Cost of a General Doctor (Adult) Visit
in Vermont
Reviewed by Momentary Medical Group West PC
Vermont's healthcare system serves just over 647,000 residents with one of the smallest specialist networks in New England, creating unique cost dynamics where patients typically pay between $73 and $243 for General Doctor (Adult) visits, with a median out-of-pocket cost of $157. The state's 24 active General Doctor (Adult) providers are distributed primarily between Burlington's medical corridor and smaller regional centers, resulting in costs that run approximately 15% above national averages. Patients can browse all providers in Vermont to compare rates and find the most affordable options for their specific insurance coverage.
Average
$158
Median
$157
Lowest
$73
Highest
$243
Providers
24
20% above national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in Vermont?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $107 | $140 | $166 | 33 |
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 Vermont
Dr. John Dunn, MD
Internal Medicine Physician · Jeffersonville, VT
Dr. Mark Pitcher, MD
Internal Medicine Physician · South Burlington, VT
Dr. Robert Primeau, MD
Internal Medicine Physician · Island Pond, VT
Dr. Laura Felsted, DO
Internal Medicine Physician · Berlin, VT
Dr. Laura Metsch, MD
Internal Medicine Physician · Brattleboro, VT
Why General Doctor (Adult) Visit Costs Vary Across Vermont
Vermont's General Doctor (Adult) visit costs run approximately 15% above national averages, reflecting the state's small market size and limited specialist competition across a largely rural geography. The concentration of specialists in Burlington creates cost variations between the metropolitan area and outlying regions, where patients often travel significant distances for specialized internal medicine care.
Urban vs. Rural Provider Availability
Burlington's Chittenden County houses the majority of Vermont's General Doctor (Adult) providers, creating competitive pricing and shorter wait times compared to rural areas like the Northeast Kingdom or southern Vermont. Rural patients often face higher transportation costs and may pay premium rates at smaller practices that serve large geographic areas with limited specialist alternatives.
Facility Type and Overhead Costs
University of Vermont Medical Center's hospital-based outpatient clinics typically charge higher facility fees compared to independent internal medicine practices scattered throughout smaller Vermont communities. The state's critical access hospitals often contract with traveling specialists, which can result in higher per-visit costs but provides access to care that would otherwise require travel to Burlington or out-of-state facilities.
Insurance Market Competition in Vermont
The limited number of major insurers in Vermont, primarily BCBS VT and MVP Health Care, creates less competitive pressure on negotiated rates compared to states with more diverse insurance markets. This concentrated market structure can result in higher baseline costs for specialists, though Vermont's regulatory environment provides some consumer protections through rate review processes.
Physician Supply and Demand in Vermont
With only 24 active General Doctor (Adult) providers serving the entire state, Vermont faces a moderate specialist shortage that can drive up pricing and extend wait times for non-urgent appointments. This limited supply is particularly challenging in rural areas, where patients may wait several weeks for appointments and travel considerable distances, factors that contribute to the premium pricing for internal medicine services.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Vermont.
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 Vermont
What is the average cost of a General Doctor (Adult) visit in Vermont without insurance?
Does Vermont Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in Vermont?
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 Vermont?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in Vermont?
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 |