HospitalPricer

99242

HCPCS

Office consultation

Verified from hospital fileNot a bill estimate
iDirect answer

Based on the latest published hospital price files, code 99242 (Office consultation) appears at 7 hospitals with disclosed cash prices from $111 to $253. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

6
hospitals publish a price
1
list this service without a published price
4
Cash
4
List
8
Negotiated
0
Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 99242 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Published cash prices for code 99242 vary by about 2.3× across the 4 hospitals with disclosed prices here — from $111 to $253. Shopping around can matter.

4
Hospitals
16
Prices shown
$111
Lowest cash
$253
Highest cash
code 99242 cash price4 disclosed · 4 hospitals
$111median ~$198$253

Cash price by city

Reflects your current filters.

Cash price by city$111$253
  • Polson · 1 hospital$111
  • Cadillac · 1 hospital$167
  • Anchorage · 1 hospital$229
  • Marinette · 1 hospital$253

16 prices shown.

ServiceHospitalCodeList priceCash priceNegotiated rangeAllowed (median)
Office consultation
Outpatient
Endeavor Health Edward Hospital99242
HCPCS
$123 – $123
Hc Cosmetic Consult Resident Cash-Csm
Inpatient & outpatient
University of Chicago Medical Center99242
HCPCS
Pr Office/Op Consltj New/Est Pt Sf Mdm 20 Minutes
Inpatient & outpatient
University of Chicago Medical Center99242
HCPCS
Pr Office Consultation Established Patient 20 Min
Inpatient & outpatient
University of Chicago Medical Center99242
HCPCS
Pr Office Consultation Established Patient 20 Min-Pbb
Inpatient & outpatient
University of Chicago Medical Center99242
HCPCS
Pr Office Consultation New Patient 20 Min
Inpatient & outpatient
University of Chicago Medical Center99242
HCPCS
Pr Office/Op Consltj New/Est Pt Sf Mdm 20 Minutes-Pbb
Inpatient & outpatient
University of Chicago Medical Center99242
HCPCS
CONSULT BY MD LEVEL 2
Inpatient
Aurora Medical Center Bay Area99242
CPT
$505$253$303 – $427
Office Consult Level 2 99242
Inpatient
Munson Healthcare Cadillac99242
CPT
$197$167$118 – $852
HC PR 99242 OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES CDM
Inpatient & outpatient
Providence Alaska Medical Center99242
HCPCS
$294$229
HC PR 99242 OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES RHC
Outpatient
Providence St Joseph Medical Center99242
HCPCS
$139$111
02-Telehealth Provided Other than in Patient s Home-OFFICE CONSULTATION FOR A NEW OR ESTABLI
Inpatient & outpatient
Jefferson Abington Hospital99242
CPT
$43.90 – $245
02-Telehealth Provided Other than in Patient s Home-OFFICE CONSULTATION FOR A NEW OR ESTABLI
Inpatient & outpatient
Jefferson Abington Hospital99242
CPT
$43.90 – $245
02-Telehealth Provided Other than in Patient s Home-OFFICE CONSULTATION FOR A NEW OR ESTABLI
Inpatient & outpatient
Jefferson Abington Hospital99242
CPT
$43.90 – $245
10-Telehealth Provided in Patient s Home-OFFICE CONSULTATION FOR A NEW OR ESTABLI
Inpatient & outpatient
Jefferson Abington Hospital99242
CPT
$43.90 – $245
10-Telehealth Provided in Patient s Home-OFFICE CONSULTATION FOR A NEW OR ESTABLI
Inpatient & outpatient
Jefferson Abington Hospital99242
CPT
$43.90 – $245

How to read these prices

Cash price
The discounted self-pay price for paying directly, without insurance.
List price
The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate
A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount
A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 99242 prices

Open a hospital to see this code in the context of its full published prices.

Code 99242: frequently asked

What does code 99242 cost?
Across the published hospital price files, the disclosed cash price for 99242 ranges from $111 to $253. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?
Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 99242?
99242 is the billing code hospitals use to identify "Office consultation" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?
Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not
It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

Related

Hospitals publishing code 99242 by state