Cost of a General Doctor (Adult) Visit
in Tennessee
Reviewed by Momentary Medical Group West PC
Tennessee's healthcare system operates without Medicaid expansion, creating unique cost dynamics for General Doctor (Adult) visits across the state's 95 counties, from Memphis's urban medical corridors to Appalachian rural communities. Patients typically pay between $73 and $173 for these specialist visits, with a median out-of-pocket cost of $100. With 139 active General Doctor (Adult) providers statewide, patients can browse all available providers in Tennessee to find affordable care options.
Average
$115
Median
$100
Lowest
$73
Highest
$173
Providers
139
12% below national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in Tennessee?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $70 | $90 | $168 | 142 |
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 Tennessee
Dr. Iris Bailey, MD
Internal Medicine Physician · Germantown, TN
Dr. Naved Mohyuddin, MD
Internal Medicine Physician · Nashville, TN
Dr. Robert Kulinski, MD
Internal Medicine Physician · Memphis, TN
Dr. Brent Neal, MD
Internal Medicine Physician · New Tazewell, TN
Dr. Collin Cherry, MD
Internal Medicine Physician · Chattanooga, TN
Why General Doctor (Adult) Visit Costs Vary Across Tennessee
Tennessee's healthcare costs run approximately 4% below national averages, reflecting the state's lower cost of living and competitive provider markets in major metropolitan areas. This cost advantage stems from moderate facility overhead expenses and Tennessee's business-friendly regulatory environment that encourages healthcare competition.
Urban vs. Rural Provider Availability
Tennessee's geography creates stark contrasts between Nashville and Memphis metropolitan areas with abundant specialist options and rural Appalachian counties where patients may travel hours for General Doctor (Adult) visits. Urban providers benefit from higher patient volumes and competitive markets that moderate pricing, while rural specialists often charge premium rates due to limited competition and higher per-patient overhead costs. The state's mountainous eastern regions and agricultural western areas particularly struggle with specialist access.
Facility Type and Overhead Costs
Hospital-owned practices dominate Tennessee's major cities through systems like Vanderbilt University Medical Center, Saint Thomas Health, and Methodist Le Bonheur Healthcare, often charging facility fees that increase total visit costs. Independent internal medicine practices remain common in suburban and rural areas, typically offering lower base rates but potentially limited services compared to hospital-affiliated specialists. The state's relatively low real estate and labor costs help keep overhead expenses moderate compared to coastal markets.
Insurance Market Competition in Tennessee
BlueCross BlueShield of Tennessee maintains significant market share statewide, with UnitedHealthcare and Cigna providing competition primarily in urban areas, creating a moderately competitive environment for negotiated rates. Rural areas often face limited insurer choices, potentially leading to higher negotiated rates where market competition is reduced. The state's individual insurance marketplace features fewer carrier options than many states, which can limit consumer choice but creates predictable network relationships for providers.
Physician Supply and Demand in Tennessee
With 139 active General Doctor (Adult) providers serving nearly 7 million residents, Tennessee maintains adequate specialist availability in urban areas but faces shortages in rural regions, particularly in Appalachian counties. This uneven distribution creates pricing disparities where urban specialists compete for patients while rural providers can command premium rates due to limited alternatives. The state's medical schools at Vanderbilt, University of Tennessee, and East Tennessee State University help train new physicians, though retention in underserved areas remains challenging.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Tennessee.
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 Tennessee
What is the average cost of a General Doctor (Adult) visit in Tennessee without insurance?
Does Tennessee Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in Tennessee?
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 Tennessee?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in Tennessee?
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 |