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Oregon

Cost of a General Doctor (Adult) Visit
in Oregon

Reviewed by Momentary Medical Group West PC

Oregon's healthcare system ranks 8th nationally for General Doctor (Adult) visit affordability, benefiting from Medicaid expansion and competitive provider networks across the state's diverse urban and rural communities. Patients typically pay between $80 and $206 for a General Doctor (Adult) visit, with a median out-of-pocket cost of $85, served by 77 active providers throughout Oregon's 36 counties. Browse all General Doctor (Adult) providers in Oregon to compare costs and find the right specialist for your healthcare needs.

Average

$124

Median

$85

Lowest

$80

Highest

$206

Providers

77

National avg: $132Oregon: $124

6% below national average

Compare Similar Procedures

How does internal medicine visit compare to related procedures in Oregon?

ProcedureCPTLowMedianHighProviders
Family Medicine Visit

Standard office visit with a family medicine physician

99214$80$87$20451

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 99214Office/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 Oregon

Why General Doctor (Adult) Visit Costs Vary Across Oregon

Oregon's healthcare costs run approximately 9% above the national average, influenced by the state's progressive healthcare policies and geographic challenges spanning urban centers and vast rural territories. The concentration of major medical centers in Portland and growing populations in Bend and the Willamette Valley create distinct regional markets with varying cost structures.

Urban vs. Rural Provider Availability

Oregon's 77 General Doctor (Adult) providers are heavily concentrated in the Portland metropolitan area and Willamette Valley, leaving rural counties in eastern Oregon with limited options and longer travel distances for specialty care. This geographic maldistribution can drive up costs in underserved areas while creating competitive pricing in urban markets like Portland, Salem, and Eugene.

Facility Type and Overhead Costs

Hospital-owned practices affiliated with major health systems like Oregon Health & Science University, Legacy Health, and Providence Health Services typically command higher rates due to facility fees and overhead costs. Independent practices and smaller medical groups often offer more competitive pricing, particularly outside the Portland metropolitan area where real estate and operational costs are lower.

Insurance Market Competition in Oregon

Oregon's insurance landscape is dominated by Regence BCBS, PacificSource, and UnitedHealthcare, creating moderate competition that helps keep negotiated rates reasonable compared to states with single-payer dominance. The state's active insurance marketplace and strong regulatory oversight through the Oregon Health Authority contribute to rate stability and consumer protections.

Physician Supply and Demand in Oregon

With 77 active General Doctor (Adult) providers serving over 4.2 million residents, Oregon maintains adequate specialist availability in urban areas while facing shortages in rural regions, particularly east of the Cascade Range. This supply-demand imbalance affects both access and pricing, with rural providers often able to command premium rates due to limited competition and higher overhead costs per patient.

Cost by Procedure Type

Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Oregon.

CPT 9921381 providers

Follow-up, low complexity

$85
Range: $74$168
CPT 9921477 providers

Follow-up, moderate complexity

$85
Range: $80$206
CPT 9921571 providers

Follow-up, high complexity

$88
Range: $80$348
CPT 9920375 providers

New patient, low complexity

$87
Range: $80$252
CPT 9920472 providers

New patient, moderate complexity

$88
Range: $80$383
CPT 9920566 providers

New patient, high complexity

$87
Range: $80$482

Costs shown are median negotiated rates. Your actual cost depends on your insurance plan and provider.

JP

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.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — General Doctor (Adult) Costs in Oregon

What is the average cost of a General Doctor (Adult) visit in Oregon without insurance?

Self-pay patients in Oregon can expect to pay between $80 and $206 for a General Doctor (Adult) visit, with most providers charging around $85 for a typical consultation. New patient visits requiring more comprehensive evaluation may cost toward the higher end of this range, while follow-up appointments for established patients often fall closer to the median rate. Many Oregon providers offer cash-pay discounts that can reduce these costs by 20-30% for uninsured patients.

Does Oregon Medicaid cover General Doctor (Adult) visits?

Yes, Oregon's expanded Medicaid program covers General Doctor (Adult) visits with little to no cost-sharing for eligible patients. Coverage is administered through coordinated care organizations (CCOs) that may require referrals from your primary care provider before seeing a specialist. Medicaid expansion in Oregon has significantly improved access to internal medicine services for low-income adults, with most preventive and routine care visits fully covered.

How do I find an affordable General Doctor (Adult) near me in Oregon?

Compare costs across Oregon's 77 active General Doctor (Adult) providers using price transparency tools, and consider independent practices which often charge less than hospital-affiliated clinics. Look into federally qualified health centers and community health centers throughout Oregon that offer sliding-scale fees based on income. Cash-pay discounts, telemedicine options, and payment plans can also significantly reduce out-of-pocket costs for uninsured or underinsured patients.

What is the difference in cost between an initial consultation and a follow-up visit?

New patient visits in Oregon typically cost between $80-$252 depending on complexity, while established patient follow-up visits range from $74-$206. The median cost for a new patient consultation is $87 compared to $85 for established patient visits, though high-complexity cases can cost significantly more. Insurance copays and deductibles may also differ between initial consultations and routine follow-up appointments.

Can I use an HSA or FSA to pay for a General Doctor (Adult) visit in Oregon?

Yes, both Health Savings Account (HSA) and Flexible Spending Account (FSA) funds can be used to pay for medically necessary General Doctor (Adult) consultations in Oregon. These tax-advantaged accounts cover diagnostic visits, treatment consultations, and preventive care appointments, helping you save money on healthcare costs. Keep receipts for all medical expenses paid with HSA or FSA funds for tax documentation purposes.

How does telemedicine affect the cost of seeing a General Doctor (Adult) in Oregon?

Telemedicine consultations with General Doctor (Adult) specialists in Oregon often cost 10-20% less than in-person visits, making specialty care more accessible to rural residents. Oregon has maintained expanded telehealth coverage post-pandemic, with most major insurers covering virtual visits at the same rate as office visits. Many providers offer direct-pay telehealth options for uninsured patients at competitive rates, particularly beneficial for follow-up appointments and medication management.

Click a state to compare costs

Average Visit Cost

$84
$236

Office visit (CPT 99214)

Compare With Other States

RankStateAverage
1Nebraska
Range: $80$314
$236
2New Hampshire
Range: $113$282
$205
3Maine
Range: $85$255
$197
4Wyoming
Range: $98$303
$177
5Iowa
Range: $80$274
$165
6Wisconsin
Range: $73$315
$162
7Minnesota
Range: $73$313
$159
8Vermont
Range: $73$243
$158
9New Mexico
Range: $80$234
$157
10South Dakota
Range: $80$293
$154
11Illinois
Range: $73$226
$151
12District of Columbia
Range: $59$242
$148
13Delaware
Range: $80$200
$141
14Massachusetts
Range: $80$255
$140
15California
Range: $80$250
$138
16New York
Range: $73$200
$135
17Washington
Range: $80$242
$134
18Michigan
Range: $66$236
$130
19Hawaii
Range: $70$228
$128
20Georgia
Range: $74$202
$127
21Connecticut
Range: $80$202
$125
22Arkansas
Range: $72$175
$125
23Indiana
Range: $74$209
$125
24Louisiana
Range: $70$202
$124
25Colorado
Range: $80$203
$124
26West Virginia
Range: $80$159
$124
27Oregon
Range: $80$206
$124
28Ohio
Range: $70$201
$124
29Rhode Island
Range: $80$200
$123
30Pennsylvania
Range: $74$202
$122
31Kentucky
Range: $80$201
$122
32Utah
Range: $75$204
$121
33North Dakota
Range: $80$188
$120
34North Carolina
Range: $73$200
$119
35Florida
Range: $55$207
$117
36Tennessee
Range: $73$173
$115
37Missouri
Range: $72$146
$115
38Maryland
Range: $49$202
$112
39Nevada
Range: $48$202
$112
40Kansas
Range: $72$151
$111
41Arizona
Range: $65$179
$111
42South Carolina
Range: $73$163
$105
43Oklahoma
Range: $72$158
$105
44New Jersey
Range: $53$193
$103
45Alabama
Range: $64$160
$101
46Mississippi
Range: $64$150
$101
47Idaho
Range: $75$125
$93
48Montana
Range: $80$102
$87
49Alaska
Range: $80$91
$84
Internal Medicine Visit in Other States