Logo
Arizona

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

National avg: $131Arizona: $100

24% below national average

Compare Similar Procedures

How does cardiologist visit compare to related procedures in Arizona?

ProcedureCPTLowMedianHighProviders
Family Medicine Visit

Standard office visit with a family medicine physician

99214$63$80$168432
Internal Medicine Visit

Standard office visit with an internist

99214$65$88$179452

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 99214Office/outpatient visit, established patient, moderate complexity). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 99214 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99214 (Office/outpatient visit, established patient, moderate complexity), as mandated by the CMS Price Transparency Rule.

What CPT 99214 covers: the provider's professional fee for 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

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.

CPT 99213103 providers

Follow-up, low complexity

$70
Range: $42$106
CPT 99214100 providers

Follow-up, moderate complexity

$80
Range: $65$154
CPT 9921594 providers

Follow-up, high complexity

$91
Range: $70$239
CPT 9920397 providers

New patient, low complexity

$88
Range: $62$176
CPT 9920498 providers

New patient, moderate complexity

$134
Range: $80$243
CPT 9920581 providers

New patient, high complexity

$139
Range: $70$319

Costs shown are median negotiated rates. Your actual cost depends on your insurance plan and provider.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Heart Doctor Costs in Arizona

What is the average cost of a Heart Doctor visit in Arizona without insurance?

Uninsured patients in Arizona typically pay between $65 and $154 for Heart Doctor consultations, with a median cost of $80 for established patient visits. New patient consultations range from $62 to $319 depending on visit complexity, with most initial evaluations falling around $135. Many Arizona providers offer cash-pay discounts of 20-40% for uninsured patients willing to pay at the time of service.

Does Arizona Medicaid cover Heart Doctor visits?

Yes, Arizona's expanded Medicaid program covers Heart Doctor visits with minimal copays, typically $3-5 for specialist consultations. Prior authorization may be required for certain cardiac procedures or advanced testing, but routine cardiology evaluations are generally covered without restrictions. Arizona Medicaid recipients should verify their chosen Heart Doctor participates in the AHCCCS network before scheduling appointments.

How do I find an affordable Heart Doctor near me in Arizona?

Compare costs across different practice types, as independent cardiology groups often charge less than hospital-owned specialty clinics in Arizona. Ask about self-pay discounts if you're uninsured, and consider community health centers in Phoenix and Tucson that offer sliding scale fees. Using cost transparency tools to compare negotiated insurance rates across Arizona's 100 Heart Doctor providers can reveal significant price differences for the same services.

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

New patient Heart Doctor visits in Arizona cost $87-135 on average depending on complexity, while established patient follow-ups range from $70-80 for routine visits. Initial consultations require more time for history-taking and examination, justifying the 50-70% higher cost compared to follow-up appointments. Complex new patient evaluations can reach $319, while simple follow-ups may cost as little as $42 with certain insurers.

Can I use an HSA or FSA to pay for a Heart Doctor visit in Arizona?

Yes, Heart Doctor consultations qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts under IRS guidelines. You can use HSA or FSA funds to pay copays, coinsurance, and deductibles associated with cardiology visits in Arizona. Keep receipts and documentation for tax purposes, as these accounts may be audited to verify legitimate medical expense claims.

How does telemedicine affect the cost of seeing a Heart Doctor in Arizona?

Telehealth cardiology consultations in Arizona typically cost 20-30% less than in-person visits, with most insurers covering virtual appointments at the same rate as office visits since 2020. Many Arizona Heart Doctors offer telehealth follow-ups for medication management and test result discussions, though initial evaluations usually require in-person examination. Rural Arizona patients particularly benefit from telemedicine access, avoiding travel costs while receiving specialist care from Phoenix or Tucson-based cardiologists.

Click a state to compare costs

Average Visit Cost

$80
$250

Office visit (CPT 99214)

Compare With Other States

RankStateAverage
1Maine
Range: $114$255
$208
2Iowa
Range: $80$274
$187
3Indiana
Range: $81$226
$159
4Massachusetts
Range: $80$271
$157
5Minnesota
Range: $80$250
$157
6Arkansas
Range: $74$226
$152
7Illinois
Range: $70$226
$150
8Colorado
Range: $64$257
$143
9Georgia
Range: $75$216
$142
10Connecticut
Range: $93$207
$131
11Missouri
Range: $72$198
$127
12Hawaii
Range: $70$203
$124
13District of Columbia
Range: $71$194
$122
14Florida
Range: $67$200
$121
15Michigan
Range: $66$204
$119
16Maryland
Range: $57$194
$116
17Idaho
Range: $90$150
$110
18Kentucky
Range: $79$170
$110
19Kansas
Range: $65$151
$109
20Arizona
Range: $65$154
$100
21Mississippi
Range: $75$133
$99
22Montana
Range: $80$136
$99
23Louisiana
Range: $80$120
$96
24Alabama
Range: $69$128
$92
25Delaware
Range: $80$100
$87
26Alaska
Range: $80$80
$80
Cardiologist Visit in Other States