Cost of a General Doctor (Adult) Visit
in Utah
Reviewed by Momentary Medical Group West PC
Utah's healthcare market benefits from Medicaid expansion and strong regional competition, particularly from SelectHealth's dominant presence alongside BCBS UT and UHC networks. General Doctor (Adult) patients typically pay between $75 and $204 for visits, with a median out-of-pocket cost of $85, making Utah the 8th most affordable state nationally. With 21 active General Doctor (Adult) providers serving communities from Salt Lake City's Wasatch Front to rural southern counties, patients can browse all available providers to find quality care that fits their budget.
Average
$121
Median
$85
Lowest
$75
Highest
$204
Providers
21
8% below national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in Utah?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $60 | $90 | $180 | 39 |
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 Utah
Dr. Beth Hanlon, MD
Internal Medicine Physician · Salt Lake City, UT
Dr. Dean Mayer, MD
Internal Medicine Physician · Murray, UT
Dr. Robert Vogel, MD
Internal Medicine Physician · Salt Lake City, UT
Dr. Yong Ahn, MD
Internal Medicine Physician · Slc, UT
Dr. Joshua Frame, DO
Internal Medicine Physician · St George, UT
Why General Doctor (Adult) Visit Costs Vary Across Utah
Utah's healthcare costs run approximately 2% below national averages, benefiting from Medicaid expansion and robust competition between regional insurers. The state's concentrated population along the Wasatch Front creates competitive provider markets in metropolitan areas while rural counties face different access and pricing dynamics.
Urban vs. Rural Provider Availability
Most of Utah's 21 General Doctor (Adult) providers practice along the Wasatch Front from Ogden to Provo, creating competitive pricing in metro areas while rural counties like San Juan and Garfield rely on telemedicine and traveling specialists. Urban patients typically have more provider options and lower costs, while rural residents may face higher fees due to limited local availability and travel expenses.
Facility Type and Overhead Costs
Hospital-owned clinics affiliated with Intermountain Healthcare and University of Utah Health often charge facility fees that can add $50-$150 to General Doctor (Adult) visits compared to independent practices. Independent internists throughout Utah typically offer more transparent pricing without additional facility charges, making them attractive options for cost-conscious patients.
Insurance Market Competition in Utah
SelectHealth's strong regional presence alongside national carriers BCBS UT and UHC creates competitive negotiated rates for General Doctor (Adult) services. This multi-insurer environment prevents any single payer from dominating rate negotiations, helping keep Utah costs below national benchmarks while maintaining quality provider networks.
Physician Supply and Demand in Utah
With 21 active General Doctor (Adult) providers serving over 3.3 million residents, Utah maintains adequate specialist availability primarily concentrated in metropolitan areas. This supply-demand balance supports reasonable pricing and appointment availability, though patients in rural counties may experience longer wait times and higher costs due to geographic concentration of specialists.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Utah.
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 Utah
What is the average cost of a General Doctor (Adult) visit in Utah without insurance?
Does Utah Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in Utah?
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 Utah?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in Utah?
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 |