Specialist consultation cost in Utica, NY — inpatient
In Utica-Rome, NY, 1 hospital lists a cash price for specialist consultation, low complexity or 30+ minutes as an inpatient: from $188.93 to $188.93, with a median of $188.93. Across New York, the median is $277.50 at 39 hospitals.
Cash prices at 1 facility for code 99243, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Aug 11, 2026 and Aug 11, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Utica-Rome, NY.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Rome Memorial Hospital lowest Rome, NY · (315) 338-7000 Lev 3 outpat consult | $188.93 | $468.00 | $111.00 | 60% | Aug 11, 2026 source file |
| Rome Memorial Hospital lowest Rome, NY · (315) 338-7000 Office consultation | $188.93 | $468.00 | $111.00 | 60% | Aug 11, 2026 source file |
| Rome Memorial Hospital lowest Rome, NY · (315) 338-7000 Lev 3 outpat consult | $188.93 | $468.00 | $111.00 | 60% | Aug 11, 2026 source file |
| Rome Memorial Hospital lowest Rome, NY · (315) 338-7000 Office consultation | $188.93 | $468.00 | $111.00 | 60% | Aug 11, 2026 source file |
Inpatient: lowest $188.93, median $188.93, highest $188.93.
As an outpatient, the same code is billed by 1 facility here, median $188.93 — that is the price to compare if you are not being admitted.
Cash or insurance?
At the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. 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.