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Georgia

Cost of a Heart Doctor Visit
in Georgia

Reviewed by Momentary Medical Group West PC

Georgia's heart disease mortality rate exceeds the national average, yet the state's 59 active Heart Doctor providers offer cardiac care at costs ranging between $75 and $216, with patients typically paying a median out-of-pocket cost of $134. Despite ranking 38th nationally for Heart Doctor visit pricing, Georgia patients benefit from competitive rates that average just 1% below national benchmarks. Browse all Heart Doctor providers in Georgia to find affordable cardiac care options in your area.

Average

$142

Median

$134

Lowest

$75

Highest

$216

Providers

59

National avg: $131Georgia: $142

8% above national average

Compare Similar Procedures

How does cardiologist visit compare to related procedures in Georgia?

ProcedureCPTLowMedianHighProviders
Family Medicine Visit

Standard office visit with a family medicine physician

99214$72$106$188294
Internal Medicine Visit

Standard office visit with an internist

99214$74$105$202293

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 Georgia

Why Heart Doctor Visit Costs Vary Across Georgia

Georgia's healthcare costs run approximately 1% below national averages, reflecting the state's moderate cost of living and competitive provider markets, particularly in the Atlanta metropolitan area. The state's mix of urban medical centers and rural counties creates distinct pricing tiers for cardiac specialty care.

Urban vs. Rural Provider Availability

Atlanta's metro area concentrates the majority of Georgia's Heart Doctor providers, creating competitive pricing and shorter wait times for patients in the region. Rural counties, particularly in south Georgia, often require patients to travel significant distances for cardiac specialty care, with transportation costs adding to the overall expense. This geographic disparity means rural patients may face both higher travel costs and longer delays in accessing specialized cardiac services.

Facility Type and Overhead Costs

Hospital-owned cardiology practices in Georgia often charge facility fees that can add $100-200 to visit costs compared to independent physician offices. Major health systems like Emory Healthcare and Piedmont Healthcare dominate the Atlanta market, while smaller independent practices may offer more competitive self-pay rates. Academic medical centers like Augusta University Medical Center typically charge premium rates but offer access to cutting-edge cardiac treatments and research protocols.

Insurance Market Competition in Georgia

Georgia's insurance marketplace includes major carriers like Anthem, UnitedHealthcare, and Cigna, creating moderate competition that helps control negotiated rates for Heart Doctor visits. The state's decision not to expand Medicaid has left many adults in a coverage gap, increasing the uninsured population and affecting provider pricing strategies. Limited insurer competition in rural markets can result in higher negotiated rates compared to metro Atlanta's more competitive environment.

Physician Supply and Demand in Georgia

With 59 active Heart Doctor providers serving Georgia's 10.7 million residents, the state maintains adequate but not abundant cardiac specialist availability, contributing to moderate pricing pressure. Metro Atlanta attracts the majority of specialists, while rural areas face physician shortages that can drive up costs and extend wait times. This supply distribution means patients in underserved areas may pay premium rates for cardiac care or face long delays for routine appointments.

Cost by Procedure Type

Cardiologist Visit can be billed under different CPT codes depending on what's done during the procedure in Georgia.

CPT 9921358 providers

Follow-up, low complexity

$93
Range: $52$148
CPT 9921459 providers

Follow-up, moderate complexity

$134
Range: $75$216
CPT 9921549 providers

Follow-up, high complexity

$210
Range: $91$304
CPT 9920355 providers

New patient, low complexity

$137
Range: $75$206
CPT 9920459 providers

New patient, moderate complexity

$229
Range: $90$311
CPT 9920549 providers

New patient, high complexity

$312
Range: $121$411

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 Georgia

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

Uninsured patients in Georgia typically pay between $75 and $216 for Heart Doctor visits, with a median cost of $134 for established patient visits. New patient consultations tend to cost more, ranging from $137 to $311 depending on visit complexity. Many providers offer cash-pay discounts that can reduce these costs by 20-40% for patients paying at the time of service.

Does Georgia Medicaid cover Heart Doctor visits?

Georgia Medicaid covers Heart Doctor visits for eligible members, though the state has not expanded Medicaid, limiting coverage to specific populations like children, pregnant women, and disabled individuals. Covered patients typically pay minimal or no cost-sharing for specialist visits. Adults who don't qualify for traditional Medicaid categories often fall into a coverage gap with limited affordable options.

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

Start by comparing costs across different facility types, as independent practices often charge less than hospital-owned clinics for the same services. Ask about self-pay discounts if you're uninsured, and consider community health centers that offer sliding-scale fees based on income. Check with your insurance company about in-network options to minimize out-of-pocket costs.

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

New patient Heart Doctor visits in Georgia cost significantly more than follow-up appointments, with initial consultations ranging from $137 to $311 compared to established patient visits of $93 to $210. The complexity of your visit also affects pricing, with comprehensive new patient evaluations costing up to $410 for complex cases. Follow-up visits for ongoing cardiac conditions typically fall in the lower cost range.

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

Yes, Heart Doctor visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This includes diagnostic consultations, follow-up visits, and any cardiac tests ordered during your appointment. Using pre-tax dollars can effectively reduce your out-of-pocket costs by your tax bracket percentage.

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

Telehealth consultations with Heart Doctors typically cost 20-30% less than in-person visits, though not all cardiac evaluations can be completed remotely. Georgia expanded telehealth coverage during the pandemic, and many insurance plans now cover virtual Heart Doctor visits at the same rate as office visits. However, initial cardiac evaluations usually require physical examination and may not be suitable for telehealth.

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