Cost of a Heart Doctor Visit
in Massachusetts
Reviewed by Momentary Medical Group West PC
Massachusetts maintains one of the nation's most sophisticated healthcare systems, yet Heart Doctor visits cost approximately 20% above national averages across the Commonwealth's 24 active providers. Patients typically pay between $80 and $271 for cardiac specialist consultations, with a median out-of-pocket cost of $120 depending on visit complexity and insurance coverage. Browse all Heart Doctor providers in Massachusetts to compare costs and find the right specialist for your cardiac care needs.
Average
$157
Median
$120
Lowest
$80
Highest
$271
Providers
24
20% above national average
Compare Similar Procedures
How does cardiologist visit compare to related procedures in Massachusetts?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $80 | $80 | $271 | 53 |
| Internal Medicine Visit Standard office visit with an internist | 99214 | $80 | $85 | $255 | 184 |
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 Massachusetts
Dr. Patrick Blomberg, MD
Cardiovascular Disease Physician · Framingham, MA
Dr. Chester Hedgepeth, MD
Cardiovascular Disease Physician · Brockton, MA
Dr. James Kirshenbaum, MD
Cardiovascular Disease Physician · Boston, MA
Dr. David Young, MD
Cardiovascular Disease Physician · Framingham, MA
Dr. Kenneth Adams, MD
Cardiovascular Disease Physician · Haverhill, MA
Why Heart Doctor Visit Costs Vary Across Massachusetts
Massachusetts operates approximately 20% above national averages for Heart Doctor visits due to high healthcare labor costs and concentration of prestigious academic medical centers. The state's sophisticated healthcare infrastructure drives premium pricing, particularly around Boston's world-renowned cardiac programs that attract complex cases and command higher reimbursement rates.
Urban vs. Rural Provider Availability
Boston's concentration of 15+ Heart Doctor providers contrasts sharply with western Massachusetts counties where patients may travel 60+ miles for cardiac specialty care. This geographic disparity creates cost variations, with rural patients often facing higher total expenses due to travel costs and limited provider competition in outlying regions.
Facility Type and Overhead Costs
Hospital-owned cardiac clinics affiliated with Mass General Brigham, Beth Israel Lahey Health, or UMass Memorial typically charge facility fees that increase total visit costs by $50-150 compared to independent cardiology practices. Academic medical centers command premium rates due to teaching hospital status and cutting-edge cardiac technology investments.
Insurance Market Competition in Massachusetts
Blue Cross Blue Shield of Massachusetts, Tufts Health Plan, and Harvard Pilgrim create a competitive yet concentrated insurance market that influences negotiated rates with Heart Doctor providers. The state's insurance regulation and rate review processes help moderate cost growth, though provider consolidation among major health systems continues to drive pricing power toward hospitals.
Physician Supply and Demand in Massachusetts
With 24 active Heart Doctor providers serving approximately 7 million residents, Massachusetts maintains adequate cardiac specialty access compared to national ratios. However, demand for cardiac care continues growing with the state's aging population, potentially creating appointment delays and supporting current premium pricing structures across the Commonwealth.
Cost by Procedure Type
Cardiologist Visit can be billed under different CPT codes depending on what's done during the procedure in Massachusetts.
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 Massachusetts
What is the average cost of a Heart Doctor visit in Massachusetts without insurance?
Does Massachusetts Medicaid cover Heart Doctor visits?
How do I find an affordable Heart Doctor near me in Massachusetts?
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 Massachusetts?
How does telemedicine affect the cost of seeing a Heart Doctor in Massachusetts?
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 |