Cost of a Heart Doctor Visit
in Maryland
Reviewed by Momentary Medical Group West PC
Maryland's state-regulated hospital rate-setting system creates unique transparency in cardiac care pricing, with the state's 89 active Heart Doctor providers offering visits between $57 and $194, and patients typically paying a median out-of-pocket cost of $97. This pricing structure places Maryland 25th nationally for affordability, with costs running approximately 13% above the national average. Patients can browse all Heart Doctor providers across Maryland to find the most suitable and cost-effective cardiac care option.
Average
$116
Median
$97
Lowest
$57
Highest
$194
Providers
89
11% below national average
Compare Similar Procedures
How does cardiologist visit compare to related procedures in Maryland?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $49 | $94 | $194 | 238 |
| Internal Medicine Visit Standard office visit with an internist | 99214 | $49 | $86 | $202 | 430 |
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 Maryland
Dr. Shannon Winakur, MD
Cardiovascular Disease Physician · Baltimore, MD
Dr. Glenn Meininger, MD
Cardiovascular Disease Physician · Baltimore, MD
Dr. Harry Bigham, MD
Cardiovascular Disease Physician · Bethesda, MD
Dr. Edward Healy, MD
Cardiovascular Disease Physician · Bethesda, MD
Dr. Paresh Shah, MD
Cardiovascular Disease Physician · Baltimore, MD
Why Heart Doctor Visit Costs Vary Across Maryland
Maryland's cardiac care costs run approximately 13% above national averages, reflecting the state's proximity to high-cost Washington DC metro area and concentration of academic medical centers. The state's unique hospital rate-setting system provides transparency in facility charges while physician fees remain subject to competitive market forces.
Urban vs. Rural Provider Availability
Maryland's 89 Heart Doctor providers cluster heavily around Baltimore, suburban Washington DC, and Annapolis, leaving rural Eastern Shore and Western Maryland counties with limited local access. Patients in rural areas often travel to Baltimore or suburban Washington for specialized cardiac care, with some choosing Virginia or Pennsylvania providers for geographic convenience. This urban-rural divide creates cost disparities, as metropolitan providers can command higher rates due to local demand and higher operating costs.
Facility Type and Overhead Costs
Hospital-owned cardiac practices affiliated with Johns Hopkins, University of Maryland, or MedStar Health systems often carry higher overhead costs reflected in their pricing structures. Independent cardiology groups typically offer more competitive rates since they operate with lower administrative overhead and facility costs. The state's concentration of academic medical centers means many Heart Doctor visits occur in teaching hospital settings, which may include additional charges for advanced diagnostic capabilities.
Insurance Market Competition in Maryland
CareFirst BlueCross BlueShield maintains the largest market share among Maryland insurers, followed by UnitedHealthcare and Aetna, creating moderate competition that affects negotiated rates with Heart Doctor providers. The state's high concentration of federal employees and military personnel means many residents carry Federal Employee Health Benefits plans, which often secure favorable provider rates. Limited insurer competition in some rural Maryland counties can result in higher premium costs and fewer in-network Heart Doctor options for residents.
Physician Supply and Demand in Maryland
With 89 active Heart Doctor providers serving Maryland's 6.2 million residents, the state maintains adequate cardiac specialist supply in metropolitan areas while rural regions face access challenges. The concentration of providers around major medical centers creates competitive pricing in urban markets but may limit options for patients seeking alternatives. Strong demand from an aging population and high rates of cardiovascular risk factors helps support current provider capacity, though wait times can extend several weeks for non-urgent consultations.
Cost by Procedure Type
Cardiologist Visit can be billed under different CPT codes depending on what's done during the procedure in Maryland.
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 Maryland
What is the average cost of a Heart Doctor visit in Maryland without insurance?
Does Maryland Medicaid cover Heart Doctor visits?
How do I find an affordable Heart Doctor near me in Maryland?
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 Maryland?
How does telemedicine affect the cost of seeing a Heart Doctor in Maryland?
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 |