Doctor visits and therapy CPT 99243 Outpatient

Specialist consultation cost in Machias, ME

In Machias, ME, 1 hospital lists a cash price for specialist consultation, low complexity or 30+ minutes: from $293.00 to $293.00, with a median of $293.00. Across Maine, the median is $113.36 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 — and —.

Lowest$293.00Down East Community Hospital
Median$293.00half pay less
Highest$293.00in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Down East Community Hospital Machias, ME · (207) 255-3356 Patient office consultation, 40 min $293.00 $391.00 $172.00–$358.00 25% —
source file

Outpatient: lowest $293.00, median $293.00, highest $293.00.

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.