Doctor visits and therapy CPT 99243 Outpatient

Specialist consultation cost in Saginaw, MI

In Saginaw, MI, 2 hospitals list a cash price for specialist consultation, low complexity or 30+ minutes: from $97.30 to $97.30, with a median of $97.30. The lowest listed price is at Covenant Medical Center and 1 other hospital. Across Michigan, the median is $136.00 at 29 hospitals.

Cash prices at 2 facilities across 2 cities for code 99243, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between May 15, 2026 and May 15, 2026.

Lowest$97.30Covenant Medical Center + 1 more
Median$97.30half pay less
Highest$97.30in 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 Saginaw, MI.

median
Lowest $97.30Highest $97.30

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Covenant Medical Center lowest Saginaw, MI · (989) 583-6000 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $97.30 $139.00 $62.55–$161.61 30% May 15, 2026
source file
Covenant Medical Center lowest Cooper Saginaw, MI Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $97.30 $139.00 $62.55–$161.61 30% May 15, 2026
source file

Outpatient: lowest $97.30, median $97.30, highest $97.30.

As an inpatient, the same code is billed by 2 facilities here, median $97.30. 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 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 none is it 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.