Doctor visits and therapy CPT 99243 Inpatient — admitted to hospital

Specialist consultation cost in Charleston, WV — inpatient

In Charleston, WV, 1 hospital lists a cash price for specialist consultation, low complexity or 30+ minutes as an inpatient: from $37.50 to $37.50, with a median of $37.50. Across West Virginia, the median is $105.50 at 10 hospitals.

Cash prices at 1 facility for code 99243, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.

Lowest$37.50Boone Memorial Hospital
Median$37.50half pay less
Highest$37.50in this market
Difference1.0×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Charleston, WV.

median
Lowest $37.50Highest $139.30

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Boone Memorial Hospital lowest Madison, WV · (304) 369-1230 OFFICE CONSULT EXTENDED $37.50 $75.00 $22.50–$71.25 50% —
source file
Boone Memorial Hospital Madison, WV · (304) 369-1230 OFFICE CONSULT LEVEL 3 $139.30 $199.00 $59.70–$189.05 30% —
source file

Inpatient: lowest $37.50, median $37.50, highest $37.50.

As an outpatient, the same code is billed by 2 facilities here, median $157.50 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This is an office or outpatient consultation, when a specialist sees you at another clinician's request for advice. Since 2023 it requires low complexity decision making or at least 30 minutes of total time on the visit date.

What the price covers

The price covers the specialist's consultation. Tests and procedures are billed separately, and hospital clinics may add a facility fee.