Doctor visits and therapy CPT 99243 Outpatient

Specialist consultation cost in Winters, TX

In Winters, TX, 1 hospital lists a cash price for specialist consultation, low complexity or 30+ minutes: from $202.30 to $202.30, with a median of $202.30. Across Texas, the median is $89.36 at 39 hospitals.

Cash prices at 1 facility for code 99243, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between — and —.

Lowest$202.30North Runnels County Hospital
Median$202.30half of hospitals charge less
Highest$202.30in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
North Runnels County Hospital Winters, TX · (375) 754-4553 CONSULT 99243 DETAIL/LOW MDM source file $202.30 $289.00 $127.45–$260.10 30%
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 $202.30, median $202.30, highest $202.30.

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.