Cost of a Heart Doctor Visit
in Colorado
Reviewed by Momentary Medical Group West PC
Colorado's cardiac care costs rank 30th nationally, with the state's competitive ambulatory surgery center market around Denver helping moderate pricing despite elevated physician overhead costs. Heart Doctor visits in Colorado typically range from $64 to $257, with patients paying a median of $108 out-of-pocket based on negotiated insurance rates across the state's 25 active specialists. Browse all Heart Doctor providers in Colorado to find in-network options and compare transparent pricing before your appointment.
Average
$143
Median
$108
Lowest
$64
Highest
$257
Providers
25
9% above national average
Compare Similar Procedures
How does cardiologist visit compare to related procedures in Colorado?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $80 | $89 | $210 | 98 |
| Internal Medicine Visit Standard office visit with an internist | 99214 | $80 | $90 | $203 | 89 |
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 Colorado
Dr. Karyl Vanbenthuysen, MD
Cardiovascular Disease Physician · Littleton, CO
Dr. Barry Molk, MD
Cardiovascular Disease Physician · Lone Tree, CO
Dr. Jerry Greenberg, MD
Cardiovascular Disease Physician · Vail, CO
Dr. Donald Rabor, MD
Cardiovascular Disease Physician · Brighton, CO
Dr. Michael Rubinstein, MD
Cardiovascular Disease Physician · Glenwood Spgs, CO
Why Heart Doctor Visit Costs Vary Across Colorado
Colorado's Heart Doctor costs run approximately 7% above national averages, reflecting the state's higher physician overhead costs and concentration of specialists along the Front Range corridor. The competitive ambulatory surgery center market around Denver helps moderate some cardiac procedure costs compared to hospital-only markets.
Urban vs. Rural Provider Availability
Front Range counties from Fort Collins to Colorado Springs contain most of Colorado's 25 Heart Doctor providers, while western slope and eastern plains residents often travel 2-3 hours for specialist appointments. This geographic maldistribution creates access barriers and higher travel costs for rural patients requiring cardiac care.
Facility Type and Overhead Costs
Hospital-owned cardiology practices in Colorado often add facility fees ranging from $50-200 per visit, while independent physician offices typically charge single professional fees. Major health systems like Presbyterian St. Joseph, UCHealth, and SCL Health operate most Front Range cardiac programs with varying pricing structures.
Insurance Market Competition in Colorado
Denver and Boulder counties enjoy robust insurer competition between UHC, Anthem, and Kaiser, which helps moderate negotiated rates through competitive pressure. Rural Colorado counties often have only 1-2 carrier options on individual markets, reducing insurer incentive to aggressively negotiate specialist rates downward.
Physician Supply and Demand in Colorado
Colorado's 25 active Heart Doctor providers serve approximately 5.8 million residents, indicating potential access constraints especially outside metro Denver. This specialist shortage allows established practices to maintain higher fee schedules while creating 2-4 week wait times for non-urgent cardiac consultations across much of the state.
Cost by Procedure Type
Cardiologist Visit can be billed under different CPT codes depending on what's done during the procedure in Colorado.
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 Colorado
What is the average cost of a Heart Doctor visit in Colorado without insurance?
Does Colorado Medicaid cover Heart Doctor visits?
How do I find an affordable Heart Doctor near me in Colorado?
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 Colorado?
How does telemedicine affect the cost of seeing a Heart Doctor in Colorado?
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 |