Cost of a Heart Doctor Visit
in Michigan
Reviewed by Momentary Medical Group West PC
Michigan's healthcare market operates approximately 3% below national averages for cardiac care, reflecting the state's moderate provider competition across urban centers like Detroit and Grand Rapids versus rural Upper Peninsula counties. Patients typically pay between $66 and $204 for Heart Doctor visits, with a median out-of-pocket cost of $88 across the state's 57 active providers. Browse all Heart Doctor providers in Michigan to find the most affordable option for your specific insurance plan and location.
Average
$119
Median
$88
Lowest
$66
Highest
$204
Providers
57
9% below national average
Compare Similar Procedures
How does cardiologist visit compare to related procedures in Michigan?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $66 | $88 | $249 | 225 |
| Internal Medicine Visit Standard office visit with an internist | 99214 | $66 | $88 | $236 | 308 |
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 Michigan
Dr. Sarine John-Rosman, MD
Cardiovascular Disease Physician · Roseville, MI
Dr. Hiroshi Yamasaki, MD
Cardiovascular Disease Physician · Roseville, MI
Dr. Jeffrey Zaks, MD
Cardiovascular Disease Physician · Southfield, MI
Dr. Roger Shammas, MD
Cardiovascular Disease Physician · Grand Rapids, MI
Dr. Michael James, DO
Cardiovascular Disease Physician · Lansing, MI
Why Heart Doctor Visit Costs Vary Across Michigan
Michigan's healthcare costs run approximately 3% below national averages for cardiac care, reflecting moderate provider competition and geographic cost variations between the Detroit metropolitan area and rural counties. The state's mix of urban medical centers and rural access challenges creates distinct pricing patterns across different regions.
Urban vs. Rural Provider Availability
Detroit, Grand Rapids, and Ann Arbor concentrate most of Michigan's cardiac specialists, while the Upper Peninsula and northern counties face significant access gaps requiring patient travel. Rural areas often rely on visiting cardiologists or telemedicine consultations, which can reduce costs but limit treatment options for complex cardiac conditions.
Facility Type and Overhead Costs
Major health systems like University of Michigan Health, Spectrum Health, and Henry Ford Health operate numerous hospital-based cardiac clinics with higher facility fees than independent practices. These academic medical centers offer specialized cardiac services but typically charge premium rates compared to community-based Heart Doctor practices.
Insurance Market Competition in Michigan
Blue Cross Blue Shield Michigan dominates the state's insurance market alongside UnitedHealthcare and Aetna, creating moderate competition that helps control negotiated rates. The competitive marketplace keeps Heart Doctor visit costs reasonable compared to states with more concentrated insurer markets or monopolistic conditions.
Physician Supply and Demand in Michigan
With 57 active Heart Doctor providers serving Michigan's 10 million residents, the state maintains adequate cardiac specialist availability in metropolitan areas but faces shortages in rural regions. This supply-demand balance keeps urban pricing competitive while sometimes requiring rural patients to travel for specialty cardiac care.
Cost by Procedure Type
Cardiologist Visit can be billed under different CPT codes depending on what's done during the procedure in Michigan.
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 Michigan
What is the average cost of a Heart Doctor visit in Michigan without insurance?
Does Michigan Medicaid cover Heart Doctor visits?
How do I find an affordable Heart Doctor near me in Michigan?
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 Michigan?
How does telemedicine affect the cost of seeing a Heart Doctor in Michigan?
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 |