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Washington

Cost of a General Doctor (Adult) Visit
in Washington

Reviewed by Momentary Medical Group West PC

Washington's healthcare market combines Pacific Northwest urban centers with extensive rural geography, creating diverse access patterns where General Doctor (Adult) visits typically cost between $80 and $242, with a median out-of-pocket expense of $80. The state maintains 566 active General Doctor (Adult) providers serving residents from Seattle's tech corridor to Eastern Washington's agricultural communities. Patients throughout the state can browse all available internists and compare costs to find the most affordable care option.

Average

$134

Median

$80

Lowest

$80

Highest

$242

Providers

566

National avg: $132Washington: $134

2% above national average

Compare Similar Procedures

How does internal medicine visit compare to related procedures in Washington?

ProcedureCPTLowMedianHighProviders
Family Medicine Visit

Standard office visit with a family medicine physician

99214$80$80$202613

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 99214Office/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 Washington

Why General Doctor (Adult) Visit Costs Vary Across Washington

Washington's healthcare costs run approximately 10% above national averages, reflecting the state's higher cost of living and concentration of major tech employers driving up regional healthcare demand. The Pacific Northwest's geographic challenges, from Puget Sound islands to Cascade Mountain communities, create unique access patterns that influence General Doctor (Adult) pricing across the state.

Urban vs. Rural Provider Availability

Seattle, Tacoma, and Spokane concentrate most of Washington's 566 General Doctor (Adult) providers, leaving rural counties in Eastern Washington and the Olympic Peninsula with limited local access and higher travel costs. Patients in agricultural communities often drive 2-3 hours to reach specialists, while urban residents enjoy multiple provider options within short distances. This geographic disparity creates cost premiums in underserved areas where limited competition allows higher pricing.

Facility Type and Overhead Costs

Washington's healthcare market includes major systems like UW Medicine, MultiCare, and Providence, whose hospital-owned clinics typically charge facility fees on top of physician charges for General Doctor (Adult) visits. Independent internal medicine practices often offer more competitive pricing without institutional overhead, though they're increasingly rare in expensive markets like Seattle and Bellevue. Regional health systems dominate smaller markets, reducing price competition in communities outside the I-5 corridor.

Insurance Market Competition in Washington

Premera Blue Cross, Regence BlueShield, Kaiser Permanente, and UnitedHealthcare maintain competitive networks throughout Washington, particularly in King and Pierce counties where multiple options exist. Kaiser's integrated delivery model creates different pricing dynamics compared to traditional insurers, while Regence and Premera's regional focus allows for competitive rate negotiations with local providers. Rural markets often have limited insurer participation, reducing negotiating power and potentially increasing costs for General Doctor (Adult) services.

Physician Supply and Demand in Washington

Washington's 566 active General Doctor (Adult) providers serve approximately 7.7 million residents, creating moderate availability in urban areas but significant shortages in rural counties. The state's growing tech economy attracts younger populations requiring preventive care, while aging baby boomers increase demand for chronic disease management from internists. High demand relative to supply in desirable markets like Seattle drives up compensation and visit costs, while rural areas struggle to attract specialists despite potential premium pricing.

Cost by Procedure Type

Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Washington.

CPT 99213572 providers

Follow-up, low complexity

$80
Range: $73$169
CPT 99214566 providers

Follow-up, moderate complexity

$80
Range: $80$242
CPT 99215547 providers

Follow-up, high complexity

$80
Range: $80$384
CPT 99203563 providers

New patient, low complexity

$80
Range: $80$241
CPT 99204557 providers

New patient, moderate complexity

$80
Range: $80$357
CPT 99205547 providers

New patient, high complexity

$80
Range: $80$471

Costs shown are median negotiated rates. Your actual cost depends on your insurance plan and provider.

JP

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.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — General Doctor (Adult) Costs in Washington

What is the average cost of a General Doctor (Adult) visit in Washington without insurance?

Without insurance, General Doctor (Adult) visits in Washington range from $80 to $242, with a median cost of $80 for established patient visits. New patient visits typically cost more, ranging up to $470 for complex cases. Many providers offer self-pay discounts of 10-30% off standard rates, and some independent practices provide payment plans for uninsured patients.

Does Washington Medicaid cover General Doctor (Adult) visits?

Yes, Washington's expanded Medicaid program (Apple Health) covers General Doctor (Adult) visits with minimal or no copays for eligible adults up to 138% of federal poverty level. The state's Medicaid expansion provides comprehensive coverage including preventive care, chronic disease management, and specialist consultations. Patients should verify that their chosen internist accepts Apple Health before scheduling appointments.

How do I find an affordable General Doctor (Adult) near me in Washington?

Compare costs across Washington's 566 General Doctor providers by checking with independent practices, which often charge less than hospital-owned clinics. Community health centers and federally qualified health centers offer sliding-scale fees based on income for uninsured patients. Consider telehealth options for routine follow-ups and ask about cash-pay discounts when booking appointments.

What is the difference in cost between an initial consultation and a follow-up visit?

New patient General Doctor (Adult) visits in Washington cost between $80-$470 depending on complexity, while established patient follow-ups range from $73-$383. The median cost for a new patient visit is $80 compared to $80 for follow-up visits, though high-complexity cases show larger cost differences. Most routine follow-ups fall into the lower complexity categories with more predictable pricing.

Can I use an HSA or FSA to pay for a General Doctor (Adult) visit in Washington?

Yes, General Doctor (Adult) visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) in Washington. You can use these tax-advantaged funds for copays, deductibles, and coinsurance related to internist visits. Keep receipts for reimbursement and note that HSA funds roll over annually while FSA funds typically have use-or-lose provisions.

How does telemedicine affect the cost of seeing a General Doctor (Adult) in Washington?

Telehealth visits with General Doctors in Washington typically cost 20-40% less than in-person appointments, with many providers offering virtual consultations for routine follow-ups and medication management. Washington state requires insurance parity for telehealth services, meaning copays should match in-person visit costs for covered services. Some internists offer cash-pay telehealth options at reduced rates for uninsured patients or those with high deductibles.

Click a state to compare costs

Average Visit Cost

$84
$236

Office visit (CPT 99214)

Compare With Other States

RankStateAverage
1Nebraska
Range: $80$314
$236
2New Hampshire
Range: $113$282
$205
3Maine
Range: $85$255
$197
4Wyoming
Range: $98$303
$177
5Iowa
Range: $80$274
$165
6Wisconsin
Range: $73$315
$162
7Minnesota
Range: $73$313
$159
8Vermont
Range: $73$243
$158
9New Mexico
Range: $80$234
$157
10South Dakota
Range: $80$293
$154
11Illinois
Range: $73$226
$151
12District of Columbia
Range: $59$242
$148
13Delaware
Range: $80$200
$141
14Massachusetts
Range: $80$255
$140
15California
Range: $80$250
$138
16New York
Range: $73$200
$135
17Washington
Range: $80$242
$134
18Michigan
Range: $66$236
$130
19Hawaii
Range: $70$228
$128
20Georgia
Range: $74$202
$127
21Connecticut
Range: $80$202
$125
22Arkansas
Range: $72$175
$125
23Indiana
Range: $74$209
$125
24Louisiana
Range: $70$202
$124
25Colorado
Range: $80$203
$124
26West Virginia
Range: $80$159
$124
27Oregon
Range: $80$206
$124
28Ohio
Range: $70$201
$124
29Rhode Island
Range: $80$200
$123
30Pennsylvania
Range: $74$202
$122
31Kentucky
Range: $80$201
$122
32Utah
Range: $75$204
$121
33North Dakota
Range: $80$188
$120
34North Carolina
Range: $73$200
$119
35Florida
Range: $55$207
$117
36Tennessee
Range: $73$173
$115
37Missouri
Range: $72$146
$115
38Maryland
Range: $49$202
$112
39Nevada
Range: $48$202
$112
40Kansas
Range: $72$151
$111
41Arizona
Range: $65$179
$111
42South Carolina
Range: $73$163
$105
43Oklahoma
Range: $72$158
$105
44New Jersey
Range: $53$193
$103
45Alabama
Range: $64$160
$101
46Mississippi
Range: $64$150
$101
47Idaho
Range: $75$125
$93
48Montana
Range: $80$102
$87
49Alaska
Range: $80$91
$84
Internal Medicine Visit in Other States