SelfPayRates — hospital cash prices, from the source
Cash prices at 4 facilities across 2 cities for code 99243, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Ascension Calumet Hospital, Inc.
CHILTON, WI HC FAC OFFICE CNSLT NEW/ESTAB PT |
$104.88 | $184.00 | 43% | — file |
|
| Ascension Calumet Hospital, Inc.
CHILTON, WI HC PRO-S OFFICE CONSULT NEW/EST LOW |
$138.51 | $243.00 | 43% | — file |
|
| Ascension Calumet Hospital, Inc.
CHILTON, WI HC PRO OFFICE CONSULT NEW/EST LOW |
$243.39 | $427.00 | 43% | — file |
|
| Thedacare Regional Medical Center-Appleton Inc.
APPLETON, WI OFFICE CONSULTATION,LEVEL III |
$250.43 | $447.20 | 44% | — file |
|
| Thedacare Regional Medical Center-Appleton Inc
APPLETON, WI OFFICE CONSULTATION,LEVEL III |
$250.43 | $447.20 | 44% | — file |
|
| Ascension NE Wisconsin, Inc.
APPLETON, WI HC PRO OFFICE CONSULT NEW/EST LOW |
$251.37 | $441.00 | 43% | — file |
Outpatient: lowest $104.88, median $246.91, highest $251.37 — a 2.4× difference within the same market.