Doctor visits and therapy CPT 99243 Outpatient

Specialist consultation cost in Grants, NM

In Grants, NM, 1 hospital lists a cash price for specialist consultation, low complexity or 30+ minutes: from $269.45 to $269.45, with a median of $269.45. Across New Mexico, the median is $187.20 at 3 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 — and —.

Lowest$269.45Cibola General Hospital

Median$269.45half of hospitals charge less

Highest$269.45in 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 Grants, NM.

median

Lowest $269.45Highest $269.45

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Cibola General Hospital lowest Grants, NM · (505) 287-5300 99243 OFFICE CONSULTATION LEVEL 3+1 more line at this price source file	$269.45	$336.81	$149.41–$303.13	20%

Hospital The hospital that published the price, its city and the line exactly as written in its price file.

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Off list How much lower the cash price is than the list price.

Outpatient: lowest $269.45, median $269.45, highest $269.45.

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. 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.