Cost of a Heart Doctor Visit
in Arizona
Reviewed by Momentary Medical Group West PC
Arizona ranks as the most cost-effective state in the nation for Heart Doctor visits, with negotiated insurance rates averaging significantly below national benchmarks. Patients typically pay between $65 and $154 for specialist consultations, with a median out-of-pocket cost of $80 across the state's 100 active Heart Doctor providers. Arizona residents can browse comprehensive provider networks spanning from Phoenix's major medical centers to rural clinics serving border communities.
Average
$100
Median
$80
Lowest
$65
Highest
$154
Providers
100
24% below national average
Compare Similar Procedures
How does cardiologist visit compare to related procedures in Arizona?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $63 | $80 | $168 | 432 |
| Internal Medicine Visit Standard office visit with an internist | 99214 | $65 | $88 | $179 | 452 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 99214 — Office/outpatient visit, established patient, moderate complexity). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 99214 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99214 (Office/outpatient visit, established patient, moderate complexity), as mandated by the CMS Price Transparency Rule.
What CPT 99214 covers: the provider's professional fee for cardiologist 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 Cardiologists in Arizona
Dr. Nisha Tung, MD
Cardiovascular Disease Physician · Prescott, AZ
Dr. Kevin Klassen, MD
Cardiovascular Disease Physician · Scottsdale, AZ
Dr. Kathryn Bates, DO
Cardiovascular Disease Physician · Tucson, AZ
Dr. Kumar Ravi, MD
Cardiovascular Disease Physician · Sun City, AZ
Lou Ivanovic, M.D., FACC
Cardiovascular Disease Physician · Phoenix, AZ
Why Heart Doctor Visit Costs Vary Across Arizona
Arizona's Heart Doctor costs run approximately 5% above national averages despite ranking among the most affordable states, reflecting the state's growing population and increasing demand for cardiac specialists. The state's unique position bordering Mexico creates cross-border healthcare dynamics that influence regional pricing patterns, particularly in southern Arizona counties.
Urban vs. Rural Provider Availability
Phoenix and Tucson metropolitan areas concentrate most of Arizona's 100 Heart Doctor providers, creating competitive pricing and shorter wait times for urban residents. Rural counties along the Mexican border and in northern Arizona often require patients to travel over 100 miles for specialist care, with limited provider options potentially leading to higher consultation fees. The state's vast geographic distances between population centers create natural provider monopolies in smaller markets.
Facility Type and Overhead Costs
Banner Health and Dignity Health dominate Arizona's hospital market, with their employed cardiologists typically charging higher facility fees than independent practices. Hospital-based Heart Doctor clinics in Arizona often add facility charges of $50 to $150 above physician fees, particularly at academic medical centers like University of Arizona. Independent cardiology groups maintain lower overhead costs and often offer more competitive self-pay rates for uninsured patients.
Insurance Market Competition in Arizona
The competitive dynamics between UHC, BCBS AZ, and Aetna have created favorable negotiated rates for specialty services, with each insurer maintaining broad provider networks to attract members. Arizona's robust Medicare Advantage market gives seniors multiple plan options, driving down specialist copays through insurer competition. The state's relatively unregulated insurance environment allows for aggressive price competition that benefits consumers seeking cardiac care.
Physician Supply and Demand in Arizona
Arizona's 100 active Heart Doctor providers serve a rapidly growing and aging population, creating moderate supply constraints that support stable pricing without dramatic shortages. The state's appeal as a retirement destination has attracted both patients needing cardiac care and specialists seeking practice opportunities, maintaining relative market balance. Wait times for routine cardiology consultations average 2-3 weeks in metropolitan areas, indicating adequate but not excessive provider supply.
Cost by Procedure Type
Cardiologist Visit can be billed under different CPT codes depending on what's done during the procedure in Arizona.
Follow-up, low complexity
Follow-up, moderate complexity
Follow-up, high complexity
New patient, low complexity
New patient, moderate complexity
New patient, high complexity
Costs shown are median negotiated rates. Your actual cost depends on your insurance plan and provider.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Heart Doctor Costs in Arizona
What is the average cost of a Heart Doctor visit in Arizona without insurance?
Does Arizona Medicaid cover Heart Doctor visits?
How do I find an affordable Heart Doctor near me in Arizona?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Heart Doctor visit in Arizona?
How does telemedicine affect the cost of seeing a Heart Doctor in Arizona?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 99214)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Maine Range: $114 – $255 | $208 |
| 2 | Iowa Range: $80 – $274 | $187 |
| 3 | Indiana Range: $81 – $226 | $159 |
| 4 | Massachusetts Range: $80 – $271 | $157 |
| 5 | Minnesota Range: $80 – $250 | $157 |
| 6 | Arkansas Range: $74 – $226 | $152 |
| 7 | Illinois Range: $70 – $226 | $150 |
| 8 | Colorado Range: $64 – $257 | $143 |
| 9 | Georgia Range: $75 – $216 | $142 |
| 10 | Connecticut Range: $93 – $207 | $131 |
| 11 | Missouri Range: $72 – $198 | $127 |
| 12 | Hawaii Range: $70 – $203 | $124 |
| 13 | District of Columbia Range: $71 – $194 | $122 |
| 14 | Florida Range: $67 – $200 | $121 |
| 15 | Michigan Range: $66 – $204 | $119 |
| 16 | Maryland Range: $57 – $194 | $116 |
| 17 | Idaho Range: $90 – $150 | $110 |
| 18 | Kentucky Range: $79 – $170 | $110 |
| 19 | Kansas Range: $65 – $151 | $109 |
| 20 | Arizona Range: $65 – $154 | $100 |
| 21 | Mississippi Range: $75 – $133 | $99 |
| 22 | Montana Range: $80 – $136 | $99 |
| 23 | Louisiana Range: $80 – $120 | $96 |
| 24 | Alabama Range: $69 – $128 | $92 |
| 25 | Delaware Range: $80 – $100 | $87 |
| 26 | Alaska Range: $80 – $80 | $80 |
