HospitalPricer

99243

HCPCS

Office consultation

Verified from hospital fileNot a bill estimate
iDirect answer

Based on the latest published hospital price files, code 99243 (Office consultation) appears at 7 hospitals with disclosed cash prices from $168 to $323. 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
7
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 99243 prices

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

Published cash prices for code 99243 vary by about 92% across the 4 hospitals with disclosed prices here — from $168 to $323. Shopping around can matter.

4
Hospitals
16
Prices shown
$168
Lowest cash
$323
Highest cash
code 99243 cash price4 disclosed · 4 hospitals
$168median ~$280$323

Cash price by city

Reflects your current filters.

Cash price by city$168$323
  • Polson · 1 hospital$168
  • Cadillac · 1 hospital$252
  • Marinette · 1 hospital$308
  • Anchorage · 1 hospital$323

16 prices shown.

ServiceHospitalCodeList priceCash priceNegotiated rangeAllowed (median)
Office consultation
Outpatient
Endeavor Health Edward Hospital99243
HCPCS
$195 – $195
Hc Attending Cosmetic Consult Cash-Csm,Pbb
Inpatient & outpatient
University of Chicago Medical Center99243
HCPCS
Pr Attending Cosmetic Consult Cash-Csm,Pbb
Inpatient & outpatient
University of Chicago Medical Center99243
HCPCS
Pr Office/Op Consltj New/Est Pt Low Mdm 30 Minutes
Inpatient & outpatient
University of Chicago Medical Center99243
HCPCS
Pr Office Consultation Established Patient 30 Min
Inpatient & outpatient
University of Chicago Medical Center99243
HCPCS
Pr Office Consultation Established Patient 30 Min-Pbb
Inpatient & outpatient
University of Chicago Medical Center99243
HCPCS
Pr Office Consultation New Patient 30 Min
Inpatient & outpatient
University of Chicago Medical Center99243
HCPCS
Pr Office/Op Consltj New/Est Pt Low Mdm 30 Minutes-Pbb
Inpatient & outpatient
University of Chicago Medical Center99243
HCPCS
CONSULT BY MD LEVEL 3
Inpatient
Aurora Medical Center Bay Area99243
CPT
$615$308$369 – $520
Office Consult Level 3 99243
Inpatient
Munson Healthcare Cadillac99243
CPT
$296$252$178 – $852
HC PR 99243 OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES CDM
Inpatient & outpatient
Providence Alaska Medical Center99243
HCPCS
$414$323
HC PR 99243 OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES RHC
Outpatient
Providence St Joseph Medical Center99243
HCPCS
$210$168
02-Telehealth Provided Other than in Patient s Home-OFFICE CONSULTATION FOR A NEW OR ESTABLI
Inpatient & outpatient
Jefferson Abington Hospital99243
CPT
$69.46 – $268
02-Telehealth Provided Other than in Patient s Home-OFFICE CONSULTATION FOR A NEW OR ESTABLI
Inpatient & outpatient
Jefferson Abington Hospital99243
CPT
$69.46 – $268
10-Telehealth Provided in Patient s Home-OFFICE CONSULTATION FOR A NEW OR ESTABLI
Inpatient & outpatient
Jefferson Abington Hospital99243
CPT
$69.46 – $268
10-Telehealth Provided in Patient s Home-OFFICE CONSULTATION FOR A NEW OR ESTABLI
Inpatient & outpatient
Jefferson Abington Hospital99243
CPT
$69.46 – $268

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 99243 prices

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

Code 99243: frequently asked

What does code 99243 cost?
Across the published hospital price files, the disclosed cash price for 99243 ranges from $168 to $323. 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 99243?
99243 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 99243 by state