Cost of a General Doctor (Adult) Visit
in Ohio
Reviewed by Momentary Medical Group West PC
Ohio's healthcare market benefits from Medicaid expansion and moderate regional provider competition, serving patients across both dense metropolitan corridors and agricultural communities. General Doctor (Adult) visits in Ohio typically cost patients between $70 and $201, with a median out-of-pocket expense of $100 for moderate complexity follow-up care. With 823 active General Doctor (Adult) providers practicing statewide, patients can browse all providers in Ohio to compare costs and find care that fits their budget.
Average
$124
Median
$100
Lowest
$70
Highest
$201
Providers
823
6% below national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in Ohio?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $70 | $96 | $201 | 856 |
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 Ohio
Dr. John Thompson, MD
Internal Medicine Physician · Alliance, OH
Dr. Eva Giro, MD
Internal Medicine Physician · Marietta, OH
Dr. Jocelyn Shimek, DO
Internal Medicine Physician · Salem, OH
Douglas Rush, M. D.
Internal Medicine Physician · Cambridge, OH
Dr. Jean Dib, MD
Internal Medicine Physician · Alliance, OH
Why General Doctor (Adult) Visit Costs Vary Across Ohio
Ohio's healthcare costs run approximately 2% below national averages, benefiting from moderate regional competition and the state's balanced mix of urban healthcare corridors and smaller community-based practices. The state's geographic position between major metropolitan areas creates diverse market dynamics that influence provider pricing strategies across different regions.
Urban vs. Rural Provider Availability
Ohio's major metropolitan areas including Columbus, Cleveland, and Cincinnati enjoy high provider density and competitive pricing, while rural counties in southeastern Ohio and along the Pennsylvania border experience limited access that can drive up costs. The state's relatively compact geography allows many rural residents to access urban specialists within reasonable driving distances, helping moderate price disparities.
Facility Type and Overhead Costs
Hospital-owned outpatient clinics affiliated with systems like Cleveland Clinic, OhioHealth, and UC Health typically charge higher facility fees compared to independent internal medicine practices throughout Ohio. The growing trend toward health system consolidation has increased the proportion of hospital-employed physicians, which can result in higher overhead costs passed on to patients.
Insurance Market Competition in Ohio
Ohio maintains robust insurer competition with Medical Mutual holding strong regional market share alongside national players Anthem and UnitedHealthcare, creating competitive negotiated rate structures. The state's insurance marketplace offers multiple carrier options in most counties, preventing the market concentration issues that drive up costs in other states.
Physician Supply and Demand in Ohio
With 823 active General Doctor (Adult) providers serving Ohio's 11.8 million residents, the state maintains adequate physician supply relative to national benchmarks, helping keep costs competitive. Urban areas enjoy surplus capacity that creates price competition, while some rural regions experience mild shortages that can extend wait times but don't dramatically inflate pricing due to the state's geographic accessibility.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Ohio.
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 Ohio
What is the average cost of a General Doctor (Adult) visit in Ohio without insurance?
Does Ohio Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in Ohio?
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 Ohio?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in Ohio?
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 |