Cost of a Heart Doctor Visit
in District of Columbia
Reviewed by Momentary Medical Group West PC
District of Columbia's concentrated healthcare market features just 10 active Heart Doctor providers serving the nation's capital, where federal employees and residents face cardiac care costs that rank 29th nationally. Patients typically pay between $71 and $194 for specialist visits, with a median out-of-pocket cost of $101 reflecting the area's elevated healthcare expenses. Browse all Heart Doctor providers in District of Columbia to compare costs and find the right specialist for your cardiac care needs.
Average
$122
Median
$101
Lowest
$71
Highest
$194
Providers
10
7% below national average
Compare Similar Procedures
How does cardiologist visit compare to related procedures in District of Columbia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $53 | $85 | $199 | 9 |
| Internal Medicine Visit Standard office visit with an internist | 99214 | $59 | $142 | $242 | 36 |
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 District of Columbia
Dr. Nelson Bernardo, MD
Cardiovascular Disease Physician · Washington, DC
Dr. Roquell Wyche, MD
Cardiovascular Disease Physician · Washington, DC
Dr. Shawn Howell, MD
Cardiovascular Disease Physician · Washington, DC
Dr. Andrew Bradley, MD
Cardiovascular Disease Physician · Washington, DC
Dr. Maryam Mohammadi, MD
Cardiovascular Disease Physician · Washington, DC
Why Heart Doctor Visit Costs Vary Across District of Columbia
District of Columbia's healthcare costs run approximately 20% above national averages, reflecting the area's high cost of living and concentration of federal employees with generous health benefits. The compact geography creates a unique market where all providers serve essentially the same urban population without rural access disparities.
Urban vs. Rural Provider Availability
District of Columbia operates as a single urban market without rural areas, concentrating all 10 Heart Doctor providers within the metropolitan core. This geographic concentration eliminates travel barriers but may reduce price competition compared to markets with more dispersed provider networks. Patients can easily access multiple specialists within a small radius, facilitating cost and quality comparisons.
Facility Type and Overhead Costs
Hospital-based cardiology practices affiliated with MedStar, George Washington University Hospital, and other major health systems typically carry higher overhead costs reflected in patient charges. Independent cardiology groups may offer more competitive pricing due to lower facility expenses. The prevalence of academic medical centers in District of Columbia influences the mix of teaching hospitals versus community practices.
Insurance Market Competition in District of Columbia
CareFirst BCBS, UHC, and Aetna dominate the District of Columbia market, creating moderate insurer competition that helps control negotiated rates with Heart Doctor providers. Federal employee health plans represent a significant portion of the insured population, influencing provider participation and pricing strategies. The concentrated market allows insurers to negotiate competitive rates despite the area's generally high healthcare costs.
Physician Supply and Demand in District of Columbia
With 10 active Heart Doctor providers serving approximately 700,000 residents, District of Columbia maintains adequate specialist availability relative to national standards. The concentration of medical facilities and proximity to major metropolitan areas in Maryland and Virginia supplements local capacity. Strong provider supply helps moderate pricing pressure while maintaining reasonable appointment availability for non-urgent cardiac care.
Cost by Procedure Type
Cardiologist Visit can be billed under different CPT codes depending on what's done during the procedure in District of Columbia.
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 District of Columbia
What is the average cost of a Heart Doctor visit in District of Columbia without insurance?
Does District of Columbia Medicaid cover Heart Doctor visits?
How do I find an affordable Heart Doctor near me in District of Columbia?
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 District of Columbia?
How does telemedicine affect the cost of seeing a Heart Doctor in District of Columbia?
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 |