Cost of a Heart Doctor Visit
in Idaho
Reviewed by Momentary Medical Group West PC
Idaho's rural geography concentrates cardiac care around Boise and Pocatello, with just 9 active Heart Doctor providers serving the entire Gem State's population of 1.9 million residents. Patients typically pay between $90 and $150 for specialist visits, with a median out-of-pocket cost of $90, reflecting rates that rank 18th nationally for affordability. Browse all Heart Doctor providers across Idaho to compare costs and find an in-network specialist in your area.
Average
$110
Median
$90
Lowest
$90
Highest
$150
Providers
9
16% below national average
Compare Similar Procedures
How does cardiologist visit compare to related procedures in Idaho?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $75 | $90 | $179 | 29 |
| Internal Medicine Visit Standard office visit with an internist | 99214 | $75 | $80 | $125 | 19 |
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 Idaho
Dr. Marcos Daccarett, MD
Cardiovascular Disease Physician · Boise, ID
Dr. Troy Badger, MD
Cardiovascular Disease Physician · Boise, ID
Dr. Jacob Delarosa, MD
Cardiovascular Disease Physician · Pocatello, ID
Dr. Kipp Webb, MD
Cardiovascular Disease Physician · Idaho Falls, ID
Dr. Graham Wetherley, MD
Cardiovascular Disease Physician · Nampa, ID
Why Heart Doctor Visit Costs Vary Across Idaho
Idaho's cardiac care costs run approximately 3% below national averages, reflecting the state's lower overall healthcare overhead and rural market dynamics. Limited specialist competition outside Boise creates pricing stability but reduces negotiating power for both insurers and patients seeking cardiac care across the Gem State.
Urban vs. Rural Provider Availability
Boise's Treasure Valley hosts the majority of Idaho's 9 Heart Doctor providers, creating competitive pricing and shorter wait times compared to rural regions. Eastern Idaho residents often travel to Pocatello or Salt Lake City for cardiac care, while northern counties may seek specialists in Spokane. This geographic disparity affects both access and cost, with rural patients facing additional travel expenses alongside specialist fees.
Facility Type and Overhead Costs
Saint Alphonsus Health System and St. Luke's Health System dominate Idaho's cardiac care landscape, with their hospital-based cardiology clinics typically charging facility fees alongside physician costs. Independent cardiology practices operate primarily in Boise and Coeur d'Alene, often offering lower total visit costs without facility fees. Rural critical access hospitals may contract with traveling cardiologists, creating premium pricing for specialist access in underserved areas.
Insurance Market Competition in Idaho
Regence BlueCross and PacificSource control significant market share across Idaho, with limited competition in rural counties reducing negotiating pressure on provider rates. The state's small population and geographic challenges create natural barriers to insurer entry, particularly affecting cardiac specialist networks. This concentrated market structure helps maintain stable pricing but limits consumer choice, especially in northern and eastern Idaho counties.
Physician Supply and Demand in Idaho
With only 9 active Heart Doctor providers serving 1.9 million residents, Idaho faces a significant cardiology shortage compared to national physician-to-population ratios. This supply constraint supports higher pricing power for existing specialists while creating longer wait times for non-urgent consultations. The shortage particularly affects rural areas, where limited provider availability can extend wait times to 6-8 weeks for routine cardiac evaluations.
Cost by Procedure Type
Cardiologist Visit can be billed under different CPT codes depending on what's done during the procedure in Idaho.
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 Idaho
What is the average cost of a Heart Doctor visit in Idaho without insurance?
Does Idaho Medicaid cover Heart Doctor visits?
How do I find an affordable Heart Doctor near me in Idaho?
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 Idaho?
How does telemedicine affect the cost of seeing a Heart Doctor in Idaho?
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 |