Doctor visits and therapy CPT 99243 Outpatient

Specialist consultation, low complexity or 30+ minutes in Cleveland, OH

In Cleveland, OH, 2 hospitals list a cash price for Specialist consultation, low complexity or 30+ minutes: from $115.85 to $468.00, with a median of $291.93. The lowest listed price is at Metrohealth System.

Cash prices at 2 facilities 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 Apr 1, 2026 and Jun 16, 2026.

Lowest$115.85Metrohealth System
Median$291.93half pay less
Highest$468.00in this market
Difference4.0×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 Cleveland, OH.

median
Lowest $115.85Highest $468.00

Hospitals, cheapest first

HospitalCash price List priceOff listFile date
Metrohealth System lowest Cleveland, OH Consult Lvl 3 Pro Only $115.85 $331.00 65% Apr 1, 2026
source file
Metrohealth System Cleveland, OH Office Or Other Outpatient, Consult, Low Mdm, 30-39 Minutes $115.85 $331.00 65% Apr 1, 2026
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The Cleveland Clinic Foundation Cleveland, OH OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $468.00 $720.00 35% Jun 16, 2026
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The Cleveland Clinic Foundation Cleveland, OH VV OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $468.00 $720.00 35% Jun 16, 2026
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Outpatient: lowest $115.85, median $291.93, highest $468.00 — a 4.0× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $115.85. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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.