Doctor visits and therapy CPT 99243 Inpatient — admitted to hospital

Specialist consultation cost in Kennewick, WA — inpatient

In Kennewick-Richland, WA, 1 hospital lists a cash price for specialist consultation, low complexity or 30+ minutes as an inpatient: from $186.45 to $186.45, with a median of $186.45. Across Washington, the median is $221.60 at 18 hospitals.

Cash prices at 1 facility for code 99243, as an inpatient (admitted to hospital) . Collected Sep 29, 2026; the hospital files themselves were last updated between — and —.

Lowest$186.45Prosser Memorial Health Hospital
Median$186.45half pay less
Highest$186.45in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Prosser Memorial Health Hospital Prosser, WA · (509) 786-2222 HC PR 99243 OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES RHC $186.45 $339.00 $305.10 45% —
source file

Inpatient: lowest $186.45, median $186.45, highest $186.45.

As an outpatient, the same code is billed by 1 facility here, median $186.45 — 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 and below every plan's rate. 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.