Doctor visits and therapy CPT 99243 Outpatient

Specialist consultation, low complexity or 30+ minutes in Rockport, ME

In Rockport, ME, 1 hospital lists a cash price for Specialist consultation, low complexity or 30+ minutes: from $95.85 to $487.25, with a median of $201.05.

Cash prices at 1 facility for code 99243, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Sep 9, 2025 and Sep 9, 2025.

Lowest$95.85MaineHealth
Median$201.05half pay less
Highest$487.25in this market
Difference5.1×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 Rockport, ME.

median
Lowest $95.85Highest $487.25

Hospitals, cheapest first

HospitalCash price List priceOff listFile date
MaineHealth lowest Rockport, ME PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES - WOUND CARE $95.85 $95.85 Sep 9, 2025
source file
MaineHealth Rockport, ME HC OFFICE/OP CONSULT LEVEL III - WOUND CARE $186.20 $186.20 Sep 9, 2025
source file
MaineHealth Rockport, ME HC OFFICE/OP CONSULT LEVEL III $215.90 $215.90 Sep 9, 2025
source file
MaineHealth Rockport, ME PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $487.25 $487.25 Sep 9, 2025
source file

Outpatient: lowest $95.85, median $201.05, highest $487.25 — a 5.1× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $201.05. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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.