Doctor visits and therapy CPT 99243 Inpatient — admitted to hospital

Specialist consultation cost in Washington, DC — inpatient

In Washington-Arlington-Alexandria, DC-VA-MD-WV, 1 hospital lists a cash price for specialist consultation, low complexity or 30+ minutes as an inpatient: from $93.50 to $93.50, with a median of $93.50.

Cash prices at 1 facility for code 99243, as an inpatient (admitted to hospital) . Collected Sep 29, 2026; the hospital files themselves were last updated between — and —.

Lowest$93.50Children's National Hospital
Median$93.50half pay less
Highest$93.50in 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 Washington-Arlington-Alexandria, DC-VA-MD-WV.

median
Lowest $93.50Highest $93.50

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Children's National Hospital lowest Washington, DC · (202) 476-5000 99243 - OP C/S Low MDM or 30 Min $93.50 $187.00 $99.86 50% —
source file
Children's National Hospital lowest Washington, DC · (202) 476-5000 3M $ OFFICE/OP CONSULTATION NEW/ESTAB LOW MEDICAL DECISION MAKING 30 MIN $93.50 $187.00 $99.86 50% —
source file

Inpatient: lowest $93.50, median $93.50, highest $93.50.

As an outpatient, the same code is billed by 2 facilities here, median $96.00 — 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 below the highest rate a health plan has negotiated and 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.