Doctor visits and therapy CPT 99243 Outpatient

Specialist consultation cost in New York, NY

In New York-Newark-Jersey City, NY-NJ, 31 hospitals list a cash price for specialist consultation, low complexity or 30+ minutes: from $95.55 to $700.95, with a median of $298.00. The lowest listed price is at NYU Langone – Tisch Hospital and 4 other hospitals — $202.45 less than the median here. Across New York, the median is $298.00 at 44 hospitals.

  • The median here, $298.00, is 73% above the US median of $172.20.
  • 12 of 31 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 31 facilities across 23 cities for code 99243, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 8, 2026; the hospital files themselves were last updated between Apr 22, 2025 and Sep 28, 2026.

Lowest$95.55NYU Langone – Tisch Hospital + 4 more
Median$298.00half of hospitals charge less
Highest$700.95in this market
Difference7.3×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 New York-Newark-Jersey City, NY-NJ.

median
Lowest $95.55Highest $700.95

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
NYU Langone – Tisch Hospital lowest New York, NY · (212) 263-7300 HC OFFICE CONSULTATION 30 MIN File of Jan 1, 2026 · source file $95.55 $502.87 $130.94–$1,210.00 81%
NYU Langone Hospital - Suffolk lowest Patchogue, NY · (631) 654-7100 HC OFFICE CONSULTATION 30 MIN File of Jan 1, 2026 · source file $95.55 $502.87 $130.94–$1,210.00 81%
NYU Langone – Orthopedic Hospital lowest New York, NY HC OFFICE CONSULTATION 30 MIN File of Jan 1, 2026 · source file $95.55 $502.87 $130.94–$1,210.00 81%
NYU Langone lowest Mineola, NY HC OFFICE CONSULTATION 30 MIN File of Jan 1, 2026 · source file $95.55 $502.87 $130.94–$1,210.00 81%
NYU Langone lowest Brooklyn, NY HC OFFICE CONSULTATION 30 MIN File of Jan 1, 2026 · source file $95.55 $502.87 $130.94–$1,210.00 81%
Nassau University Medical Center East Meadow, NY · (516) 572-0123 Oral Consult Est Sev 40 Min File of Oct 28, 2025 · source file $102.44 $146.34 $65.85–$220.00 30%
St Joseph's Hospital, Yonkers Yonkers, NY · (914) 378-7000 OFFICE CONSULTATION+1 more line at this price File of Jul 13, 2026 · source file $109.03 — $82.34–$109.03 —
Nassau University Medical Center East Meadow, NY · (516) 572-0123 Consultation 40 File of Oct 28, 2025 · source file $149.01 $212.87 $95.79–$220.00 30%
Nassau University Medical Center East Meadow, NY · (516) 572-0123 Consulation - Level 3 File of Oct 28, 2025 · source file $186.27 $266.09 $119.74–$266.09 30%
Nassau University Medical Center East Meadow, NY · (516) 572-0123 Pod Extnded Con/Mgmt File of Oct 28, 2025 · source file $215.00 $307.14 $138.21–$307.14 30%
University Hospital of Brooklyn Brooklyn, NY · (718) 270-1000 99243 - OFF/OP CNSLTJ NEW/EST LOW 30 File of Apr 22, 2025 · source file $229.00 $229.00 $1.00–$180.00 —
Nassau University Medical Center East Meadow, NY · (516) 572-0123 Psych Off/Op Cnsltj New/Est Lo File of Oct 28, 2025 · source file $243.70 $348.14 $87.04–$261.11 30%
Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Consultation Visits File of Apr 1, 2026 · source file $250.00 $250.00 — —
CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Consultation Visits File of Apr 1, 2026 · source file $250.00 $250.00 — —
Newton Medical Center Newton, NJ · (973) 383-2121 Consultation Visits File of Apr 1, 2026 · source file $250.00 $250.00 — —
Overlook Medical Center Summit, NJ · (908) 522-2000 Consultation Visits File of Apr 1, 2026 · source file $250.00 $250.00 — —
Morristown Medical Center Morristown, NJ · (973) 971-5450 Consultation Visits File of Apr 1, 2026 · source file $250.00 $250.00 — —
St. Francis Hospital Roslyn, NY OFF/OP CNSLTJ NEW/EST LOW 30 File of Feb 19, 2026 · source file $298.00 — $57.85–$298.00 —
Mercy Medical Center Rockville Centre, NY · (516) 705-2525 OFF/OP CNSLTJ NEW/EST LOW 30 File of Feb 19, 2026 · source file $298.00 — $57.85–$298.00 —
Chsli St Joseph Hospital Bethpage, NY · (516) 759-6000 OFF/OP CNSLTJ NEW/EST LOW 30 File of Feb 19, 2026 · source file $298.00 — $157.21–$298.00 —
Good Samaritan Hospital Medical Center West Islip, NY · (631) 376-3000 OFF/OP CNSLTJ NEW/EST LOW 30 File of Feb 19, 2026 · source file $298.00 — $57.85–$298.00 —
St. Catherine of Siena Medical Center Smithtown, NY · (631) 862-3000 OFF/OP CNSLTJ NEW/EST LOW 30 File of Feb 19, 2026 · source file $298.00 — $57.85–$298.00 —
Helen Hayes Hospital West Haverstraw, NY · (845) 786-4000 CONFIRMATORY CNS DTLD LW COMP+2 more lines at this price File of Aug 7, 2026 · source file $301.00 $301.00 $47.82–$284.00 —
Nassau University Medical Center East Meadow, NY · (516) 572-0123 Office Consult Lvl 3 File of Oct 28, 2025 · source file $331.80 $474.00 $144.87–$474.00 30%
Nassau University Medical Center East Meadow, NY · (516) 572-0123 Office Consultation File of Oct 28, 2025 · source file $382.62 $546.59 $144.87–$546.59 30%
Stony Brook University Hospital Stony Brook, NY · (631) 444-4000 OFFICE CONSULTATION; TYPICALLY 40 MINUTES File of Jun 10, 2026 · source file $389.00 $389.00 $108.16–$4,255.00 —
Stony Brook University Hospital Stony Brook, NY · (631) 444-4000 OFF/OP CNSLTJ NEW/EST LOW 30 File of Jun 10, 2026 · source file $416.00 $416.00 $108.16–$4,255.00 —
The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Office Consult+1 more line at this price File of Apr 1, 2026 · source file $472.50 $525.00 — 10%
Mount Sinai Morningside New York, NY HC Office Consultation Detailed L+1 more line at this price File of Apr 1, 2026 · source file $472.50 $525.00 — 10%
Mount Sinai Queens Long Island, NY HC Office Consult+1 more line at this price File of Apr 1, 2026 · source file $472.50 $525.00 — 10%
Mount Sinai Brooklyn Brooklyn, NY · (212) 420-2000 HC Office Consultation Detailed L+1 more line at this price File of Apr 1, 2026 · source file $472.50 $525.00 — 10%
The Valley Hospital Paramus, NJ · (201) 447-8000 OFFICE CONSULT - UP TO 40 MIN File of May 6, 2026 · source file $485.40 $809.00 $137.16–$703.83 40%
Stony Brook Southampton Hospital Southampton, NY OFF/OP CNSLTJ NEW/EST LOW 30 File of Jun 17, 2026 · source file $493.49 $493.49 — —
Maimonides Medical Center Brooklyn, NY · (718) 283-6000 CONSULTATON PT. LEVEL3+5 more lines at this price File of Apr 1, 2026 · source file $495.00 $495.00 — —
Brooklyn Hospital Center at Downtown Campus Brooklyn, NY · (718) 250-8000 OFF/OP CNSLTJ NEW/EST LOW 30 File of Jul 27, 2026 · source file $571.86 $571.86 $413.00–$926.00 —
Montefiore Medical Center Bronx, NY · (718) 920-4321 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES File of Sep 28, 2026 · source file $591.87 $905.00 $48.30–$819.21 35%
St Johns Riverside Hospital Park Care Pavillion Yonkers, NY · (914) 964-4444 OFF/OP CNSLTJ NEW/EST LOW 30 File of Mar 27, 2026 · source file $602.65 $709.00 $135.00–$3,783.00 15%
Maimonides Medical Center Brooklyn, NY · (718) 283-6000 CONSULT PT LEVEL 3 File of Apr 1, 2026 · source file $661.00 $661.00 — —
New York Community Hospital of Brooklyn Brooklyn, NY · (718) 692-5302 CONSULT PT LEVEL 3 File of Apr 1, 2026 · source file $700.95 $700.95 — —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $95.55, median $298.00, highest $700.95 — a 7.3× difference within the same market.

As an inpatient, the same code is billed by 15 facilities here, median $229.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 11 of 19 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 5 it is 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 specialist consultation is, what the price covers and why prices differ: Specialist consultation explained.

3 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 99243 ($152.10). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

HospitalCash priceFile
Brookdale Hospital Medical Center Brooklyn, NYCONSULT LEVEL 3 $0.01 file
Interfaith Medical Center Brooklyn, NYCONSULT LEVEL 3 $0.01 file
Kingsbrook Jewish Medical Center Brooklyn, NYCONSULT LEVEL 3 $0.01 file
File Link to the hospital's own price file.