During the first year of life, pediatricians recommend 7 doctor visits to ensure your baby is growing and developing properly. The average cost of a pediatrician visit without insurance is around $100. Still, if you add in the price of immunizations and other out-of-pocket expenses, this can amount to over $3,000 in a single year.
Average Cost of Pediatrician Visits Without Insurance
The average cost of a pediatrician visit without insurance is around $100, but this does not include the additional fees incurred during these visits. BMO Harris Bank estimates the average total out-of-pocket medical expenses to be $1,297 during the first year of your baby’s life. This is in addition to pediatrician visits and immunizations.
Well-baby visits consist of a physical exam, measurements, development assessment, vaccines, and general care questioning. Additionally, some doctors will charge a new patient fee, and this is all assuming your baby is in perfect health. If your baby becomes ill, the price of care will likely increase. Below we outline some of the costs associated with pediatrician visits during the first year of life.
Cost of Pediatrician Visits Per Year
|Type of Visit
|Visit a hospital and Hep B vaccine
|2-week well-visit and screening
|4-month well-visit and DTaP, Hib, PCB, Rotavirus, and IPV immunizations
|6-month well-visit and DTaP, Hep B, PCV, Hib, Rotavirus, and IPV immunizations
|9-month well-visit and immunizations
|12-month well-visit and MMR, Hepatitis A, Varicella, Hib, and PCV immunizations
|$3,100 without insurance
Cost of Pediatrician Visit With Insurance
Generally, preventive care such as well-child check-ups, vaccinations, and developmental screenings are usually covered with minimal out-of-pocket costs. These visits are essential for monitoring a child's growth and overall health. For other types of pediatric visits, such as sick visits or consultations for chronic conditions, coverage can differ.
Cost of Pediatrician Visits with Medicaid and CHIP
Medicaid and the Children's Health Insurance Program (CHIP) provide low-cost or free healthcare coverage for eligible children, making pediatric visits highly accessible and affordable.
Under Medicaid, well-child visits, immunizations, and screenings are typically covered without any out-of-pocket costs. For other types of pediatric care, such as sick visits or specialist consultations, there may be minimal copayments, but these are generally very low. CHIP also covers a broad range of pediatric services, often with modest copayments, though the specifics can vary by state. Both programs aim to reduce financial barriers, ensuring that children receive necessary medical attention without significant financial strain on families.
Alexis Bryan MPH, is a recent graduate of Columbia’s Mailman School of Public Health. She is passionate about increasing access to care to improve health outcomes. Outside of work, she loves to travel, read, and pay too much attention to her plants.