Doctor visits and therapy CPT 99243 Inpatient — admitted to hospital

Specialist consultation cost in Pikeville, KY — inpatient

In Pikeville, KY, 2 hospitals list a cash price for specialist consultation, low complexity or 30+ minutes as an inpatient: from $75.00 to $75.00, with a median of $75.00. The lowest listed price is at Tug Valley Arh Regional Medical Center and 1 other hospital. Across Kentucky, the median is $75.00 at 14 hospitals.

Cash prices at 2 facilities across 2 cities for code 99243, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.

Lowest$75.00Tug Valley Arh Regional Medical Center + 1 more
Median$75.00half pay less
Highest$75.00in 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 Pikeville, KY.

median
Lowest $75.00Highest $75.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Tug Valley Arh Regional Medical Center lowest South Williamson, KY · (606) 237-1700 OFF/OP CONSULT >=30MI $75.00 $125.00 $66.14–$96.55 40% —
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ARH Tug Valley Health Services lowest Prestonsburg, KY OFF/OP CONSULT >=30MI $75.00 $125.00 $90.43 40% —
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Inpatient: lowest $75.00, median $75.00, highest $75.00.

As an outpatient, the same code is billed by 2 facilities here, median $75.00 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 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 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.