Cost of a Heart Doctor Visit
in Delaware
Reviewed by Momentary Medical Group West PC
Delaware operates with the nation's lowest Heart Doctor visit costs, ranking #1 out of 50 states for affordability despite serving as home to numerous Fortune 500 companies. Patients typically pay between $80 and $100, with a median out-of-pocket cost of $80, representing rates that are 12-54% below national averages across all visit types. With only 2 active Heart Doctor providers serving the First State, patients can browse all available specialists when seeking cardiac care.
Average
$87
Median
$80
Lowest
$80
Highest
$100
Providers
2
34% below national average
Compare Similar Procedures
How does cardiologist visit compare to related procedures in Delaware?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $58 | $93 | $123 | 4 |
| Internal Medicine Visit Standard office visit with an internist | 99214 | $80 | $144 | $200 | 8 |
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 Delaware
Dr. Henry Weiner, MD
Cardiovascular Disease Physician · Newark, DE
Dr. Pedro Perez, MD
Cardiovascular Disease Physician · Milford, DE
Dr. Anthony Clay, DO
Cardiovascular Disease Physician · Newark, DE
Dr. Sharon Weil-Chalker, MD
Cardiovascular Disease Physician · Wilmington, DE
Dr. Gaetano Pastore, MD
Cardiovascular Disease Physician · Newark, DE
Why Heart Doctor Visit Costs Vary Across Delaware
Delaware's healthcare costs run approximately 11% above national averages, though Heart Doctor visits buck this trend with rates significantly below national benchmarks. The state's position in the I-95 corridor between major metropolitan areas creates unique cost pressures while maintaining competitive pricing for specialty care.
Urban vs. Rural Provider Availability
Delaware's small size means most residents live within 30 minutes of Wilmington or Dover, minimizing the rural access challenges seen in larger states. The concentration of cardiac specialists in New Castle County serves patients statewide, though southern Delaware residents may face longer travel times for specialty care. This geographic distribution keeps costs relatively uniform across the state.
Facility Type and Overhead Costs
ChristianaCare and Bayhealth dominate Delaware's hospital landscape, with most Heart Doctor practices affiliated with these health systems. Hospital-owned cardiology practices typically carry higher overhead costs reflected in facility fees, while independent cardiac groups may offer more competitive pricing. The state's limited competition among health systems can influence pricing strategies for specialty services.
Insurance Market Competition in Delaware
Highmark, Aetna, and UHC represent the primary insurers serving Delaware's individual and employer markets, creating moderate competition that benefits consumers. The state's small size allows insurers to negotiate effectively with the limited provider network, resulting in competitive reimbursement rates for Heart Doctor services. Delaware's regulatory environment supports price transparency initiatives that help patients compare costs across providers.
Physician Supply and Demand in Delaware
With only 2 active Heart Doctor providers serving Delaware's population of nearly one million residents, the state faces potential access challenges that could influence pricing and wait times. This limited specialist supply means patients may need to schedule appointments well in advance or consider providers in neighboring Maryland or Pennsylvania. The physician shortage also gives existing providers leverage in insurance contract negotiations, though current rates remain highly competitive nationally.
Cost by Procedure Type
Cardiologist Visit can be billed under different CPT codes depending on what's done during the procedure in Delaware.
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 Delaware
What is the average cost of a Heart Doctor visit in Delaware without insurance?
Does Delaware Medicaid cover Heart Doctor visits?
How do I find an affordable Heart Doctor near me in Delaware?
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 Delaware?
How does telemedicine affect the cost of seeing a Heart Doctor in Delaware?
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 |