A cost-analysis of an existing gym-based program was compared with a proposed home-based program for delivering cardiac rehabilitation services in West Moreton, Queensland. Cost and baseline data were collected on 95 cardiac rehabilitation patients living in Ipswich and West Moreton. Cost data included costs to the program funders and patients. The average cost per patient rehabilitated was $1,933 in the gym-based program and $1,169 in the home-based program. Adopting the lower cost home-based program would allow the services to be provided to many more patients. The relevance of home-based rehabilitation programs for rural patients facing barriers accessing traditional hospital- or gym-based programs is significant.