Doctor visits and therapy CPT 99243 Inpatient — admitted to hospital

Specialist consultation, low complexity or 30+ minutes in St. Louis, MO-IL — inpatient

In St. Louis, MO-IL, 3 hospitals list a cash price for Specialist consultation, low complexity or 30+ minutes as an inpatient: from $150.75 to $231.84, with a median of $150.75. The lowest listed price is at Mercy Hospital Lincoln.

Cash prices at 3 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 Jun 12, 2026 and Jun 12, 2026.

Lowest$150.75Mercy Hospital Lincoln
Median$150.75half pay less
Highest$231.84in this market
Difference1.5×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 St. Louis, MO-IL.

median
Lowest $150.75Highest $231.84

Hospitals, cheapest first

HospitalCash price List priceOff listFile date
Mercy Hospital Lincoln lowest Elsberry, MO Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $150.75 $201.00 25% Jun 12, 2026
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Mercy Hospitals East Communities Washington, MO Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $150.75 $201.00 25% Jun 12, 2026
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Mercy Hospital Lincoln Elsberry, MO Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $150.75 $201.00 25% Jun 12, 2026
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Mercy Hospital Lincoln Elsberry, MO Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $150.75 $201.00 25% Jun 12, 2026
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Mercy Hospital Lincoln Elsberry, MO Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $150.75 $201.00 25% Jun 12, 2026
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Mercy Hospital Lincoln Elsberry, MO Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $150.75 $201.00 25% Jun 12, 2026
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St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL HC OFFICE CONSULT NEW/ESTAB PT LOW MED DEC LEVEL 3 - 30 MIN $231.84 $322.00 28%
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Inpatient: lowest $150.75, median $150.75, highest $231.84 — a 1.5× difference within the same market.

As an outpatient, the same code is billed by 6 facilities here, median $131.30 — 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.