Doctor visits and therapy CPT 99243 Outpatient

Specialist consultation, low complexity or 30+ minutes in Portland-South Portland, ME

In Portland-South Portland, ME, 5 hospitals list a cash price for Specialist consultation, low complexity or 30+ minutes: from $68.38 to $414.00, with a median of $121.60. The lowest listed price is at Mercy Hospital.

Cash prices at 5 facilities across 4 cities 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 Aug 12, 2025 and Sep 9, 2025.

Lowest$68.38Mercy Hospital
Median$121.60half pay less
Highest$414.00in this market
Difference6.1×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 Portland-South Portland, ME.

median
Lowest $68.38Highest $414.00

Hospitals, cheapest first

HospitalCash price List priceOff listFile date
Mercy Hospital lowest Portland, ME HC OFFICE CONSULTATION LVL 3 $68.38 $263.00 74%
source file
Mercy Hospital Portland, ME HC OFFICE CONSULTATION $68.38 $263.00 74%
source file
Mercy Hospital Portland, ME PF CONSULT LVL 3 EST $87.88 $338.00 74%
source file
Mercy Hospital Portland, ME PF OFFICE CONSULT LVL 3 NEW $87.88 $338.00 74%
source file
Mercy Hospital Portland, ME PF CONSULT LVL 3 NEW $87.88 $338.00 74%
source file
Mercy Hospital Portland, ME PF OFFICE CONSULT LVL 3 EST $87.88 $338.00 74%
source file
MaineHealth Portland, ME HC OFFICE/OP CONSULT LEVEL III $121.60 $121.60 Sep 9, 2025
source file
MaineHealth Brunswick, ME PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $248.20 $248.20 Sep 9, 2025
source file
MaineHealth Westbrook, ME HC OFFICE/OP CONSULT LEVEL III $311.80 $311.80 Aug 12, 2025
source file
MaineHealth Portland, ME PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $331.05 $331.05 Sep 9, 2025
source file
MaineHealth Westbrook, ME PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $332.10 $332.10 Aug 12, 2025
source file
MaineHealth Biddeford, ME PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $373.80 $373.80 Sep 9, 2025
source file
MaineHealth Portland, ME PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES - AMBULATORY RATE $414.00 $414.00 Sep 9, 2025
source file

Outpatient: lowest $68.38, median $121.60, highest $414.00 — a 6.1× difference within the same market.

As an inpatient, the same code is billed by 5 facilities here, median $248.20. 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.