Cost of a Heart Doctor Visit
in Connecticut
Reviewed by Momentary Medical Group West PC
Connecticut's position as home to major insurance headquarters, including Aetna and Cigna, creates a unique healthcare cost environment where Heart Doctor visits typically range between $93 and $207, with a median out-of-pocket cost of $93. The state maintains 25 active Heart Doctor providers serving communities from Greenwich's affluent suburbs to Hartford's urban core. Patients can browse all providers across Connecticut to find in-network options that fit their specific insurance plans and geographic preferences.
Average
$131
Median
$93
Lowest
$93
Highest
$207
Providers
25
0% below national average
Compare Similar Procedures
How does cardiologist visit compare to related procedures in Connecticut?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $80 | $93 | $200 | 58 |
| Internal Medicine Visit Standard office visit with an internist | 99214 | $80 | $93 | $202 | 158 |
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 Connecticut
Dr. Kenneth Merkatz, MD
Cardiovascular Disease Physician · Wethersfield, CT
Dr. William Farrell, MD
Cardiovascular Disease Physician · Wallingford, CT
Dr. Robert Golub, MD
Cardiovascular Disease Physician · Wallingford, CT
Dr. Charles Landau, MD
Cardiovascular Disease Physician · Trumbull, CT
Dr. Victor Mejia, MD
Cardiovascular Disease Physician · Trumbull, CT
Why Heart Doctor Visit Costs Vary Across Connecticut
Connecticut's healthcare costs run approximately 14% above national averages, driven by the state's high cost of living and concentration of major insurance companies. The small geographic size creates unusual market dynamics where patients can easily travel between urban Hartford and rural areas for care.
Urban vs. Rural Provider Availability
Most of Connecticut's 25 Heart Doctor providers cluster around Hartford, New Haven, and Fairfield County, creating longer travel times for patients in rural northeastern and northwestern regions. This concentration allows urban patients to shop for competitive rates while rural residents may have limited options, potentially affecting negotiated insurance rates.
Facility Type and Overhead Costs
Major health systems like Yale New Haven Health and Hartford HealthCare dominate Connecticut's cardiac care landscape, with hospital-owned practices typically charging higher facility fees. Independent cardiology practices, more common in suburban areas, often offer lower total costs by avoiding hospital overhead charges.
Insurance Market Competition in Connecticut
Despite being home to major insurers like Cigna and Aetna, Connecticut maintains moderate market concentration with Anthem, Cigna, and UHC competing for market share. This competition helps keep negotiated rates reasonable, though the state's small size limits the number of participating providers in any single network.
Physician Supply and Demand in Connecticut
With 25 active Heart Doctor providers serving approximately 3.6 million residents, Connecticut maintains adequate specialist availability compared to national averages. This balanced supply-demand ratio helps moderate pricing pressures, though patients in rural areas may face longer wait times for appointments with preferred providers.
Cost by Procedure Type
Cardiologist Visit can be billed under different CPT codes depending on what's done during the procedure in Connecticut.
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 Connecticut
What is the average cost of a Heart Doctor visit in Connecticut without insurance?
Does Connecticut Medicaid cover Heart Doctor visits?
How do I find an affordable Heart Doctor near me in Connecticut?
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 Connecticut?
How does telemedicine affect the cost of seeing a Heart Doctor in Connecticut?
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 |