typical doctor visit cost

How much does a doctor's visit cost without insurance?

$100 – $300 average cost (primary care office visit), $150 – $600 average cost (specialist office visit), $50 – $200 cost for a virtual doctor visit.

Cost of doctor visit without insurance

A doctor's visit without insurance costs $100 to $600 on average for the office visit fee alone, depending on the location, physician type, and whether it's an initial or follow-up visit. Diagnostic tests, medical treatments, and other services often increase the cost. Many doctors now offer virtual appointments for $50 to $200 .

Over 25 million people in the United States were living without health insurance in 2023. This guide breaks down the wide range of potential costs and the many factors that influence the cost of a doctor's visit without insurance.

*Office visit fee only; testing, treatments, prescriptions, and other medical services increase the cost.

As of January 2022, federal law requires medical providers to give you a "good faith estimate" if you schedule at least 3 business days in advance, or if you ask for it. This applies to both uninsured patients and patients who have insurance and are choosing not to use it.

Factors that affect the cost of a doctor's visit

Several elements influence the cost to see a doctor without insurance:

New vs. existing patient: New patient appointments are often significantly more costly due to the additional time required for initial assessments and paperwork. Established patients may only need a shorter follow-up visit or may be seen by a Nurse Practitioner or Physician's Assistant, which costs less.

Virtual vs. in-person: Telehealth appointments are usually more affordable than in-person visits, offering a cost-effective alternative for non-emergencies.

Appointment length: Many doctors charge in 10-minute or 15-minute increments. So, a short follow-up appointment will cost much less than one involving a full examination, medical history review, or multiple diagnostic tests.

Level of care: Complex medical issues that require significant time and expertise to diagnose and treat cost more than short appointments for simpler, more straightforward problems.

Tests & treatments needed: The more services you need, the higher the cost. Each diagnostic test, medical treatment, or procedure has a separate billing code and a separate charge.

Payment method: Some doctors charge a lower rate when you use cash and pay in full at the time of service.

Geographic location: The cost of living in different areas can significantly impact medical fees.

Facility type

Where you seek medical care significantly affects the cost:

Charitable clinic or Community Health Center: The cheapest way to see a doctor without insurance is typically at a charitable clinic or government-funded Community Health Center that charges based on your income.

Telemedicine / online medical service: Many online medical provider platforms start at $20 to $50 for an initial consultation and offer discounts on a wide range of medical services that don’t require in-person care.

Retail walk-in clinic: Many retailers like Walgreens and CVS now offer several basic healthcare services, with visit fees ranging from $60 to $90 .

Urgent care: An urgent care visit without insurance costs $150 to $250 on average, though the cost may be higher if you need several tests or treatments. Urgent care centers provide services for non-life-threatening conditions at a lower price than emergency rooms.

Doctor's office: A standard visit to a doctor's office without insurance ranges from $100 to $600+ . However, many doctors' offices now offer virtual appointments averaging $50 to $200.

Emergency room: An ER visit without insurance costs $1,500 to $3,000 for non-life-threatening conditions, with costs escalating quickly based on the level of care and resources utilized.

Appointment type

Doctor visit charges vary depending on the reason for your visit. A preventative care visit, also called a physical, wellness exam, or well-person exam, often costs more than a problem-focused office visit. However, the complexity of a health problem significantly impacts the potential costs associated with diagnosis and treatment.

Physician type & specialty

Specialist visits, such as those with a cardiologist or orthopedic doctor, are typically more expensive than appointments with a primary care physician. The following table outlines the average cost of seeing various specialists without insurance:

*Visit cost only; not including labs, imaging, treatments, or other service fees.

Hidden costs & additional expenses

In addition to the upfront visit cost, hidden costs and additional expenses can add up quickly, especially for those with chronic conditions or ongoing health concerns. Added expenses may include diagnostic tests, medical treatments, follow-up visits, prescription medications, and missed work or lost wages due to the appointment.

The following table details several common tests and medical procedures and their associated costs.

FAQs about seeing a doctor without insurance

Can i visit a doctor without insurance.

You have several options for visiting a doctor without insurance. Community Health Centers are non-profit clinics that offer low-cost or free care. You can also visit urgent care or walk-in clinics, which handle non-life-threatening issues and usually cost less than emergency room visits. Telemedicine services allow virtual medical consultations.

While you can visit most doctors without insurance, you still have to pay for the services you receive. Some doctor's offices require payment upfront at the time of service, while others send you a bill.

Can I go to the hospital without health insurance?

Federal law requires hospitals to provide treatment regardless of insurance status or ability to pay. An ER doctor visit is typically more expensive than seeing a doctor at any other medical facility. However, do not hesitate to go to an emergency room if your life is in danger.

How can I calculate the cost of an upcoming doctor's visit?

Many doctors now post their prices online for full transparency. If the pricing is not available on their website, contact the doctor's office directly and ask for a good faith estimate based on the type of appointment. Ask them what the estimate includes and if there are any other potential fees for the visit.

Strategies to reduce your medical costs without insurance

There are several strategies patients can use to help lower medical bills:

Shop around for the best prices. Mention your uninsured status and ask about cash payments or pay-in-advance discounts.

Look for charitable clinics and Community Health Centers that use a sliding scale fee system and may offer some services for free.

Negotiate costs with healthcare providers when possible and ask about lower-cost alternatives to recommended treatments.

Use online medical services when in-person care isn't necessary, as virtual appointments are typically cheaper.

Ask about payment plans to spread out the cost over time.

Prioritize preventative care, such as regular check-ups, vaccinations, and screenings to reduce your risk of developing more costly chronic health conditions later.

Check to see if you qualify for Medicaid. Eligibility is based on age, household income, family size, and disability.

Using our proprietary cost database, in-depth research, and collaboration with industry experts, we deliver accurate, up-to-date pricing and insights you can trust, every time.

Cost of doctor visit by state

The following estimated costs are based on cash prices that providers have historically charged on average for doctor visit and will vary depending on where the service is done. The prices do not include the anesthesia, imaging, and other doctor visit fees that normally accompany doctor visit.

What happens at a doctor's visit?

People go to the doctor for routine physical exams as well as acute care when they get sick or injured. Visits to the doctor are important for preventing disease and managing any health problems. During your doctor’s visit, the physician checks your blood pressure, temperature, and heart rate. 

Your doctor may listen to your heart, check your ears, nose, and mouth, and perform a physical exam. They may also ask you about your medical history and the medications you take. Your doctor may want you to have blood drawn for laboratory testing during your doctor’s visit.

How long should a doctor’s visit last?

It’s common for your entire visit to the doctor to take a long time. From start to finish, your appointment may take well over an hour . Many patients sit in the waiting room before being called back for examination.

How long you’ll wait depends on your specific doctor’s office and how busy they are. Once you’re in the exam room, the visit with your doctor will go quickly. On average, patients spend about 20 minutes in the exam room with their doctor.

Why are doctor visits so expensive?

Doctor's visits are expensive for several reasons, including their offices’ administrative responsibilities and the cost of medical services. Your doctor’s office has to work with different insurance companies and pay administrative staff trained in medical billing. Your doctor charges for their services, lab work, or imaging they run and may charge facility fees as well.

How much does a doctor visit cost without insurance?

Without insurance, your doctor’s visit can cost hundreds of dollars. On average, people in the U.S. pay just under $400 for their annual physical exam at a doctor’s office if they don’t have insurance. These costs include the provider fee for seeing the doctor and costs for any blood work or imaging that’s needed.

What are the signs of a bad doctor?

Know the warning signs of a bad doctor so you can avoid problems and get better medical care. One sign is if your doctor doesn’t listen to you or take your concerns into account during your visit. Another is if your doctor rushes through your appointment, not giving you the time needed to deal with your concerns.

A third warning sign is if your doctor doesn’t explain why certain tests or treatments are needed in a way you can understand.

What should you not tell your doctor?

Your doctor doesn’t need to know every detail about your life to provide proper care. But they do need you to be truthful about your health. You should never lie about the symptoms you’re experiencing or the medications you’re taking. If you aren’t taking medications as prescribed, your doctor needs to know. You don’t need to tell them health details they already know or give them any of your financial information.

Costs vary by specialty

The cost of a doctor visit could vary depending on the specialty. To see the cash prices for a specialist visit, type is a specialty.

* Savings estimate based on a study of more than 1 billion claims comparing self-pay (or cash pay) prices of a frequency-weighted market basket of procedures to insurer-negotiated rates for the same. Claims were collected between July 2017 and July 2019. R.Lawrence Van Horn, Arthur Laffer, Robert L.Metcalf. 2019. The Transformative Potential for Price Transparency in Healthcare: Benefits for Consumers and Providers. Health Management Policy and Innovation, Volume 4, Issue 3.

Sidecar Health offers and administers a variety of plans including ACA compliant and excepted benefit plans. Coverage and plan options may vary or may not be available in all states.

Your actual costs may be higher or lower than these cost estimates. Check with your provider and health plan details to confirm the costs that you may be charged for a service or procedure.You are responsible for costs that are not covered and for getting any pre-authorizations or referrals required by your health plan. Neither payments nor benefits are guaranteed. Provider data, including price data, provided in part by Turquoise Health.

The site is not a substitute for medical or healthcare advice and does not serve as a recommendation for a particular provider or type of medical or healthcare.

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Price Transparency

How much does a doctor’s visit cost without insurance.

According to the Agency for Healthcare Research and Quality, the average cost of a visit to the doctor’s office in 2016 was $265, with expenses ranging from $159 to $419 depending on the specialty.

• At an urgent care center you can expect to pay between $100-200 to see a provider, plus the cost of any treatments or testing you may need.
• Always ask for pricing information before you agree to any testing or treatment. You are entitled to this information.

Going to the doctor for any reason can be expensive. Without insurance, you can expect to pay approximately anywhere from $50–$350 just for a routine medical exam, which doesn’t include additional expenses such as x-rays , blood tests, or other lab work.

The cost of a doctor's visit

According to Solv’s Chief Medical Officer, Dr. Rob Rohatsch, the cost of a doctor’s visit can vary widely depending on factors such as:

• The type of doctor you are seeing
• The reason for your visit
• Where you see the doctor, for example, if you go to an urgent care facility or a doctor’s office
• Whether you are a new or established patient
• Any necessary tests or treatments
• Whether you need lab work

Visits to specialists such as primary care providers, pediatricians, and psychiatrists were lower than the average cost, while the most expensive doctor’s visits were for orthopedists and cardiologists.

Data from the Agency for Healthcare Research and Quality indicates that if you are visiting a doctor and don’t have insurance, you can expect to pay roughly the following amounts. The cost could vary depending on the factors listed above.

• Psychiatry: $159
• Pediatrics: $169
• Primary care: $186
• Dermatology: $268
• OB/GYN: $280
• Ophthalmology: $307
• Cardiology: $335
• All other: $365
• Orthopedics: $419

Additionally, if you are a new patient, there may be an additional charge associated with your new patient exam.

Where to see a doctor without insurance

If you don’t have insurance, the cost of your doctor’s visit can also be affected by where you go to see the doctor. There are many places you can seek medical care, some of which are more affordable than others, notes the Agency for Healthcare Research and Quality:

• Community health clinics often provide free medical care or low-cost care, including preventive care, health screenings, and vaccinations .
• Urgent care centers offer many health services. Many don’t require appointments, although your wait time may be less if you schedule an appointment in advance. You can expect to pay around $100 - $200 to see an urgent care provider, plus the cost of any treatments or testing you may need.
• Many health care facilities now offer telehealth services, which are often more convenient and more affordable. For some conditions, however, you may need to be seen in person for proper diagnosis and treatment.
• If your medical need is not urgent, and you know the type of doctor you need to see, you can schedule an appointment with a primary care physician or a specialist at their office. Be sure to ask about their payment policy in advance. If you don’t have insurance, you may be required to pay the entire bill at the time of service.
• If you have a medical emergency, you can visit the nearest emergency room. Even if you don’t have insurance, you will be able to receive treatment. However, this is typically the most expensive option. If you have a non-emergency medical condition that can wait until you can be seen at one of the other options, you will likely save money.

Paying self-pay prices for doctor’s visits

Even if you have insurance, you may be able to save money by paying cash for certain medical services. While preventive care may be covered at 100% by your insurance company, other tests and treatments may be applied to your deductible. If you have a high deductible and don’t expect to meet it – especially if it’s late in the calendar year – paying cash for your medical care may be a cheaper option.

Most doctor’s offices and health care providers charge a higher price when they bill the insurance company. For example, they may charge the insurance company $70 for a treatment or service, but if the patient is paying cash, they may only charge $60. This is known as the self-pay price . If you pay cash, the claim won’t be submitted to your insurance company, but you could end up saving money.

Always ask for pricing information before you agree to any testing or treatment. You are entitled to this information. As of 2021, hospitals are required to disclose self-pay prices, even when the patient has insurance. If the doctor’s office won’t provide you with this information, be persistent, or seek care somewhere else. If you plan on paying self-care prices, you aren’t limited to the providers in your insurance network. You’ll have a wider range of options to choose from, and you can choose a provider who is willing to provide fair, clear prices.

Let your doctor’s office know that you are paying out of pocket, and ask if they offer a discount for self-pay patients. Many doctor’s offices will offer special rates for patients who are paying cash or who do not have insurance; however, they may not advertise these rates, so it’s always a good idea to ask.

Know what you’ll pay ahead of time with Solv ClearPrice TM

According to Healthcare Finance News, more than half of Americans avoid going to the doctor when they’re sick due to high medical costs or unclear costs. Solv is committed to eliminating surprise medical bills with Solv ClearPrice™ . We partner with thousands of providers across the country who have agreed to display self-pay prices for their services. When you book an appointment on Solv, you will be able to see the self-pay price for many common services.

To schedule an appointment, search our directory for a provider in your area. Begin typing the service you are looking for, and choose from the list of options that appear. If you aren’t sure which type of doctor you need to see, you may want to try an urgent care clinic or a walk-in clinic . In many cases, you can schedule an appointment quickly and conveniently online, and many of our providers have same-day or next-day appointments available.

Frequently asked questions

What factors affect the cost of a doctor's visit, what is the average cost of a visit to the doctor’s office, are there any additional charges for new patients, where can i seek medical care if i don't have insurance, what is the self-pay price, are hospitals required to disclose self-pay prices, can i get a discount if i'm paying out of pocket, what is solv clearprice™.

Michael is an experienced healthcare marketer, husband and father of three. He has worked alongside healthcare leaders at Johns Hopkins, Cleveland Clinic, St. Luke's, Baylor Scott and White, HCA, and many more, and currently leads strategic growth at Solv.

Dr. Rob Rohatsch leverages his vast experience in ambulatory medicine, on-demand healthcare, and consumerism to spearhead strategic initiatives. With expertise in operations, revenue cycle management, and clinical practices, he also contributes his knowledge to the academic world, having served in the US Air Force and earned an MD from Jefferson Medical College. Presently, he is part of the faculty at the University of Tennessee's Haslam School of Business, teaching in the Executive MBA Program, and holds positions on various boards, including chairing The TJ Lobraico Foundation.

• Agency for Healthcare Research and Quality: Expenses for Office-Based Physician Visits by Specialty and Insurance Type, 2016 https://meps.ahrq.gov/data_files/publications/st517/stat517.shtml
• Hospital Price Transparency, Centers for Medicare and Medicaid (2022) https://www.cms.gov/hospital-price-transparency
• More than half of Americans have avoided medical care due to cost (2019) https://www.healthcarefinancenews.com/news/more-half-americans-have-avoided-medical-care-due-cost
• primary care
• telemedicine
• healthcare costs
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Health Spending

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How costly are common health services in the United States?

By Daniel McDermott ,  Julie Hudman ,  Dustin Cotliar,  Gary Claxton ,  Cynthia Cox Twitter , and  Matthew Rae Twitter

November 4, 2020

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It is well documented that the U.S. is an outlier among peer countries when it comes to health spending, and recent Peterson-KFF analysis finds that the cost of inpatient and outpatient care is the primary driver behind this gap in health expenditures. In addition, countless news articles have highlighted extremely high medical bills sent to patients, often resulting from balance billing from out-of-network providers. However, the actual costs of specific healthcare services in the U.S. are often hard to track down and can vary widely between plans and across the country.

In this analysis, we explore the average cost of several common healthcare services in the U.S. We analyzed data from a sample of the IBM MarketScan Commercial Claims and Encounters Database, which includes health claims from non-elderly people enrolled in large employer plans. When possible, we show how these costs have changed over time and how they vary geographically.

The charts in this analysis show average allowed amounts large employer health plans agree to pay for in-network and out-of-network care. We refer to “cost” as the weighted average total expenditures made towards a given admission or service, including the portion paid by the health plan and any out-of-pocket costs paid by enrollees under the plan’s cost sharing. However, the charts do not include any balance bills (“surprise bills”) that out-of-network providers may send directly to patients.

This collection demonstrates that the costs associated with many common health services have risen more rapidly than general economic inflation, and that there are large geographic variations in the cost of the same health services across the United States. For example:

• The average cost of a hospital admission among large employer plans increased by roughly $10,000 (68%) from 2008 to 2018
• Over the same period, the average cost for a laparoscopic appendectomy increased nearly five times faster than inflation
• The average cost for a lower back MRI is nearly three times higher in the Houston, TX area ($1,106) than in the Las Vegas, NV area ($404)

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What are trends in health utilization and spending in early 2024?

There is wide variation in the cost of inpatient hospital admissions depending on the type of admission.

The average cost of an inpatient hospital admission for people with large employer coverage was $24,680 in 2018. The cost of a hospitalization varies widely, depending on the reason for the admission. Maternity and newborn admissions, for example, average $14,952, while the cost of a surgical admission is much higher, averaging $47,345. For the purposes of this analysis, the cost of an inpatient admission includes the cost of professional services provided by physicians or hospital staff as well as any drugs that may have been administered during the hospital stay.

The cost of inpatient hospital admissions for surgical and medical care nearly doubled from 2008 to 2018

Among people with large employer coverage, the average cost of inpatient hospital admissions has increased by nearly $10,000 (68%) since 2008. Inpatient admissions for surgical care experienced the steepest cost increases, rising by $22,291 (89%) over the decade. General medical admission costs also rose steeply, by $9,850, or 85%, over the decade. Psychiatric and substance use admissions also increased in cost by $6,139 (82%). For reference, inflation increased 17% over the same period.

The cost of an inpatient admission varied by location in 2008 and 2018

The cost of an inpatient admission has increased across all regions since 2008. The chart above shows the average cost of an inpatient admission across the 25 Metropolitan Statistical Areas (MSAs) with the highest number of inpatient admissions among large employer plans in 2018.

On average, inpatient hospital admissions were most expensive in the San Diego, CA, area in both 2008 and 2018. The least expensive areas for an inpatient stay also remained constant over that period – St. Louis, MO and the Louisville area in KY and IN.

The average cost of full knee or hip replacements varies considerably across markets

This figure shows the average cost of an inpatient admission for a full knee or hip replacement in most populous MSAs with more than 125 procedures in 2018. There is considerable geographic variation in the average cost paid by large employer plans and their enrollees for these surgeries. For instance, the average cost of a full knee or hip replacement in the New York City area is $56,739, which is 127% higher than the average cost in the Baltimore area ($25,044) and 61% higher than the national average ($35,263).

The average cost of a full knee or hip replacement has increased faster than other prices in the economy

The average cost of an inpatient admission for a full knee or hip replacement increased 38% (or $9,662) from 2008 to 2018, compared to a 17% increase in inflation over the same period (as measured by the GDP deflator).

The average cost of a laparoscopic appendectomy procedure has increased far faster than general inflation

Among large employer plans, the average cost of an inpatient admission for a laparoscopic appendectomy was $23,385 in 2018. The average cost for a laparoscopic appendectomy nearly doubled from 2008 to 2018 (increase of $11,456 or 96%), growing much faster than inflation over the same period (17%).

The average cost of laparoscopic gallbladder removal surgery has increased more than four times faster than general inflation.

A laparoscopic cholecystectomy involves the surgical removal of the gallbladder. The cost of an inpatient admission for this surgery nearly doubled from $15,900 in 2008 to $28,233 in 2018 – an increase of 78% over ten years, which was more than four times faster than inflation (17%).

How much and why ACA Marketplace premiums are going up in 2025

The average cost of an inpatient admission that includes a heart attack costs more than twice as much in the new york city area than in the baltimore area.

There is considerable geographic variation in the average cost paid among large employer plans for an inpatient hospitalization that includes a heart attack. For instance, the average cost of a hospital stay that includes a heart attack in the New York area is $65,138, which is 37% higher than the national average ($47,666) and 137% higher than the average cost in the Baltimore area ($27,434).

The Baltimore area has lower-than-average costs for many inpatient admissions, including the lowest average cost for knee or hip replacements and inpatient admissions related to a heart attack. These lower inpatient prices may be due in part to Maryland’s all payer rate setting program .

Inpatient admissions for cardiac problems that require invasive surgical procedures can be much more expensive

Coronary artery disease— the buildup of plaque leading to reduced blood flow to the heart— forms the pathogenic basis for heart disease and heart attacks, the leading cause of death in the United States and a major driver of health spending.

Common treatments for these conditions aim to circumvent blockages in the arteries, and include cardiac catheterization and coronary artery bypass graft surgery (bypass surgery). Cardiac catheterization involves injecting a dye into the blood vessel to diagnose a blockage, and placement of a stent if appropriate. Bypass surgery involves grafting one or more blood vessels from other parts of the body with the coronary arteries to restore blood flow to the heart.

The average cost of an inpatient admission that included bypass surgery with catheterization (with or without a stent) and major complications was nearly $117,000 in 2018. An admission for a bypass surgery that did not involve catheterization or complications was $75,688 on average.

The average cost of an inpatient admission for an abdominal hysterectomy varies by surgical method

Hysterectomy costs vary based on the surgical method used and how much of the uterus and surrounding organs are removed. Most inpatient hysterectomies performed are ‘abdominal’ meaning the surgeon removes the uterus through a larger incision over the belly. This is in contrast to ‘laparoscopic’ and ‘vaginal’ approaches, which refer to performing the operation through smaller incisions in the abdomen or through the vagina, respectively.

Most inpatient hysterectomies are considered total hysterectomies, in which the surgeon removes the whole uterus and cervix. Other kinds include subtotal hysterectomies (removal of only a portion of the uterus leaving the cervix intact) and radical hysterectomies (removal of the whole uterus, the cervix, and the top part of the vagina). Any of these types of hysterectomies could also include the surgical removal of one or both of the fallopian tubes and/or ovaries.

Among large employer plans, the average cost of an inpatient admission for a total abdominal hysterectomy was $20,937 in 2018. Inpatient admissions for abdominal radical hysterectomies were substantially more costly at $36,485 on average, possibly because they are more invasive and because radical hysterectomies are often associated with malignancy and more complex conditions. The following chart shows costs for laparoscopic hysterectomies.

Total and subtotal hysterectomies performed laparoscopically on an outpatient basis are slightly less costly than inpatient abdominal hysterectomies

Laparoscopic hysterectomies are more common in outpatient settings and the cost of these procedures varies less dramatically than inpatient abdominal hysterectomies. On an outpatient basis, the average cost of a subtotal laparoscopic hysterectomy ($16,790) is just $343 less than the average cost of a total laparoscopic hysterectomy ($17,133). Laparoscopic hysterectomies are less invasive and, in most cases, require less recovery time than abdominal hysterectomies. Radical hysterectomies are also less commonly performed in outpatient settings.

There is considerable variation in the cost of outpatient visits depending on the severity and complexity of the visit

Outpatient physician visits with the highest level of acuity (the most severe and most complex) are coded as Level 5, whereas visits for straightforward, minor conditions are coded as Level 1.  Physician visits for the most complex cases (Level 5) cost an average of $182 per visit, while compared to $46 for the simplest visits. The most common physician visits are coded as Level 3, which average $90 per visit. Overall, the average cost of an outpatient visit was $105 in 2018.

The following chart shows how the cost of an office visit has changed over time for each level.

Costs have increased over the past 10 years for all levels of outpatient visits

Average costs have increased for each of the five levels of office visits. From 2008 to 2018, the average cost of Level 1 office visits increased by $15 (or 52%) and the average cost of Level 5 office visits increased by $49 (or 37%). The average cost of Level 3 office visits, by far the most commonly coded severity, rose by $20 (or 29%) over the same period.

The average cost of outpatient visits varies considerably across markets

This chart shows the variation in the cost of Level 3 outpatient office visits across the largest MSAs with more than 10,000 visits in 2018. As an example, the average office visit in the Minneapolis and St. Paul area ($144) is more than double the average cost in the Louisville area ($68) and 60% higher than the national average ($90).

The average price of lower back MRIs has increased slower than inflation

Not all services have experienced rapid increases in prices. In 2018, the average price of an outpatient lower back MRI was $861, up from $784 in 2008. This represents a 9% price increase over 10 years, which was lower than general price inflation over the same period (17%). The prices here include the cost of the MRI itself and the professional cost of the radiologist interpretation.

The average price of lower back MRIs varies considerably by location

While the average price of a lower back MRI did not substantial increase from 2008 to 2018, there is large variation in the price of this procedure across the country. The highest average price for a lower back MRI is in the Houston, TX area ($1,106), which is nearly triple the average price in the Las Vegas area ($404), and 32% higher than the national average ($861).

The cost of outpatient surgery to repair torn knee cartilage varies considerably across the country.

Meniscus repair is an outpatient surgical procedure to repair torn knee cartilage. The national average cost for this procedure is $7,595, but there is considerable variation across MSAs. For example, the highest average cost for outpatient meniscus repair surgery is in the NYC area ($11,219), more than double the cost in the Detroit area ($4,655), and 48% higher than the national average.

There is considerable variation in the price of an allergy test across the country

The national average cost of an allergy test is $424, but there is a considerable range in prices across geographic areas. The highest average price for an allergy test is in the Cambridge, MA area ($575), which is 76% higher more than the average price in the Detroit area ($326).

Although recent policies have attempted to improve the transparency of health prices, a general lack of transparency makes it difficult for enrollees to know the total cost of a procedure or visit in advance, and even more difficult for them to know what their own liability may be. Additionally, many patients inadvertently receive treatment from out-of-network providers, putting them at risk for surprise medical bills . While this analysis examines average costs paid by insurers and enrollees for a number of common services, it also highlights the significant costs people may face for out-of-network providers.

The high cost of inpatient and outpatient care is the primary driver of the difference in health spending between the U.S. and similarly large and wealthy countries. As this analysis shows, even within the U.S., the cost of common health services can vary considerably from city to city (and a related analysis shows how these costs can even vary widely within cities). In some cases, this variation may be due to differences in severity of illness or complexity of service, but in other cases, this variation highlights extremely high and questionable prices set for care.

This analysis also shows that the cost of several health services has increased at a rate faster than general economic inflation – in some cases, many times faster. These rapidly rising costs of health services underlie growing premiums and deductibles for people with employer health insurance. Over the last decade, the amount employees have paid toward their premiums and out-of-pocket costs has exceeded wages , meaning that health care costs – and other expenses – have become harder to afford, even for those with relatively generous health coverage.

We analyzed a sample of claims obtained from the Truven Health Analytics MarketScan Commercial Claims and Encounters Database (MarketScan). The database has claims provided by large employers (those with more than 1,000 employees). This analysis only includes costs for services covered by large employer plans. We used a subset of claims from the years 2008 through 2018. In 2018, there were claims for almost 18 million people representing about 22% of the 82 million people in the large group market. 

Beyond cost, what barriers to health care do consumers face?

What drives health spending in the U.S. compared to other countries?

Weights were applied to match counts in the Current Population Survey for large group enrollees by sex, age, state and whether the enrollee was a policy holder or dependent. People 65 and over were excluded. We also limited claims to fee-for-service claims (excluding claims collected on an encounter basis). For all inpatient admissions, we excluded the top 0.5% of claims and claims that fall below either $5,000 or 10% of the average total price off the service, whichever is lower. For outpatient services or procedures, we also exclude the top 0.5% of claims and, unless otherwise specified below, claims that fall below either $5 or 10% of the average total price of the service, whichever is lower.

When showing the cost of a common service over time, we use the GDP deflator to benchmark the change in the price of the specific service against the change of prices in the general economy. The GDP deflator is a measure of inflation that captures the prices of all new, domestically produced goods and services. For charts depicting variation in the cost of a common service across Metropolitan Statistical Areas (MSAs), we select the 25 most populous MSAs with more than 125 procedures (unless otherwise specified in the text).

Midway through 2015, MarketScan claims transitioned from ICD-9 to ICD-10. While both systems classify procedures, they do not precisely crosswalk. Below is a summary of which codes we included:

• The cost of an inpatient admission for total knee or hip replacements are the cost of all services associated with an inpatient admission in which the principal procedure was ICD-9 code 81.54 or any of the subsequent procedures under the ICD-10 headings 0SRD and 0SRC. In addition, admissions without a principal procedure but in which the claim includes CPT code 27447 are included.
• The cost of an inpatient admission for a laparoscopic appendectomy is the cost of all services associated with an inpatient admission in which the principal procedure was ICD-9 code 47.01 or ICD-10 code 0DTJ4ZZ.
• The cost of an inpatient admission for a laparoscopic cholecystectomy is the cost of all services associated with an inpatient admission in which the principal procedure was ICD-9 codes 51.21- 51.24, or ICD-10 codes 0FB44ZZ, 0FT44ZZ, 0FT40ZZ, or 0FB40ZZ.
• The cost of an inpatient admission that include a heart attack is the cost of all services associated with an inpatient admission where the patient received one of the following ICD-10 codes: I2101, I2102, I2109, I2111, I2119, I2121, I2129, I213, I214, I220, I221, I222, I228 or I229.
• The cost of an inpatient admission for Coronary Artery Bypass Graft (CABG) surgery is the cost of all services associated with an inpatient admission where the associated diagnosis-related group (DRG) was 233, 235, or 236.
• The cost of an inpatient admission for an abdominal hysterectomy is the cost of all services associated with an inpatient admission where the admission includes CPT code 58150, 58152, 58180, or 58210.
• The cost of outpatient meniscus repair is the cost of all services on a day that contains the following: a diagnosis code under the ICD-10 headings S83.2 or M23 (meniscus injury), CPT code 29880 or 29881 (arthroscopy on knee), CPT code 01400 (anesthesia for knee surgery), and occurred in an ambulatory surgical center or in a hospital on an outpatient basis.
• The cost of an outpatient laparoscopic hysterectomy is the cost of all services on a day in which the primary procedure was CPT code 58570-58575 (total) or 58541-58544 (subtotal).
• The cost of outpatient lower lumbar MRIs includes the cost of outpatient claims with a CPT code of 72148. In addition to claims for professional services, some claims include facility fees. In cases in which no other professional services are provided on the date of service, facility fees were included in the cost of the MRI. In order to ensure that we are capturing the cost of performing the MRI and not associated services, claims in which all the cost in a day have a procedure modifier 26 are excluded.
• The cost of an outpatient office visit is the weighted average of the cost of CPT codes 99211, 99212, 99213, 99214 and 99215. These visit codes are for established patients but vary in complexity and duration. Claims with a total cost less than $5 were excluded.
• The cost of an allergy test is the weighted average cost of CPT codes corresponding with common skin tests: 95024, 95004, 95018, 95027, 95017, 95028, and 83520. Claims with a total cost less than $5 were excluded.

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• Health Insurance

Average Health Care Costs and Ways to Save

Be prepared by knowing what you might have to pay

• What Does Health Insurance Cost?
• What's the Price of a Check-Up?
• Doctor’s Visit Without Insurance
• Comparing Costs of a Doctor's Visit
• Cost of Ambulance Transport
• Average Cost of an ER Visit

What Do Prescriptions Cost?

How are medical costs determined.

• Ways to Save on Health Care Costs

The Bottom Line

Hero Images / Getty Images 

Health care costs can add up fast and become a burden. What's more, many Americans struggle to pay their insurance premiums. For the uninsured, access to health care can be hard to come by.

The cost of health care has been on the rise for many years. It is estimated that between 2019 and 2028, health care costs will increase at a rate of 5.4% per year. Your health care costs will vary depending on whether you have health insurance or not and where you get your health insurance from. A healthy family of four spends an average of 12% of their total income per year on health care.

The chart below illustrates the percent change in health expenditures in the United States from 2007 to 2017.

Here's what you can expect for the average cost of health insurance, plus the typical prices for services such as wellness visits, ambulance service , and trips to the emergency room . Learn more about how to save on health care costs in this guide.

How Much Does Health Insurance Cost?

According to the Bureau of Labor Statistics, the amount that people spent on health insurance was $3,160 in 2016, $3,414 in 2017, and $3,405 in 2018. There was an 8% increase between 2016 and 2017, but a slight decrease between 2017 and 2018.

The cost of health insurance varies based on whether you qualify for a subsidy under the Affordable Care Act (ACA), what kind of coverage you choose, your deductible, and how much you must pay for out-of-pocket costs. The amount you pay also depends on whether your health insurance is a group plan or an individual plan. An employer may offer group plans, which can reduce your direct cost if the employer pays into your premium as part of your benefits.

What's the Price of a Check-Up or Wellness Visit?

If you have health insurance, the cost of a wellness exam could be included, so it may not cost you anything. According to the ACA, an annual exam is included in most ACA-compliant health plans.

In other cases, you may have a co-pay , deductible, and other costs, like lab tests, to think about. If you're insured, these extras may be partially or fully covered, depending on your plan. The price of your wellness check-up may also vary. For instance, you may be able to get basic tests or consultations at pharmacies, like CVS, which may cost less. CVS lists its prices for various health services so you can see what it'll cost before you go. For example, a basic health screening may be between $69 and $99.

What's the Cost of a Doctor's Visit Without Insurance?

The cost of a doctor's visit depends on whether you are an established patient or not. Most of the time, doctor's offices have different pricing for their current patients, so it is a good idea to have a primary care doctor.

According to a study by Johns Hopkins Bloomberg School of Public Health, the average cost of a primary care visit for a new, uninsured patient is around $160.

Comparing Costs of a Doctor's Visit

Digital technology provides options to also have a "doctor's visit" virtually. According to a study by the Sidney Kimmel Medical College at Thomas Jefferson University, a virtual doctor's visit saved people on average between $19 and $121 per visit.

You may have several choices for where you can visit a doctor, but the cost varies, so be sure to choose with care. Think about doing the research before you make your appointment. For instance, according to the same study, the same doctor's visit would cost different amounts depending on where you had the service:

• Between $84 and $131 at a doctor's office.
• Between $98 and $163 at an urgent care center.
• Between $358 and $1,595 at the ER.
• Between $66 and $89 at a retail clinic.

Shop around to find the best price for services such as lab tests. A virtual visit may also help you save money. For instance, Doctor on Demand offers a 15-minute medical consultation for a flat $75 fee to those without insurance.

What Is the Typical Cost of Ambulance Transport?

According to a poll by the American College of Emergency Physicians (ACEP), most Americans do not feel able to help in the event of a medical emergency. It is no wonder that when a medical crisis occurs, many people turn to an ambulance, despite the hefty costs that may result from the ride. The cost of transport may vary based on where you are at at the time of the issue, the distance traveled in the ride, and other factors. An ambulance ride could cost from a few hundred to a few thousand dollars. At times, patients are charged a flat fee plus a cost per mile.

The government does not have a say in how much ambulance companies charge. When you call for an ambulance, you may have no control over which type is sent. You may not get to choose which hospital you go to. This could lead to "surprise medical bills" or out-of-network costs.

For example, new patients transported in an ambulance in the Contra Costa County Fire Protection District in California may be charged $2,565 plus $62 per mile. There are also fees for getting oxygen and even for getting treatment but refusing transport.

Insurance may cover some of the ambulance costs, but it depends on your health plan and the insurance company. Most do offer a program for those who can't pay.

What's the Average Cost of an Emergency Room Visit?

Spending on ER visits increased by 23% between 2014 and 2018, according to the Health Care Cost Institute. In 2018, ER costs averaged about $2,096, up over 100% since 2008.

ER Pricing Is Not Consistent

ER visits account for 24% of all acute care visits in the U.S. An important factor in the cost of the ER visit is how the hospital sets its prices. A 2015 study by Gerard F. Anderson of Johns Hopkins Bloomberg School of Public Health and Ge Bai of Washington and Lee University found that there were quite a few U.S. hospitals that marked up prices of care by over 1,000%.

In 2018, Congress proposed a new law that requires hospitals to disclose their pricing. The law is a response to the variation of the cost paid by insurance and out of pocket by patients. This makes it hard for patients to fully understand what the bottom line will be.

When it comes to hospital costs, medical billing codes vary for different levels of severity of ER visits. Each one may have more costs that come along with it. The best way to get an idea of the cost is to do some research using the medical billing code to look up pricing and make sure you don't get billed for the wrong codes.

For instance, just one error in the last digit of an ER billing code could cost you a big change in your medical bill:

• Code 99285 : ER visit, a problem with a significant threat to life or function.
• Code 99281 : ER visit, self-limited or minor problem.

Look at using billing codes like these to research the cost of ER visits. You may be able to ask the hospital and call your insurance company for help.

According to the Organization for Economic Cooperation and Development (OECD), Americans spend over $1,200 on prescription drugs per capita per year. That's more than any other country. And when it comes down to it, drugs can vary in price depending on whether the drug is generic or name brand. The CDC National Center for Health Statistics found that around 70% of prescription drugs come with out-of-pocket costs. The report found that generic drugs cost around $6, while name-brand drugs cost about $30.

There is no one way to figure out how much a hospital, clinic, or health care provider will charge you. There are huge changes in the cost of the same services depending on where you get them. If you rely on your insurance to help keep your costs low, the prices you pay may greatly rely on:

• What your health insurance company has negotiated with providers.
• What percentage you will pay out of pocket ( deductibles, co-pays, and maximums ) and if you have a high deductible health plan .
• If you are using in-network or out-of-network services.

Among people who were insured and had problems paying their medical bills, 32% said they received care from an out-of-network provider that their insurance wouldn't cover. More than half didn't even know they were using "out-of-network" services. Always ask if the provider is in the network for your health plan before booking your appointment so you can avoid paying too much.

Ways to Save on Health Care Costs  

Many doctor's offices or clinics may offer you reduced pricing if you pay in cash up front or within 30 days. More discount services are popping up, too, such as discounts for tests, services, and prescriptions . Many organizations are also looking to provide resources to people who want to know prices up front. You may be able to shop for the best prices by looking up your ZIP code and the treatment on websites like Clear Health Costs , Healthcare Bluebook , Fair Health Consumer , and MDSave .

Knowing how to shop around for the best price on health care costs will come in handy, especially if you are uninsured, have to use a specific network, or have to go out-of-network.

As of 2018, 45.8% of people with private health insurance under age 65 were enrolled in a high-deductible health plan (HDHP), with 20.4% of that group enrolled in a plan with a Health Savings Account (HSA) . Consider using an HSA for paying medical bills out of pocket to save more money.

You can stay informed and do research to reduce costs that waste your money. And if you can find a way to get affordable health insurance , it may be well worth the cost, especially if you have regular medical visits, are on prescription drugs, or get diagnosed with an illness.

Health Affairs. " National Health Expenditure Projections, 2019–28: Expected Rebound In Prices Drives Rising Spending Growth ."

KFF. " The Real Cost of Health Care: Interactive Calculator Estimates Both Direct and Hidden Household Spending ."

Petersen-KFF Health System Tracker. " National Health Spending Explorer ,"

Bureau of Labor Statistics. “ Table A. Average Income and Expenditures of All Consumer Units, 2016-18 ."

HealthCare.gov. " Preventive Health Services ."

CVS Pharmacy. " Price List ."

American Academy of Family Physicians. " Understanding When to Use the New Patient E/M Codes ."

Johns Hopkins Bloomberg School of Public Health. “ Primary Care Visits Available to Most Uninsured But at a High Price ,"

The American Journal of Emergency Medicine. " On-demand Synchronous Audio Video Telemedicine Visits are Cost Effective ." Accessed June 19, 2021.

American College of Emergency Physicians. " Poll: Majority of Americans Unprepared to Help in a Major Emergency ."

Kaiser Health News. " Taken For A Ride? Ambulances Stick Patients With Surprise Bills ,"

Contra Costa Health Services. " Ambulance Rates ."

Health Care Cost Institute. " 2018 Health Care Cost and Utilization Report ,"

CMS.gov. “ Emergency Department Patient Experiences with Care (EDPEC) Survey ,”

Johns Hopkins Bloomberg School of Public Health. " Some Hospitals Marking Up Prices More Than 1,000 Percent .”

Congress.gov. " H.R.6508 - Hospital Price Transparency and Disclosure Act of 2018 ."

American College of Emergency Physicians. " ED Facility Level Coding Guidelines ,"

Centers for Medicare and Medicaid Services. " CPT Code 99285: Emergency Department Visit ."

OECD. " Pharmaceutical Spending ."

CDC National Center for Health Statistics. " Strategies Used by Adults Aged 18–64 to Reduce Their Prescription Drug Costs, 2017 ."

How Much Does a Doctor Visit Cost?

A doctor visit will be necessary whether you have a medical condition or you simply want to show up for a routine physical.

There are so many factors involved when visiting a doctor’s office and paying the bill, so it can be hard to offer an “exact” estimate.

How much does a doctor visit cost?

In general, a regular routine appointment with a primary care doctor, without any other tests involved, can cost anywhere from $150 to $300 without insurance .  If the visit is through the hospital at an emergency room, then the fees can soar to $375 to more than $700+ without insurance.  Doctor visits at home can range anywhere from $200 to $550, depending on how far the doctor has to travel and what needs to be diagnosed.

A doctor’s visit at a pharmacy, such as CVS or Walgreens , could cost anywhere from $89 to $129 without insurance.  These visits, most of the time, will be performed by a nurse practitioner.

Ultimately, the cost of a doctor’s visit will depend on the severity of your condition, where you were cared for and the additional tests that were required.

If you have health insurance, you will more than likely be responsible for your deductible and co-pays, and this doctor’s visit should always be covered by insurance, and routine annual exams, according to Affordable Health Care Act, will be covered 100 percent.  To find out more, contact your insurance company to know what you’re responsible for.  Those who have a co-pay often find themselves paying anywhere from $5 to more than $50; again, depending on the policy. If you do not have insurance or you are looking for a new policy, consider browsing through hundreds of policies at eHealthInsurance.com .

Refer to our table below to see what you may have to pay for a doctor’s office visit without any insurance:

NOTE:  If you’re an established patient, these costs can drop by more than 50 percent, depending on your doctor’s office billing policy.

In 2015, 79 percent of uninsured callers who called a doctor’s office were offered an appointment, whereas six percent were denied due to their insurance status.  According to this John Hopkins study , the average price for a new uninsured patient was quoted for $160, with some states such as Oregon being as high as $188.  The prices were much lower than a federally qualified health center.

What are the extra costs?

Aside from the doctors’ office visit, there could be a good chance that a doctor will want to order more tests, which will add to the total estimates as noted above.  Refer to our table below to see what routine diagnostic tests and routine lab services can cost without any insurance being involved.

How can I save money?

Many doctor’s offices will offer a cash discount to those who don’t have health insurance.  Talk with the doctor’s office ahead of time to see if they have any discounts available.

Consider a virtual doctor’s visit if your symptoms are mild.  These visits can be less than $75 if you have no insurance.  For instance, Doctor on Demand charges $75 for those without insurance, and another company — Amwell — charges $59 for those who have no insurance.  With these services, you can either use your computer or phone and video chat with a doctor, just like you would in a waiting room, but unlike a regular doctor’s office, you won’t have to drive there or sit in a waiting room with sick people.

As mentioned, schedule your annual physical ahead of time.  As long as you have a health insurance policy, it will be 100 percent covered.

If your doctor does prescribe a prescription, ask for a generic equivalent if they have one and ask if there are any other ways to save.

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Average Reported Cost: $203

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Blue Cross Blue Shield so I had to pay at beginning of hospital request I ended up paying 102.33 dollars after medicare now the insurance co. said I still should be reimbursed.

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What are my care options and their costs?

When you or a family member needs care, there may be more options than you realize. Some options may save you time — others may save you money, particularly if you get health insurance through work. So, before you spend time waiting in the emergency room (ER) or maybe end up with an unexpected bill, consider these alternatives that could save you up to $2,500. 1

Compare your care options

Primary care provider, average cost.

$170 1   for in-person visits,  $99  or less for virtual primary care visits

Hours open:

Weekday office hours, generally

Usually little wait with scheduled appointments

Your primary care provider may know your history best, they can quickly access your records and may offer in-person and  virtual care .

• Urinary tract infection

Sign in to find care

24/7 virtual visits.

Less than  $49 2

Available all day, every day

Usually no wait

Connect with a care provider by phone 3  or video for diagnosis of common medical conditions and, if needed, Rx prescriptions.

• Cold and Flu
• Sinus problems
• Yeast infections

Convenience care clinic

Nights and weekends, generally

30 minutes or less on average

Get care for common symptoms from nurse practitioners and physician assistants — without an appointment — at retail pharmacy clinics.

• Minor injuries

Urgent care center

Get walk-in care for serious illnesses and severe injuries from physicians and care teams.

• Muscle sprains or strains
• Skin infections
• Broken bones

Emergency Room

Available 24 hours a day, generally

Up to 2 hours on average

Get immediate care for life-threatening injuries or illnesses from physicians and care teams at hospital emergency departments.

• Shortness of breath
• Major burns
• Severe injuries
• Heavy bleeding

Choose network care providers to help avoid cost surprises

Freestanding emergency rooms, also called urgency centers, are facilities typically unattached or unaffiliated with a hospital. Although these facilities treat many of the same conditions as a traditional ER, they may come with higher costs because they're out of network.

Get a closer look at your care options

Watch a video presentation to get details about:

• Care options
• Costs for care
• How to choose care

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How Much Does Healthcare Cost in the U.S.?

The United States is notorious for having the highest healthcare costs in the world. You've likely heard stories of Americans going bankrupt due to medical bills, often because they don't have enough insurance or any at all. Unfortunately, these stories are not uncommon and highlight a serious issue with the affordability of healthcare across the country.

Whether you're considering visiting the United States, preparing for a possible move, or simply curious about the country's healthcare system, it's important to understand the potential financial burden you might face.

So, what is the actual  cost of healthcare in the U.S. ? To give you a clearer picture, we've gathered the latest 2024 average prices for various common procedures and treatments without health coverage, so can make informed decisions before coming to the country and avoid any unpleasant surprises.

High-Quality Care Comes with a Price

Despite its mixed reputation, the U.S. healthcare system excels in many areas. It leads the world in medical research and innovation and drives the development of new treatments, technologies, and medicines. The country is also known for its excellent emergency care and high survival rates for serious conditions like heart attacks and strokes.

In addition, American doctors and healthcare professionals receive extensive training from some of the best medical schools and programs in the country. The U.S. healthcare system also offers patients many choices and access to the latest treatments, with a focus on personalized care.

However, high-quality care comes with a price, and healthcare costs in the U.S. are incredibly expensive. As a result, traveling to or living in the country can become extremely costly without sufficient coverage to manage the costs.

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Why Is U.S. Healthcare So Expensive Compared to Other Countries?

Whether you are a resident, expat, or visitor to the U.S., you can't deny that the average cost of healthcare is much higher compared to other countries. This is not the result of one particular factor but rather a combination of issues that all contribute to increasing prices.

The lack of a universal healthcare system , high administrative costs, expensive medical technology, and higher prices for services all play a role. Other factors such as wasteful spending, high legal costs, and unregulated drug prices also drive up the cost of care.

Additionally, medical professionals in the United States earn higher salaries than their counterparts in other countries, which contributes to higher healthcare costs. Some hospitals operate as for-profit businesses, which further drives up costs as they aim to maximize profits by charging higher prices for services and treatments. Moreover, doctors often run a lot of tests out of fear of malpractice lawsuits.

All these factors combine to make healthcare unaffordable for many, especially those without health coverage to manage the costs.

Read More: US Health Insurance for Non-Citizens

How Much Does Healthcare Cost Without Insurance?

The infographics below show the average costs of common procedures in the United States, as well as unexpected medical treatments without coverage. While these are estimates and actual prices may vary depending on where you are and how complex the care is, they offer a good idea of what you might face as an expat or visitor without travel or international health insurance .

How Much Is Emergency Transport and Care?

If you become ill and need emergency care, your bills will begin adding up right away. An ambulance ride to the hospital starts at $400 and can reach up to $1,200 or more. And that’s just for the pickup – if you need any procedures in the ambulance, the costs can add up before you even reach the hospital. If you need air transport, the expenses are even higher, with emergency evacuation starting at around $12,000 and exceeding $100,000 in extreme cases.

An ER visit can cost between $700 and $3,400, depending on the type and complexity of care you need. If you have to stay overnight, an extra $5,000 might be added to your bill. These costs vary based on where in the U.S. you are treated and the nature of your emergency, but without coverage, it can be very expensive.

One way to save money if you need immediate attention is to go to an urgent care clinic instead of the ER. While you might still face additional costs for treatment, tests, and medications, the visit itself usually ranges from $80 to $800 or more.

What Is the Average Cost of Cancer Treatment Without Health Insurance?

Cancer is something no one wants to think about, but it's important to understand the potential costs if it does become a reality.

Unfortunately, cancer care in the U.S. is very expensive. For example, early-stage melanoma might cost as little as $400, but without coverage, the cost can rise to $50,000 or more. Breast cancer costs can vary widely depending on the stage at which it is detected, but tend to start around $20,000 and can exceed $100,000.

Pancreatic cancer treatment can range from $29,000 to $175,000, while a bone marrow transplant can cost as much as $400,000 or more. Meanwhile, the price of treating brain cancer can exceed $1 million.

How Much Do Lab Tests Cost Without Insurance?

Lab tests are often essential when a doctor is trying to diagnose your medical issues. However, this is another area where the cost of U.S. healthcare can be high.

Without coverage, routine blood work can cost anywhere from $300 to $650 or more. If you just want to check your cholesterol levels, a lipid panel can range from $130 to $200 at the lab, or $75 to $200 for a portable digital meter to use at home.

An MRI scan can range from $375 for the simplest imaging, to $2,850 or more for a full body scan. While X-rays are generally more affordable, sometimes costing as little as $50, they can exceed $1,000 depending on the circumstances.

What Is the Cost of Prescription Drugs Without Insurance?

American healthcare prices are also high when it comes to prescription medication, though there have been some recent improvements. For example, insulin for diabetes is now capped at $35 per month, even without coverage. Following a price hike crisis, the cost of asthma inhalers is also more controlled, with prices ranging from $25 to $50.

However, prices for other medications can still vary widely depending on several factors. For instance, cholesterol medication may cost between $35 and $600 per month, while a year’s worth of allergy shots can range from $965 to over $2,000.

Prescription drugs can take up a large part of a patient's budget, which is why many insurance plans include coverage for these costs.

How Much Does It Cost to Have a Baby in America?

The United States is a notoriously expensive place to have a baby, and if you decide to start a family or add to it while living in the country, your healthcare costs will quickly add up.

Prenatal doctor visits generally cost between $90 and $500 each time, and you will need several of them throughout your pregnancy. Labor and delivery alone can cost anywhere from $6,600 to $16,700 – and that’s for a vaginal delivery. A cesarean section, whether planned or emergency, is more expensive, ranging from $9,400 to $27,500 or more.

If there are complications and your baby needs a stay in the NICU, you can expect to pay around $3,000 per day without coverage. Given that the average NICU stay in the U.S. is 13.2 days, this could result in a staggering total bill of $39,600.

Postpartum checkups have similar costs to prenatal ones, ranging from around $100 to $300 per visit. Overall, pregnancy and childbirth in the U.S. are very costly, so having health coverage is crucial.

How Much Does Surgery Cost Without Insurance?

Whether you need emergency surgery like an appendectomy or elective surgery for cataracts, the costs in the U.S. are incredibly high. While it can be hard to pin down the exact figures, as they vary depending on a range of circumstances and fees, an appendectomy usually costs between $33,000 and $48,000 or more. Meanwhile, cataract surgery can cost between $3,500 and $7,000 or more per eye.

More common procedures, such as a tonsillectomy, are somewhat cheaper, costing between $4,000 and $6,000. If you need your gallbladder removed, you can expect to pay at least $5,500. However, factors such as your metro area and the complexity of the surgery can push that cost up to as much as $17,000.

A hysterectomy can be even more costly, ranging from $9,700 to $22,500 or more. As you might expect, a specialized and life-saving procedure like a coronary artery bypass can cost anywhere from $30,000 to over $200,000.

What Is the Cost of Treating Broken Bones and Sprains?

It could be anything from a simple fall on the sidewalk to a serious sports injury. Whatever the scenario, breaks and sprains can happen at any time and can be very expensive to treat in the U.S. if you don’t have adequate coverage.

Like other types of medical care, costs can vary widely depending on where you are, how badly you’ve been hurt, and the type of treatment you need. If you sprain or break your arm, you could pay anywhere from $190 for a forearm X-ray to $16,000 or more for surgery.

A leg or ankle sprain may set you back as little as $15 for a set of crutches, but major surgery for a severe fracture can exceed $35,000. Breaking your hip can end up costing you between $8,400 and $32,200. And even after the bones heal, you’ll probably need some physical therapy to regain full function, with each session averaging $75 to $150 or more.

How Much Is a Doctor Visit Without Insurance?

A visit to a doctor's office is relatively affordable in the U.S. However, if you are ill, additional costs can quickly add up. This might include fees for diagnostic tests, procedures, and follow-up visits.

An initial consultation with a primary care doctor generally ranges from $100 to $200. Specialist visits are typically more expensive, with consultations averaging $250 or more, depending on the specialty and the nature of your visit.

Costs can vary significantly based on whether you have health coverage and the specifics of your plan. For urgent issues, urgent care centers can offer a more affordable option than emergency rooms, with visits generally costing between $150 and $300.

How Can You Cover Your Medical Costs in the U.S.?

As a frugal traveler or expat, you might be asking yourself what you can do to reduce your healthcare costs without sacrificing quality or convenience.

Firstly, remember that common over-the-counter medications and first aid supplies are widely available and very affordable in the United States. For example, you can find headache medication, mild heartburn medication, muscle cream, sinus decongestants, and skin ointments for under $25, with some items costing as little as $5. Consulting a pharmacist is also free, and they can offer valuable advice on treating minor, non-urgent, conditions.

Secondly, make sure that you have adequate travel insurance or health coverage while you are in the U.S. As you've seen above, if you fall ill while visiting the country, a relatively uncomplicated problem like an inflamed appendix can cost several times more than the trip itself. Similarly, as an expat, you may face significant medical expenses without proper coverage, which can lead to financial strain and unexpected burdens.

With the right plan, you can avoid worrying about facing a serious health problem and being hit with staggering medical bills afterward. Proper coverage will also prevent you from being overwhelmed by high costs in an emergency, which is stressful enough to deal with.

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What Is the Cost of Medical Care in the U.S. With Insurance?

If you never go to the doctor, you won't face these high medical costs, and some people feel comfortable taking that risk. However, for most people, the risks are too significant. For expats in the US, buying international health insurance is the best way to offset that risk.

Although a plan requires you to pay a fixed monthly premium, even if you don’t visit the doctor, it is well worth it for the peace of mind it provides. It ensures that you are covered for medical services outlined in your policy, such as doctor visits and hospital stays, up to the specified limits and conditions.

How Does Health Insurance Work?

A high-quality health plan will cover all your costs, minus a deductible (the amount you pay before coverage kicks), an excess (the additional amount you may need to pay), and/or co-pay (a fixed amount you pay for a covered service such as a doctor's office visit after you've met your deductible).

Plans with higher deductibles and co-pays generally have lower monthly premiums. This means you'll pay less each month but more out-of-pocket when you use medical services. On the flip side, plans with lower deductibles and co-pays usually have higher monthly premiums, meaning you pay more each month but less when you use medical services.

Read More: Deductibles, Co-Pay and Out of Pocket Maximums

Depending on the plan you choose, it may cover all your medical costs without any limit. However, some plans put a cap on how much they will pay for your medical expenses, which is known as a medical maximum . Plans with a lower medical maximum generally have lower monthly premiums, but in exchange, you will take on more risk because if your medical bills exceed the cap, you'll be responsible for paying the extra costs yourself.

Due to all these factors, the cost of health coverage in America can vary significantly. An international health insurance plan will cost more than a travel medical insurance plan because it offers more extensive medical coverage. On average, our clients pay about $500 per month for a comprehensive global medical plan. While this may seem high, it's often more affordable than paying a $10,000 medical bill out of your own pocket.

Health and Travel Insurance Plans for Foreigners in the U.S.

There are a variety of coverage options available for foreigners in the United States, depending on their circumstances.

If you are planning to relocate to the country, you can opt for a global medical plan that provides basic coverage for common ailments or a more comprehensive plan that covers a wider range of services. You can also choose from several tiers to meet your needs and budget.

If you are visiting the U.S., there are a range of plans designed to cover emergency medical expenses if you get sick or injured and need hospital care. These options provide excellent value, offering peace of mind at a cost far lower than the potential risk of incurring large medical bills.

You can find more detailed information about these plans in our articles on US health insurance for non-citizens and  safety and travel insurance for the U.S .

If you are moving to the United States, planning a trip to the country, or need coverage for any reason, our team of licensed brokers can help you research, compare, and purchase the right plans for your needs and budget. We offer some of the best international health insurance , travel medical insurance , group insurance , and travel insurance policies to people from all around the world.

So why not get in touch and get a quote now?

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*Disclaimer: The information shown in these infographics was last updated in August 2024. The data is intended to aid decision-making. Medical costs and charges are subject to change at any time and can vary significantly by geographic location and insurance plan.

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Author / Editor: Joe Cronin , Founder and President of International Citizens Insurance . Mr. Cronin, a former expat, is an authority in the areas of international travel, and global health, life, and travel insurance, with expertise in advising individuals and groups on benefits for today's global workforce. Follow him on LinkedIn or Twitter .

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Estimates for Out-of-Pocket Costs - Price Transparency

What will my michigan medicine services cost.

Figuring out what health care is going to cost can be difficult and confusing. Variables include the charge for the service, what your insurance approves and pays, and what amounts are applied to your deductible, copay or coinsurance. At Michigan Medicine, we want to help you determine what your out-of-pocket cost is going to be so that you can make informed choices about your healthcare.

Please keep in mind that the amount we calculate is an estimate, and that your actual out-of-pocket cost may be more or less depending on the care you receive and how your insurance company processes your claims.

To create an online estimate for your out-of-pocket costs, please select one of the following options:

• If you are a current Michigan Medicine patient: please log in to the Patient Portal , select Your Menu, and search for Estimates.
• If you are not a current Michigan Medicine patient: please log into our Patient Estimates portal for Guests .

If you are a current patient who is not registered in the Patient Portal, please see our MyUofMHealth Patient Portal page.  You may also choose to use the Guest Estimates portal, however, the estimate will not be saved to your patient record.

If you are having trouble creating an estimate for your desired service, please contact our estimates team at 877-480-8757 Monday - Friday, 8 a.m. - 4 p.m.

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Our Cost Estimator Tool  can provide you with an estimate for the services to be provided to you.

You may also request an estimation of services by phone. Please contact the Patient Estimating Service. Office hours are 8 a.m. to 5 p.m., Monday through Friday.

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Prior to your call, you will need to have the following information:

• Description of services — you will need to provide a description of the medical service you are seeking or the CPT procedure code, which can be obtained from your attending or referring physician
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The pricing information provided is a best estimate based on the information we currently have available at the time of the request and is not a guarantee of what the patient will be charged.

Please understand that in many cases it is impossible to predict the final charges that will result from your services, as there are many variables involved in the actual services, such as the length of time spent in surgery or recovery, specific equipment used, supplies and medications required, additional tests ordered by the physician, or any unusual special care or unexpected conditions or complications that may occur during the course of service.

Several states have passed laws relating to healthcare pricing. For more information on Arizona Direct Pay pricing or Florida Price Transparency, see the links under Related information above.

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How Much Does a Checkup Cost and Tips to Save

If you’re like two-thirds of Americans, you worry about whether you can afford your medical bills . Bankrate found that one out of three Americans don’t seek medical care for services like an office visit because of the cost. 

You’re probably wondering, how much does a checkup cost? It’s difficult to estimate, especially when you don’t have a health insurance plan . 

But it isn’t impossible and we’re here to help you figure it all out, learn what to expect with and without insurance, as well as how to shop around for the best prices and get the care you need for less. 

Budgeting for a Doctor’s Visit With Insurance

If you have insurance, the amount you’ll pay for a checkup depends on your policy. In most cases, insurance covers regular checkups as preventive care .

Many insurance companies promote preventive health measures by offering “free” checkups . Usually, this means you won’t owe a copay or coinsurance when you show up for your appointment. However, the medical practice will still send a bill to your insurance company and receive reimbursement as usual. 

If you have an insurance policy that doesn’t offer incentives for preventive care checkups and you’ve met your deductible , you’ll pay your copay and/or coinsurance .

According to the 2020 Medical Expenditure Panel Survey, the average copay for a doctor’s visit in 2020 was $26. The average coinsurance is 20.4% of the maximum allowable fee. If you’ve met none of your deductibles , you may have to pay 100% of the maximum allowable fee. If the doctor charges more than the maximum allowed, the office may send you a bill for the remaining balance. 

To learn more about how health insurance works, including copays and coinsurance , read How Health Insurance Works, A Quick Guide .

How Much Does a Checkup Cost Without Insurance?

In 2020, 8.6% of people in the US were without health insurance . That means that despite the Affordable Care Act, 28 million Americans did not have health insurance at any point during the year. Exact statistics aren’t available yet, but we know that the number of uninsured grew during the COVID-19 pandemic. 

According to the Medical Expenditure Panel Survey conducted by the Department of Health and Human Services, the average price for a primary care visit was $265 in 2016, which inflated to 2021 dollars is $305.39.

If you’re uninsured , saving up to pay your doctor for a checkup might mean having to sacrifice for weeks or months in advance. Like many, you may be wondering, is it even worth it? Let’s explore that by outlining what a checkup includes.

What Happens in a Checkup ?

Checkups, also called well visits , are an important part of staying healthy. Through well visits , you get the knowledge, tools, and advice you need to stay healthy and prevent future diseases like diabetes and heart disease .

As you age, health screenings are critical in catching diseases early when they’re easier to treat. If you have known medical conditions, you may need medical care more often, but if you’re in good health , you should have a complete physical exam once a year.

A typical checkup starts with answering a health questionnaire that covers your past medical history , family medical history , and a review of symptoms. Take this opportunity to mention any problems you’re experiencing or questions you may have for the doctor. 

Next, a technician will record your height and weight and check your vital signs . These include your heart rate , blood pressure , temperature, and respiratory rate. This information, together with your age, gender, and race, helps your health care practitioner know which follow-up questions to ask and form examination priorities. 

You may not realize when your checkup begins. However, your provider is already taking note of your general appearance, speech pattern, memory, and mental quickness from the time they walk into the examination room. 

Generally, a physical examination will follow a head-to-toe order and usually starts with looking at your eyes, ears, nose, and throat. During palpation or gentle touching of your neck and throat area, your doctor will note the size of your lymph nodes and feel for thyroid nodules.

From there, the exam will usually proceed with visualizing, listening with a stethoscope , and palpating in the following order: heart, lungs, spine, abdomen, pelvis, and extremities. 

Lab work is not standard at every checkup, but your doctor may order some tests based on the physical exam , review symptoms, and medical history . Commonly ordered labs include:

• Complete blood count (CBC) , a blood test that looks for anemia, infection, blood loss, clotting problems, and more
• Comprehensive metabolic panel (CMP), a blood test that checks 14 different chemical profiles in your blood that indicate how well your organs are doing to keep your body’s chemistry balanced
• Urinalysis (UA) , a urine test that evaluates your kidney function and looks for red flags for infections and diseases like diabetes 

Preventive health measures like flu shots and other vaccinations and immunizations , as well as tests to check for high cholesterol , may be recommended. Annual tests for women include a breast exam and mammogram to screen for breast cancer, and  a pelvic exam and pap smear to screen for cervical cancer . Screening tests for men may include a digital rectal exam and bloodwork to check for prostate cancer. 

If you’re curious about the results of your blood work , ask your doctor or their staff about accessing your personal health information. Today, most insurance companies and health care providers operate patient portals where your health records live online. Information in your patient records is protected and requires permission to access. 

5 Cost-Saving Tips

If you worry about how much a doctor’s visit is going to cost out of pocket and you don’t have insurance, there are several strategies to help you save money, get the best price available, and understand up-front how much your doctor will expect you to pay. Fortunately, due to new price transparency rules, it’s easier than ever to find out how much an office visit will cost. 

Anyone that provides medical services such as health care providers , primary care physicians , nurse practitioners, and facilities like walk-in clinics , hospitals, emergency rooms , doctor’s offices , and urgent care centers must tell you upfront how much they charge for their services and procedures. This mandate includes pricing for annual physicals . 

1. Ask about a payment plan.

Once you know how much your doctor charges for health care services , you can ask whether they accept payment arrangements.

2. Ask for deferred billing.

Sometimes you only need a few weeks to come up with the funds to pay your medical bill . Be sure to offer a specific date and agree to pay the amount due in full.

3. Negotiate a better price. 

Gather information from the comparison pricing engine at Compare.com to find out how much other doctors in the area are charging for a physical exam and use that information to negotiate a better price. 

Compare Procedure Costs Near You

For more on this, read our guide on How to Negotiate Your Medical Bills .

4. Ask for a cash discount. 

You’ve negotiated the lowest price based on the amount other doctors are charging in your area, but you may have more bargaining power left. Many medical practices would be happy to settle your account for a cash payment to save on credit card processing fees and overhead associated with billing.

5. Find a free clinic in your area.

There are thousands of free and charitable clinics across the U.S. These government-sponsored health centers charge for care based on a sliding scale. They offer low-cost checkups and doctor visits , including medical services like lab tests for low-income individuals and families. The Department of Health and Human Services keeps a directory of free clinics where you can get care even if you can’t afford to pay. You don’t have to be enrolled in Medicare or Medicaid to qualify. 

How to Shop for the Best Prices on a Checkup

Like it or not, whether someone gets medical care today depends more on if they feel they can afford it than if they need it. But it doesn’t have to be that way. You can shop around for better prices on procedures and tests while estimating the cost of medical services right from your couch. Comparing prices is the only way you can know for sure that you’re getting the best price.

Use Compare.com to find out the cost of checkups near you and connect directly with providers in your neighborhood. 

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