Doctor visits and therapy CPT 99243 Outpatient

Specialist consultation cost in Madisonville, TX

In Madisonville, TX, 1 hospital lists a cash price for specialist consultation, low complexity or 30+ minutes: from $64.58 to $64.58, with a median of $64.58. Across Texas, the median is $89.36 at 36 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 Feb 28, 2026 and Feb 28, 2026.

Lowest$64.58Madison St Joseph Health Center
Median$64.58half pay less
Highest$64.58in 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 Madisonville, TX.

median
Lowest $64.58Highest $64.58

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Madison St Joseph Health Center lowest Madisonville, TX · (936) 348-2631 OFFICE CONSULT INTERMEDIATE $64.58 $369.00 $47.02–$332.10 82% Feb 28, 2026
source file
Madison St Joseph Health Center lowest Madisonville, TX · (936) 348-2631 OFFICE CONSULTATION LEVEL3 $64.58 $369.00 $47.02–$332.10 82% Feb 28, 2026
source file

Outpatient: lowest $64.58, median $64.58, highest $64.58.

As an inpatient, the same code is billed by 1 facility here, median $64.58. 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 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.