share with strong rural networks, while Sanford Health Plan leverages its provider ownership for competitive rates within its system, and UHC focuses on larger employers and federal contracts. Limited insurer competition allows for higher negotiated rates, particularly in western oil counties where provider shortages give physicians significant pricing power.
Physician Supply and Demand in North Dakota
With only 39 active General Doctor (Adult) providers serving over 760,000 residents, North Dakota faces a significant internist shortage that drives up costs and extends wait times beyond six weeks in many areas. The state's physician recruitment challenges stem from rural isolation, harsh winters, and limited subspecialty support, creating a seller's market that keeps prices elevated compared to more competitive states.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in North Dakota.
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 North Dakota
What is the average cost of a General Doctor (Adult) visit in North Dakota without insurance?
Does North Dakota Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in North Dakota?
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 North Dakota?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in North Dakota?
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 |