Cost of a Heart Doctor Visit
in Maine
Reviewed by Momentary Medical Group West PC
Maine's aging population faces heart disease as the state's second leading cause of death, yet only 42 active Heart Doctor providers serve the entire Pine Tree State's 1.4 million residents. Patients typically pay between $114 and $255 for cardiac specialist visits, with a median out-of-pocket cost of $255 placing Maine among the most expensive states for heart care. Browse all Heart Doctor providers across Maine to compare costs and find the right specialist for your cardiac health needs.
Average
$208
Median
$255
Lowest
$114
Highest
$255
Providers
42
59% above national average
Compare Similar Procedures
How does cardiologist visit compare to related procedures in Maine?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $80 | $204 | $255 | 145 |
| Internal Medicine Visit Standard office visit with an internist | 99214 | $85 | $250 | $255 | 133 |
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 Maine
Dr. George Welch, MD
Cardiovascular Disease Physician · Portland, ME
Dr. Paul Burns, MD
Cardiovascular Disease Physician · Brunswick, ME
Dr. Mylan Cohen, MD
Cardiovascular Disease Physician · Scarborough, ME
Dr. Jennifer Hillstrom, MD
Cardiovascular Disease Physician · Scarborough, ME
Dr. Christopher Gelwix, MD
Cardiovascular Disease Physician · Scarborough, ME
Why Heart Doctor Visit Costs Vary Across Maine
Maine's Heart Doctor visit costs run approximately 12% above the national average, driven by the state's rural geography and limited specialist competition. The Pine Tree State's scattered population creates unique access challenges, with most cardiac specialists concentrated around Portland, Lewiston, and Bangor while leaving vast rural areas underserved.
Urban vs. Rural Provider Availability
Greater Portland hosts the majority of Maine's 42 Heart Doctor providers, while northern and eastern counties often require patients to travel 2-3 hours for specialist care. This geographic concentration allows urban providers to command higher rates while rural residents face additional travel costs and time away from work.
Facility Type and Overhead Costs
Hospital-owned cardiology clinics affiliated with Maine Health, Northern Light Health, and Central Maine Healthcare typically charge more than independent practices due to higher facility fees. These health system-owned practices dominate the market in Portland, Bangor, and other population centers, limiting price competition.
Insurance Market Competition in Maine
Anthem Blue Cross Blue Shield maintains the largest market share in Maine, followed by Harvard Pilgrim and UnitedHealthcare, creating moderate insurer competition. This relatively concentrated insurance market can limit negotiating leverage against providers, contributing to Maine's higher-than-average Heart Doctor visit costs compared to states with more robust insurer competition.
Physician Supply and Demand in Maine
With only 42 active Heart Doctor providers serving Maine's 1.4 million residents, the state faces a significant cardiac specialist shortage relative to its aging population. This supply-demand imbalance allows existing providers to maintain premium pricing while creating wait times of 3-6 weeks for non-urgent cardiac consultations.
Cost by Procedure Type
Cardiologist Visit can be billed under different CPT codes depending on what's done during the procedure in Maine.
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 Maine
What is the average cost of a Heart Doctor visit in Maine without insurance?
Does Maine Medicaid cover Heart Doctor visits?
How do I find an affordable Heart Doctor near me in Maine?
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 Maine?
How does telemedicine affect the cost of seeing a Heart Doctor in Maine?
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 |