Doctor visits and therapy CPT 99243 Outpatient

Specialist consultation cost in Warren, PA

In Warren, PA, 1 hospital lists a cash price for specialist consultation, low complexity or 30+ minutes: from $214.00 to $214.00, with a median of $214.00. Across Pennsylvania, the median is $185.00 at 18 hospitals.

Cash prices at 1 facility 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 Sep 24, 2026 and Sep 24, 2026.

Lowest$214.00Warren General Hospital
Median$214.00half pay less
Highest$214.00in 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 Warren, PA.

median
Lowest $214.00Highest $405.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Warren General Hospital lowest Warren, PA · (814) 723-4973 OP OFFICE CONSULT-LEVEL 3 $214.00 $214.00 $74.90–$189.91 — Sep 24, 2026
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Warren General Hospital lowest Warren, PA · (814) 723-4973 OFFICE CONSULT EXPANDED 30 MIN $214.00 $214.00 $74.90–$189.91 — Sep 24, 2026
source file
Warren General Hospital Warren, PA · (814) 723-4973 Office Consult Level 3 $405.00 $405.00 $141.75–$344.25 — Sep 24, 2026
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Outpatient: lowest $214.00, median $214.00, highest $214.00.

As an inpatient, the same code is billed by 1 facility here, median $214.00. 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 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.