Cost of a General Doctor (Adult) Visit
in South Carolina
Reviewed by Momentary Medical Group West PC
South Carolina ranks second nationally for General Doctor (Adult) visit affordability, with negotiated rates averaging approximately 1% below national benchmarks. Patients typically pay between $73 and $163, with a median out-of-pocket cost of $80 across the state's 109 active General Doctor (Adult) providers. From Charleston's established medical districts to the rural counties of the Lowcountry, patients can browse all providers in South Carolina to find quality care within their budget.
Average
$105
Median
$80
Lowest
$73
Highest
$163
Providers
109
20% below national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in South Carolina?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $68 | $80 | $216 | 107 |
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 South Carolina
Dr. Robert Haddad, MD
Internal Medicine Physician · Spartanburg, SC
Dr. James Charles, MD
Internal Medicine Physician · Rock Hill, SC
Dr. Michael Varney, MD
Internal Medicine Physician · Little River, SC
Dr. Samuel Gacha, MD
Internal Medicine Physician · Spartanburg, SC
Dr. Amit Shah, MD
Internal Medicine Physician · Indian Land, SC
Why General Doctor (Adult) Visit Costs Vary Across South Carolina
South Carolina's healthcare costs run approximately 1% below national averages, benefiting from lower facility overhead costs and moderate physician compensation compared to northeastern markets. The state's mix of growing metropolitan areas and persistent rural counties creates significant geographic variation in both access and pricing for specialty care.
Urban vs. Rural Provider Availability
Charleston, Columbia, and Greenville concentrate most of the state's General Doctor (Adult) specialists, while rural counties in the Lowcountry and Pee Dee regions face provider shortages that can drive up costs and extend wait times. Patients in rural areas often travel 30-60 minutes for specialist care, with some choosing telehealth consultations to reduce travel costs and time.
Facility Type and Overhead Costs
Hospital-owned outpatient clinics affiliated with major systems like Prisma Health, MUSC, and Bon Secours typically charge facility fees that increase total visit costs compared to independent practices. Independent internists in South Carolina often offer more competitive cash-pay rates and flexible payment options, particularly in smaller cities where overhead costs remain manageable.
Insurance Market Competition in South Carolina
The state's insurance market is moderately competitive with BlueCross BlueShield of South Carolina holding the largest market share, followed by UnitedHealthcare and Aetna offering alternative network options. Limited insurer competition in rural counties can result in fewer in-network choices and higher patient cost-sharing, while urban areas benefit from broader provider networks and competitive negotiated rates.
Physician Supply and Demand in South Carolina
With 109 active General Doctor (Adult) providers serving a population of over 5 million, South Carolina faces a moderate specialist shortage that particularly affects rural and underserved areas. This supply constraint can drive up pricing in high-demand markets like Charleston and Greenville, while also extending appointment wait times during peak seasons when coastal populations swell with seasonal residents.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in South Carolina.
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 South Carolina
What is the average cost of a General Doctor (Adult) visit in South Carolina without insurance?
Does South Carolina Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in South Carolina?
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 South Carolina?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in South Carolina?
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 |