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Wyoming

Cost of a General Doctor (Adult) Visit
in Wyoming

Reviewed by Momentary Medical Group West PC

Wyoming operates with the smallest General Doctor (Adult) provider network in the Mountain West region, with just 9 active specialists serving the entire state's 580,000 residents. Patients typically pay between $98 and $303 for General Doctor (Adult) visits, with a median out-of-pocket cost of $130. Browse all providers in Wyoming to find the most affordable option in your area.

Average

$177

Median

$130

Lowest

$98

Highest

$303

Providers

9

National avg: $132Wyoming: $177

34% above national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Family Medicine Visit

Standard office visit with a family medicine physician

99214$80$125$25118

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 Wyoming

Why General Doctor (Adult) Visit Costs Vary Across Wyoming

Wyoming's healthcare costs run approximately 8% above national averages despite the state's rural setting, driven by limited provider competition and geographic isolation that increases operational overhead. The state's vast distances between population centers create unique access challenges where patients may drive hours for specialist care.

Urban vs. Rural Provider Availability

Cheyenne concentrates 4 of Wyoming's 9 General Doctor (Adult) providers, leaving much of the state dependent on telemedicine or long-distance travel for care. Rural areas often rely on family medicine physicians for basic internal medicine needs, creating referral patterns that can increase overall care costs.

Facility Type and Overhead Costs

Hospital-based clinics dominate Wyoming's specialist market due to the financial challenges independent practices face in low-population areas. These facility-based providers typically charge higher rates to cover overhead costs associated with maintaining services in economically challenging rural markets.

Insurance Market Competition in Wyoming

Limited insurer competition between BCBS WY, UHC, and Cigna reduces negotiating pressure on provider rates, contributing to costs above national averages. The small market size makes it difficult for new insurers to enter profitably, maintaining the status quo of higher negotiated rates.

Physician Supply and Demand in Wyoming

With only 9 active General Doctor (Adult) providers serving the entire state, Wyoming faces a significant specialist shortage relative to its population needs. This supply constraint allows providers to maintain higher fees while often extending wait times for non-urgent appointments, particularly in rural areas outside Cheyenne.

Cost by Procedure Type

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

CPT 9921310 providers

Follow-up, low complexity

$90
Range: $64$205
CPT 992149 providers

Follow-up, moderate complexity

$130
Range: $98$303
CPT 992159 providers

Follow-up, high complexity

$179
Range: $136$406
CPT 9920310 providers

New patient, low complexity

$120
Range: $90$294
CPT 9920410 providers

New patient, moderate complexity

$205
Range: $90$458
CPT 992059 providers

New patient, high complexity

$268
Range: $204$578

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 Wyoming

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

Uninsured patients in Wyoming typically pay between $98 and $303 for General Doctor (Adult) visits, with a median cost of $130. New patient visits with complex conditions can reach the higher end of this range, while established patient follow-ups generally cost closer to the median. Many providers offer cash-pay discounts of 10-30% for uninsured patients who pay at the time of service.

Does Wyoming Medicaid cover General Doctor (Adult) visits?

Wyoming has not expanded Medicaid, so coverage is limited to pregnant women, children, parents with very low incomes, and disabled adults. Most working-age adults without children do not qualify for Wyoming Medicaid regardless of income level. For those who do qualify, Medicaid covers General Doctor (Adult) visits with no copay, though finding participating providers can be challenging due to low reimbursement rates.

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

Compare costs across Wyoming's 9 active General Doctor (Adult) providers, as rates vary significantly from $98 to $303 for similar services. Independent practices often charge less than hospital-owned clinics, while cash-pay discounts can reduce costs substantially. Community health centers and telehealth options may provide additional affordable alternatives, particularly for routine follow-up care.

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

New patient visits in Wyoming range from $90 to $458 depending on complexity, with moderate complexity visits averaging $205. Established patient follow-ups cost significantly less, typically ranging from $98 to $179 for routine care. The complexity of your medical conditions and time spent during the visit determine which billing code applies and ultimately affects your final cost.

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

Yes, General Doctor (Adult) visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This includes copays, deductibles, and coinsurance for covered visits, as well as the full cost for out-of-network or self-pay visits. Keep receipts and documentation for tax purposes when using these pre-tax dollars for medical expenses.

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

Telemedicine visits typically cost 20-40% less than in-person consultations, making them an attractive option for routine follow-ups and medication management in Wyoming's rural setting. Most insurers now cover telehealth visits at the same rate as office visits, though some providers offer special cash-pay rates for virtual consultations. Wyoming's vast geography makes telemedicine particularly valuable for patients who would otherwise drive hours for specialist care.

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