Cost of a Heart Doctor Visit
in Missouri
Reviewed by Momentary Medical Group West PC
Missouri's healthcare system operates approximately 5% below national averages for cardiac care, yet the state's decision to forgo Medicaid expansion creates unique affordability challenges for Heart Doctor access across rural counties. Patients typically pay between $72 and $198 for a Heart Doctor visit, with a median out-of-pocket cost of $110 among the state's 113 active providers. Browse all Heart Doctor providers across Missouri to compare costs and find care that fits your budget.
Average
$127
Median
$110
Lowest
$72
Highest
$198
Providers
113
3% below national average
Compare Similar Procedures
How does cardiologist visit compare to related procedures in Missouri?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $67 | $125 | $148 | 443 |
| Internal Medicine Visit Standard office visit with an internist | 99214 | $72 | $126 | $146 | 558 |
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 Missouri
Dr. Leonard Fagan, MD
Cardiovascular Disease Physician · Saint Louis, MO
Dr. Demetrios Maragos, MD
Cardiovascular Disease Physician · Liberty, MO
Dr. Sarat Pachalla, MD
Cardiovascular Disease Physician · Independence, MO
Dr. Muhammad Al Sharif, DO
Cardiovascular Disease Physician · Springfield, MO
Dr. John Brunts, MD
Cardiovascular Disease Physician · Saint Louis, MO
Why Heart Doctor Visit Costs Vary Across Missouri
Missouri's healthcare costs operate approximately 5% below national averages, reflecting the state's moderate cost of living and competitive insurance market dynamics across urban centers like St. Louis and Kansas City. The state's geographic position in the Midwest creates unique cost pressures from neighboring states, with patients sometimes traveling to Kansas City or Memphis for specialized cardiac care.
Urban vs. Rural Provider Availability
Heart Doctor access concentrates heavily in the Kansas City and St. Louis metropolitan areas, which contain nearly 70% of the state's 113 cardiac specialists despite serving roughly half the population. Rural Missouri counties often lack any cardiology providers, forcing patients to travel 50-100 miles for care and sometimes resulting in higher costs due to limited competition. Telemedicine initiatives have begun addressing this disparity, though hands-on cardiac procedures still require travel to urban centers.
Facility Type and Overhead Costs
Hospital-owned cardiology practices dominate Missouri's major markets, with BJC HealthCare, Mercy Health, and Saint Luke's Health System operating most specialty clinics in their respective regions. These health system affiliations often result in higher facility fees compared to independent cardiology practices, which maintain smaller overhead costs but may have limited diagnostic capabilities. Academic medical centers like Washington University and University of Missouri also influence pricing through their teaching hospital affiliations.
Insurance Market Competition in Missouri
Anthem Blue Cross Blue Shield maintains the largest market share in Missouri, followed by UnitedHealthcare and Cigna, creating moderate competition that helps keep Heart Doctor visit costs below national averages. The state's insurance commissioners have worked to maintain competitive marketplace options, though rural areas sometimes have limited insurer choices affecting negotiated rates with providers. Missouri's lack of Medicaid expansion reduces insurer bargaining power for the low-income segment, potentially affecting overall rate negotiations.
Physician Supply and Demand in Missouri
With 113 active Heart Doctor providers serving Missouri's 6.2 million residents, the state maintains adequate cardiac specialty coverage in urban areas but faces shortages in rural counties. This uneven distribution creates longer wait times and higher costs in underserved regions, while urban areas benefit from competitive pricing due to provider density. Missouri medical schools and residency programs help maintain physician supply, though many graduates migrate to higher-paying markets in neighboring states.
Cost by Procedure Type
Cardiologist Visit can be billed under different CPT codes depending on what's done during the procedure in Missouri.
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 Missouri
What is the average cost of a Heart Doctor visit in Missouri without insurance?
Does Missouri Medicaid cover Heart Doctor visits?
How do I find an affordable Heart Doctor near me in Missouri?
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 Missouri?
How does telemedicine affect the cost of seeing a Heart Doctor in Missouri?
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 |