Doctor visits and therapy CPT 99243 Inpatient — admitted to hospital

Specialist consultation, low complexity or 30+ minutes in Rochester, NY — inpatient

In Rochester, NY, 5 hospitals list a cash price for Specialist consultation, low complexity or 30+ minutes as an inpatient: from $116.27 to $277.50, with a median of $201.53. The lowest listed price is at Newark-Wayne Community Hospital.

Cash prices at 5 facilities across 3 cities for code 99243, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$116.27Newark-Wayne Community Hospital
Median$201.53half pay less
Highest$277.50in this market
Difference2.4×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 Rochester, NY.

median
Lowest $116.27Highest $277.50

Hospitals, cheapest first

HospitalCash price List priceOff listFile date
Newark-Wayne Community Hospital lowest Newark, NY HC OFFICE CONSULT_ NEW_ESTABLISHED PATIENT_ MODERATE_ 40 MIN FACE_TO_FACE $116.27 $178.88 35% Apr 1, 2026
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Rochester General Hospital Rochester, NY HC OFFICE CONSULT_ NEW_ESTABLISHED PATIENT_ MODERATE_ 40 MIN FACE_TO_FACE $116.27 $178.88 35% Apr 1, 2026
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The Unity Hospital of Rochester Rochester, NY HC OFFICE CONSULT_ NEW_ESTABLISHED PATIENT_ MODERATE_ 40 MIN FACE_TO_FACE $201.53 $251.91 20% Apr 1, 2026
source file
F.F. Thompson Hospital Canandaigua, NY PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $208.11 $349.00 40%
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Strong Memorial Hospital Rochester, NY PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $277.50 $555.00 50%
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Inpatient: lowest $116.27, median $201.53, highest $277.50 — a 2.4× difference within the same market.

As an outpatient, the same code is billed by 6 facilities here, median $208.11 — 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.