Cost of a Heart Doctor Visit
in Illinois
Reviewed by Momentary Medical Group West PC
Illinois ranks 42nd nationally for Heart Doctor visit affordability, with the state's 263 active providers concentrated heavily in the Chicago metropolitan area while leaving rural counties with limited cardiac care access. Patients typically pay between $70 and $226 for specialist visits, with a median out-of-pocket cost of $155 that reflects the state's position roughly 10% above national pricing averages. Browse all Heart Doctor providers across Illinois to compare costs and find the most affordable option near you.
Average
$150
Median
$155
Lowest
$70
Highest
$226
Providers
263
15% above national average
Compare Similar Procedures
How does cardiologist visit compare to related procedures in Illinois?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $77 | $141 | $226 | 1,158 |
| Internal Medicine Visit Standard office visit with an internist | 99214 | $73 | $155 | $226 | 2,018 |
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 Illinois
Masood Qazi, MD,FACC
Cardiovascular Disease Physician · Oak Lawn, IL
Dr. Mohamad Atassi, MD
Cardiovascular Disease Physician · Chicago, IL
Dr. Meechai Tessalee, MD
Cardiovascular Disease Physician · Hinsdale, IL
Dr. Samarendra Chandel, MD
Cardiovascular Disease Physician · Gurnee, IL
Dr. Syed Ahmed, MD
Cardiovascular Disease Physician · Morris, IL
Why Heart Doctor Visit Costs Vary Across Illinois
Illinois cardiac care costs run approximately 10% above national averages, driven by the state's heavy concentration of high-cost academic medical centers in Chicago and limited provider competition in rural counties. The Prairie State's healthcare landscape creates significant cost disparities between the metropolitan corridor and agricultural regions downstate.
Urban vs. Rural Provider Availability
Chicago's metropolitan area houses the majority of Illinois's 263 Heart Doctor providers, creating intense competition that moderates pricing in Cook and surrounding counties. Rural areas south of Interstate 80 often require patients to travel hours for cardiac care, with limited options driving up costs in smaller communities. The Illinois Department of Public Health designates many downstate counties as medically underserved, affecting both access and pricing.
Facility Type and Overhead Costs
Major academic health systems like Northwestern Medicine, University of Chicago Medicine, and Loyola University Medical Center command premium rates due to their research missions and specialized capabilities. Independent cardiology practices typically offer more competitive pricing but may have limited access to advanced imaging and surgical backup. Hospital-owned outpatient clinics often add facility fees that can double the total visit cost compared to physician office settings.
Insurance Market Competition in Illinois
Blue Cross Blue Shield of Illinois maintains the largest market share statewide, followed by UnitedHealthcare and Aetna, with limited competition in many counties outside Chicago. This concentrated market gives major insurers significant negotiating power with providers, generally keeping rates lower than states with fragmented insurance markets. The state's Medicaid managed care contracts also influence pricing for providers who serve dual-eligible populations.
Physician Supply and Demand in Illinois
With 263 active Heart Doctor providers serving 12.6 million residents, Illinois maintains adequate specialist availability in urban areas but faces shortages in rural regions. The concentration of cardiac subspecialists in Chicago creates pricing premiums for advanced services while basic cardiology remains competitively priced. Physician recruitment challenges in downstate markets contribute to longer wait times and higher costs outside metropolitan areas.
Cost by Procedure Type
Cardiologist Visit can be billed under different CPT codes depending on what's done during the procedure in Illinois.
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 Illinois
What is the average cost of a Heart Doctor visit in Illinois without insurance?
Does Illinois Medicaid cover Heart Doctor visits?
How do I find an affordable Heart Doctor near me in Illinois?
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 Illinois?
How does telemedicine affect the cost of seeing a Heart Doctor in Illinois?
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 |