Cost of a General Doctor (Adult) Visit
in West Virginia
Reviewed by Momentary Medical Group West PC
West Virginia ranks 42nd out of 51 states for General Doctor (Adult) visit costs, with patients typically paying between $80 and $159 for care, and a median out-of-pocket cost of $133. The state's 127 active General Doctor (Adult) providers serve communities from the Eastern Panhandle to the coalfields, creating access patterns shaped by rural geography and limited specialist availability. Patients can browse all providers in West Virginia to compare costs and find in-network options.
Average
$124
Median
$133
Lowest
$80
Highest
$159
Providers
127
6% below national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in West Virginia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $80 | $133 | $133 | 180 |
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 West Virginia
Dr. Jack Kinder, MD
Internal Medicine Physician · Charleston, WV
Dr. Rabie Zalzal, MD
Internal Medicine Physician · Keyser, WV
Dr. Marvin Wurth, MD
Internal Medicine Physician · Summersville, WV
Dr. Krzysztof Kubicki, MD
Internal Medicine Physician · Chester, WV
Dr. Bradley Henry, MD
Internal Medicine Physician · Charleston, WV
Why General Doctor (Adult) Visit Costs Vary Across West Virginia
West Virginia's General Doctor (Adult) visit costs average approximately 2% below national levels, influenced by the state's rural geography, limited healthcare infrastructure, and economic factors that constrain both provider pricing power and patient spending capacity. The Mountain State's challenging topography and sparse population density create unique access and cost dynamics not seen in more urbanized regions.
Urban vs. Rural Provider Availability
West Virginia's 127 General Doctor (Adult) providers are heavily concentrated in Charleston, Morgantown, and Huntington, leaving large rural areas with limited access and requiring patients to travel significant distances for specialist care. This geographic mismatch often forces rural residents to pay higher effective costs due to travel expenses and lost work time, even when visit prices appear lower.
Facility Type and Overhead Costs
Hospital-owned specialty clinics affiliated with major health systems like WVU Medicine, CAMC, and Charleston Area Medical Center typically charge higher facility fees than independent internal medicine practices throughout the state. The trend toward hospital consolidation has reduced independent practices in West Virginia, potentially limiting cost-competitive options for patients in smaller communities.
Insurance Market Competition in West Virginia
The state's insurance landscape is dominated by Highmark West Virginia, UHC, and Aetna, creating a moderately competitive environment that helps keep negotiated rates reasonable compared to more concentrated markets. However, limited provider networks mean insurers have less leverage in rate negotiations, and patients may face restricted choices when seeking in-network General Doctor (Adult) care.
Physician Supply and Demand in West Virginia
With only 127 active General Doctor (Adult) providers serving nearly 1.8 million residents, West Virginia faces a clear specialist shortage that typically drives up wait times rather than prices due to the state's economic constraints. This supply-demand imbalance means patients often schedule visits weeks or months in advance, though urgent cases can usually find same-week appointments through hospital-affiliated practices.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in West Virginia.
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 West Virginia
What is the average cost of a General Doctor (Adult) visit in West Virginia without insurance?
Does West Virginia Medicaid cover General Doctor (Adult) visits?
How do I find an affordable General Doctor (Adult) near me in West Virginia?
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 West Virginia?
How does telemedicine affect the cost of seeing a General Doctor (Adult) in West Virginia?
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 |