Cost of a General Doctor (Adult) Visit
in Rhode Island
Reviewed by Momentary Medical Group West PC
Rhode Island maintains the highest physician-to-population ratio in New England, yet General Doctor (Adult) visit costs still show significant variation across the Ocean State's concentrated healthcare market. Patients typically pay between $80 and $200, with a median out-of-pocket cost of $88, served by 13 active General Doctor (Adult) providers throughout the state's five counties. Browse all providers in Rhode Island to find transparent pricing and verify your insurance coverage before your appointment.
Average
$123
Median
$88
Lowest
$80
Highest
$200
Providers
13
7% below national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in Rhode Island?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $85 | $144 | $200 | 5 |
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 Rhode Island
Dr. Bruce Fischer, MD
Internal Medicine Physician · Bristol, RI
Dr. Elkin Estrada, MD
Internal Medicine Physician · Providence, RI
Dr. Jeffrey Clement, MD
Internal Medicine Physician · Providence, RI
Dr. Richard Leach, DO
Internal Medicine Physician · East Greenwich, RI
Dr. Richard Ruggieri, MD
Internal Medicine Physician · Providence, RI
Why General Doctor (Adult) Visit Costs Vary Across Rhode Island
Rhode Island's healthcare costs run approximately 13% above national averages, driven by the state's high cost of living and concentrated provider market within the Providence-Warwick metropolitan area. The Ocean State's small geographic footprint creates limited price competition among the 13 active General Doctor (Adult) providers serving the entire state.
Urban vs. Rural Provider Availability
Rhode Island's urban concentration means 85% of residents live within the Providence metro area, where most General Doctor (Adult) providers practice within major health systems or affiliated clinics. The state's few rural communities in western and southern regions may face slightly longer travel times but similar pricing due to the compact state geography.
Facility Type and Overhead Costs
Hospital-owned outpatient clinics affiliated with dominant health systems like Lifespan and Care New England typically charge higher facility fees than independent practices throughout Rhode Island. These major health systems control significant market share, influencing overhead costs and pricing patterns across the state's provider network.
Insurance Market Competition in Rhode Island
Three major insurers—BCBS RI, UHC, and Tufts—dominate Rhode Island's relatively concentrated insurance market, with BCBS RI holding the largest market share among commercial and Medicaid plans. Limited insurer competition allows for stronger rate negotiations with providers but may reduce downward pressure on overall healthcare costs.
Physician Supply and Demand in Rhode Island
With only 13 active General Doctor (Adult) providers serving over one million residents, Rhode Island faces moderate specialist availability that may contribute to higher pricing and extended appointment wait times. The state's high physician-to-population ratio overall doesn't extend equally to all subspecialties, creating supply constraints in internal medicine specifically.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Rhode Island.
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 Rhode Island
What is the average cost of a General Doctor (Adult) visit in Rhode Island without insurance?
Does Rhode Island Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in Rhode Island?
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 Rhode Island?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in Rhode Island?
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 |