Doctor visits and therapy CPT 99243 Inpatient — admitted to hospital

Specialist consultation, low complexity or 30+ minutes in Madison, WI — inpatient

In Madison, WI, 2 hospitals list a cash price for Specialist consultation, low complexity or 30+ minutes as an inpatient: from $200.20 to $404.80, with a median of $322.40. The lowest listed price is at Aspirus Divine Savior Hospital.

Cash prices at 2 facilities across 2 cities for code 99243, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 28, 2026 and Apr 1, 2026.

Lowest$200.20Aspirus Divine Savior Hospital
Median$322.40half pay less
Highest$404.80in this market
Difference2.0×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 Madison, WI.

median
Lowest $200.20Highest $404.80

Hospitals, cheapest first

HospitalCash price List priceOff listFile date
Aspirus Divine Savior Hospital lowest Portage, WI Fac Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $200.20 $308.00 35% Apr 1, 2026
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Aspirus Divine Savior Hospital Portage, WI Pro Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $322.40 $496.00 35% Apr 1, 2026
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Aspirus Divine Savior Hospital Portage, WI OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $322.40 $496.00 35% Apr 1, 2026
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Meriter Hospital, Inc Madison, WI PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $404.80 $506.00 20% Jan 28, 2026
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Inpatient: lowest $200.20, median $322.40, highest $404.80 — a 2.0× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $322.40 — that is the price to compare if you are not being admitted.

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.