Specialist consultation cost without insurance
The median hospital cash price for specialist consultation, low complexity or 30+ minutes is $171.10 across 548 US hospitals; most list between $57.67 and $392.60. The lowest outpatient cash price in any of 363 markets is $16.20. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Nov 7, 2026 Each price links to its source file All Doctor visit costs
Lowest$16.20any market
Median market$176.25middle of market medians
Most below$392.609 in 10 hospitals
Listings534hospital prices
Cash or insurance?
If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for specialist consultation, the highest negotiated rate in a hospital's file has a median of $270.30 and the lowest a median of $84.92. At 313 of 387 hospitals that publish both, the cash price is below the highest negotiated rate.
With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.
Plan's rate starts at the median highest negotiated rate and cash at the national median; put in your own numbers. Nothing you type leaves your device. To price a whole year with premiums, use the insurance or cash calculator.
What is CPT 99243?
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.
Why prices differ
Prices vary by specialty and setting, and some payers and practices bill new patient visit codes instead of consultation codes for the same visit.
What to ask
Ask whether the specialist will bill CPT 99243 or a new patient code, and whether the self-pay price includes a facility fee.
Prices by state
Among 32 states with at least 5 hospitals listing a cash price, the median is lowest in Maine ($45.17), Texas ($89.36) and Tennessee ($89.98), and highest in Georgia ($414.00), Montana ($299.25) and New York ($298.00).
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$128.14
- Alaska$322.92, 3 hospitals
- Arizona$99.30
- Arkansas$108.55
- California$173.00
- Colorado$96.48
- Connecticut$370.00, 3 hospitals
- District of Columbia$93.50, 1 hospital
- Florida$287.06
- Georgia$414.00
- Hawaii$124.60, 1 hospital
- Idaho$194.44, 3 hospitals
- Illinois$143.18
- Indiana$219.10
- Iowa$213.60
- Kansas$193.80
- Kentucky$95.27
- Louisiana$149.32
- Maine$45.17
- Maryland$428.10, 2 hospitals
- Massachusetts$116.25
- Michigan$156.10
- Minnesota$186.06
- Mississippi$128.14
- Missouri$163.80
- Montana$299.25
- Nebraska$226.13, 4 hospitals
- Nevada$179.00, 3 hospitals
- New Hampshire$50.60, 3 hospitals
- New Jersey$250.00
- New Mexico$187.20, 3 hospitals
- New York$298.00
- North Dakota$281.25
- Ohio$109.78
- Oklahoma$95.59
- Oregon$292.63, 2 hospitals
- Pennsylvania$185.00
- Puerto Rico$756.25, 4 hospitals
- Rhode Island$231.00, 1 hospital
- South Carolina$146.23, 2 hospitals
- South Dakota$255.60
- Tennessee$89.98
- Texas$89.36
- Vermont$142.75, 4 hospitals
- Virginia$336.80, 4 hospitals
- Washington$163.28
- West Virginia$112.50
- Wisconsin$200.20
- Wyoming$289.35, 4 hospitals
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Aberdeen, MS single city | 1 | $358.80 | $358.80 | $358.80 | 1.0× |
| Abilene, KS single city | 1 | $250.90 | $250.90 | $250.90 | 1.0× |
| Akron, OH | 1 | $95.55 | $95.55 | $95.55 | 1.0× |
| Albany, MO single city | 1 | $212.50 | $212.50 | $212.50 | 1.0× |
| Albany-Schenectady-Troy, NY | 2 | $346.45 | $346.45 | $346.45 | 1.0× |
| Albertville, AL | 2 | $355.00 | $355.00 | $355.00 | 1.0× |
| Allentown-Bethlehem-Easton, PA-NJ | 1 | $250.00 | $250.00 | $250.00 | 1.0× |
| Altoona, PA | 1 | $185.00 | $185.00 | $185.00 | 1.0× |
| Ames, IA | 2 | $153.60 | $197.20 | $240.80 | 1.6× |
| Amory, MS single city | 1 | $128.14 | $128.14 | $128.14 | 1.0× |
| Anchorage, AK | 2 | $322.92 | $483.96 | $645.00 | 2.0× |
| Antigo, WI single city | 1 | $200.20 | $200.20 | $200.20 | 1.0× |
| Appleton, WI | 4 | $104.88 | $250.43 | $251.37 | 2.4× |
| Ardmore, OK | 1 | $104.00 | $104.00 | $104.00 | 1.0× |
| Arkansas City-Winfield, KS | 1 | $220.00 | $220.00 | $220.00 | 1.0× |
| Ashley, ND single city | 1 | $307.50 | $307.50 | $307.50 | 1.0× |
| Astoria, OR | 1 | $210.40 | $210.40 | $210.40 | 1.0× |
| Atchison, KS | 1 | $321.00 | $321.00 | $321.00 | 1.0× |
| Atlanta-Sandy Springs-Roswell, GA | 15 | $48.00 | $414.00 | $1,003.00 | 20.9× |
| Atoka, OK single city | 1 | $54.00 | $54.00 | $54.00 | 1.0× |
| Bakersfield-Delano, CA | 2 | $98.00 | $108.60 | $119.20 | 1.2× |
| Baltimore-Columbia-Towson, MD | 1 | $531.20 | $531.20 | $531.20 | 1.0× |
| Bangor, ME | 2 | $23.22 | $31.14 | $39.06 | 1.7× |
| Baton Rouge, LA | 1 | $125.83 | $125.83 | $125.83 | 1.0× |
| Beaver Dam, WI | 1 | $143.45 | $143.45 | $143.45 | 1.0× |
| Beckley, WV | 1 | $27.62 | $27.62 | $27.62 | 1.0× |
| Bemidji, MN | 1 | $142.40 | $142.40 | $142.40 | 1.0× |
| Berlin, WI single city | 1 | $250.43 | $250.43 | $250.43 | 1.0× |
| Berryville, AR single city | 1 | $187.20 | $187.20 | $187.20 | 1.0× |
| Billings, MT | 1 | $332.00 | $332.00 | $332.00 | 1.0× |
| Birmingham, AL | 1 | $105.75 | $105.75 | $105.75 | 1.0× |
| Bishop, CA | 1 | $365.00 | $365.00 | $365.00 | 1.0× |
| Black River Falls, WI single city | 1 | $19.80 | $19.80 | $19.80 | 1.0× |
| Blackfoot, ID | 1 | $28.00 | $28.00 | $28.00 | 1.0× |
| Blue Hill, ME single city | 1 | $36.63 | $36.63 | $36.63 | 1.0× |
| Bonifay, FL single city | 1 | $105.30 | $105.30 | $105.30 | 1.0× |
| Boston-Cambridge-Newton, MA-NH | 4 | $116.25 | $199.50 | $335.00 | 2.9× |
| Boulder, CO | 1 | $69.50 | $69.50 | $69.50 | 1.0× |
| Bozeman, MT | 2 | $407.20 | $422.00 | $436.80 | 1.1× |
| Bridgeport, CT single city | 1 | $370.00 | $370.00 | $370.00 | 1.0× |
| Britt, IA single city | 1 | $216.00 | $216.00 | $216.00 | 1.0× |
| Brookville, PA single city | 1 | $185.00 | $185.00 | $185.00 | 1.0× |
| Bryan, OH single city | 1 | $64.50 | $64.50 | $64.50 | 1.0× |
| Buckhannon, WV single city | 1 | $105.00 | $105.00 | $105.00 | 1.0× |
| Buffalo, WY single city | 1 | $731.00 | $731.00 | $731.00 | 1.0× |
| Buffalo-Cheektowaga, NY | 4 | $76.15 | $236.38 | $649.00 | 8.5× |
| Burlington-South Burlington, VT | 1 | $161.66 | $161.66 | $161.66 | 1.0× |
| Cadillac, MI | 1 | $251.60 | $251.60 | $251.60 | 1.0× |
| Calais, ME single city | 1 | $190.00 | $190.00 | $190.00 | 1.0× |
| Canby, MN single city | 1 | $178.40 | $178.40 | $178.40 | 1.0× |
| Cando, ND single city | 1 | $342.00 | $342.00 | $342.00 | 1.0× |
| Cape Girardeau, MO-IL | 1 | $131.30 | $131.30 | $131.30 | 1.0× |
| Carlsbad-Artesia, NM | 1 | $187.20 | $187.20 | $187.20 | 1.0× |
| Carrollton, KY single city | 1 | $24.00 | $24.00 | $24.00 | 1.0× |
| Carrollton, MO single city | 1 | $221.25 | $221.25 | $221.25 | 1.0× |
| Champaign-Urbana, IL | 1 | $103.00 | $103.00 | $103.00 | 1.0× |
| Chanute, KS single city | 1 | $200.35 | $200.35 | $200.35 | 1.0× |
| Charles City, IA single city | 1 | $160.80 | $160.80 | $160.80 | 1.0× |
| Charleston, MS single city | 1 | $128.00 | $128.00 | $128.00 | 1.0× |
| Charleston, WV | 2 | $119.00 | $198.25 | $277.50 | 2.3× |
| Charleston-North Charleston, SC | 1 | $120.25 | $120.25 | $120.25 | 1.0× |
| Cheyenne, WY | 1 | $198.32 | $198.32 | $198.32 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 7 | $43.79 | $138.60 | $401.10 | 9.2× |
| Chico, CA | 1 | $173.00 | $173.00 | $173.00 | 1.0× |
| Chillicothe, OH | 1 | $71.67 | $71.67 | $71.67 | 1.0× |
| Clarinda, IA single city | 1 | $285.00 | $285.00 | $285.00 | 1.0× |
| Clarion, PA single city | 1 | $174.72 | $174.72 | $174.72 | 1.0× |
| Clay Center, KS single city | 1 | $179.00 | $179.00 | $179.00 | 1.0× |
| Clear Lake, SD single city | 1 | $233.60 | $233.60 | $233.60 | 1.0× |
| Cleveland, OH | 1 | $115.85 | $115.85 | $115.85 | 1.0× |
| Clinton, MO single city | 1 | $136.20 | $136.20 | $136.20 | 1.0× |
| College Station-Bryan, TX | 3 | $64.58 | $64.58 | $64.58 | 1.0× |
| Columbus, OH | 2 | $157.43 | $159.97 | $162.50 | 1.0× |
| Cordele, GA | 1 | $105.17 | $105.17 | $105.17 | 1.0× |
| Cordova, AK single city | 1 | $141.50 | $141.50 | $141.50 | 1.0× |
| Corpus Christi, TX | 1 | $74.58 | $74.58 | $74.58 | 1.0× |
| Corydon, IA single city | 1 | $364.00 | $364.00 | $364.00 | 1.0× |
| Coudersport, PA single city | 1 | $359.40 | $359.40 | $359.40 | 1.0× |
| Crosby, ND single city | 1 | $626.16 | $626.16 | $626.16 | 1.0× |
| Cuba, NY single city | 1 | $103.00 | $103.00 | $103.00 | 1.0× |
| Dallas-Fort Worth-Arlington, TX | 2 | $301.72 | $301.72 | $301.72 | 1.0× |
| Danville, VA | 1 | $413.20 | $413.20 | $413.20 | 1.0× |
| Davenport-Moline-Rock Island, IA-IL | 3 | $116.40 | $130.20 | $130.20 | 1.1× |
| Dawson, MN single city | 1 | $189.37 | $189.37 | $189.37 | 1.0× |
| Dayton, TN single city | 1 | $340.00 | $340.00 | $340.00 | 1.0× |
| Decorah, IA single city | 1 | $36.40 | $36.40 | $36.40 | 1.0× |
| Denver-Aurora-Centennial, CO | 2 | $54.56 | $145.26 | $235.95 | 4.3× |
| Des Moines-West Des Moines, IA | 2 | $162.00 | $195.50 | $229.00 | 1.4× |
| Detroit-Warren-Dearborn, MI | 1 | $356.00 | $356.00 | $356.00 | 1.0× |
| Devils Lake, ND single city | 1 | $110.41 | $110.41 | $110.41 | 1.0× |
| Dillon, MT single city | 1 | $57.95 | $57.95 | $57.95 | 1.0× |
| Dodge City, KS | 1 | $101.50 | $101.50 | $101.50 | 1.0× |
| DuBois, PA | 2 | $185.00 | $185.00 | $185.00 | 1.0× |
| Duluth, MN-WI | 2 | $42.16 | $104.86 | $167.55 | 4.0× |
| Eagle River, WI single city | 1 | $200.20 | $200.20 | $200.20 | 1.0× |
| Eau Claire, WI | 2 | $143.45 | $171.83 | $200.20 | 1.4× |
| El Centro, CA | 1 | $72.00 | $72.00 | $72.00 | 1.0× |
| El Paso, TX | 3 | $20.00 | $36.48 | $36.48 | 1.8× |
| Eldorado, IL single city | 1 | $147.75 | $147.75 | $147.75 | 1.0× |
| Ellensburg, WA | 1 | $212.50 | $212.50 | $212.50 | 1.0× |
| Ellsworth, ME single city | 1 | $137.50 | $137.50 | $137.50 | 1.0× |
| Erie, PA | 1 | $127.35 | $127.35 | $127.35 | 1.0× |
| Eufaula, AL-GA | 1 | $66.00 | $66.00 | $66.00 | 1.0× |
| Evergreen, AL single city | 1 | $89.70 | $89.70 | $89.70 | 1.0× |
| Fargo, ND-MN | 1 | $219.20 | $219.20 | $219.20 | 1.0× |
| Faulkton, SD single city | 1 | $227.12 | $227.12 | $227.12 | 1.0× |
| Fayetteville-Springdale-Rogers, AR | 3 | $18.45 | $108.55 | $142.80 | 7.7× |
| Fergus Falls, MN | 1 | $285.35 | $285.35 | $285.35 | 1.0× |
| Flagstaff, AZ | 1 | $99.30 | $99.30 | $99.30 | 1.0× |
| Fond du Lac, WI | 1 | $250.43 | $250.43 | $250.43 | 1.0× |
| Fort Smith, AR-OK | 2 | $108.55 | $108.55 | $108.55 | 1.0× |
| Fort Wayne, IN | 2 | $64.58 | $64.58 | $64.58 | 1.0× |
| Freeport, IL | 1 | $346.40 | $346.40 | $346.40 | 1.0× |
| Fresno, CA | 1 | $94.50 | $94.50 | $94.50 | 1.0× |
| Galena, IL single city | 1 | $318.59 | $318.59 | $318.59 | 1.0× |
| Gallup, NM | 1 | $117.00 | $117.00 | $117.00 | 1.0× |
| Gardnerville Ranchos, NV-CA | 1 | $126.00 | $126.00 | $126.00 | 1.0× |
| Glenwood, MN single city | 1 | $402.45 | $402.45 | $402.45 | 1.0× |
| Gloversville, NY | 1 | $1,175.66 | $1,175.66 | $1,175.66 | 1.0× |
| Grand Forks, ND-MN | 2 | $110.41 | $292.21 | $474.00 | 4.3× |
| Grand Island, NE | 1 | $249.00 | $249.00 | $249.00 | 1.0× |
| Grand Rapids-Wyoming-Kentwood, MI | 2 | $37.25 | $37.25 | $37.25 | 1.0× |
| Grants, NM single city | 1 | $269.45 | $269.45 | $269.45 | 1.0× |
| Grantsburg, WI single city | 1 | $254.40 | $254.40 | $254.40 | 1.0× |
| Great Bend, KS | 1 | $136.00 | $136.00 | $136.00 | 1.0× |
| Greenfield, OH single city | 1 | $71.67 | $71.67 | $71.67 | 1.0× |
| Greenville, ME single city | 1 | $47.50 | $47.50 | $47.50 | 1.0× |
| Grenada, MS | 1 | $114.75 | $114.75 | $114.75 | 1.0× |
| Gulfport-Biloxi, MS | 3 | $87.00 | $121.80 | $121.80 | 1.4× |
| Hamilton, AL single city | 1 | $128.14 | $128.14 | $128.14 | 1.0× |
| Hampton, IA single city | 1 | $280.80 | $280.80 | $280.80 | 1.0× |
| Harrisburg-Carlisle, PA | 2 | $38.10 | $263.55 | $489.00 | 12.8× |
| Harvey, ND single city | 1 | $324.00 | $324.00 | $324.00 | 1.0× |
| Haxtun, CO single city | 1 | $272.00 | $272.00 | $272.00 | 1.0× |
| Hazard, KY single city | 1 | $154.80 | $154.80 | $154.80 | 1.0× |
| Hermann, MO single city | 1 | $199.20 | $199.20 | $199.20 | 1.0× |
| Hilo-Kailua, HI | 1 | $124.60 | $124.60 | $124.60 | 1.0× |
| Hilton Head Island-Bluffton-Port Royal, SC | 1 | $172.20 | $172.20 | $172.20 | 1.0× |
| Houghton, MI | 1 | $200.20 | $200.20 | $200.20 | 1.0× |
| Houston-Pasadena-The Woodlands, TX | 20 | $89.36 | $104.36 | $203.00 | 2.3× |
| Huntingdon, PA | 1 | $185.00 | $185.00 | $185.00 | 1.0× |
| Huntsville, AL | 2 | $355.00 | $355.00 | $355.00 | 1.0× |
| Hutchinson, KS | 1 | $192.00 | $192.00 | $192.00 | 1.0× |
| Imperial, NE single city | 1 | $175.00 | $175.00 | $175.00 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 1 | $264.80 | $264.80 | $264.80 | 1.0× |
| International Falls, MN single city | 1 | $75.08 | $75.08 | $75.08 | 1.0× |
| Iron River, MI single city | 1 | $200.20 | $200.20 | $200.20 | 1.0× |
| Ironwood, MI single city | 1 | $200.20 | $200.20 | $200.20 | 1.0× |
| Iuka, MS single city | 1 | $128.14 | $128.14 | $128.14 | 1.0× |
| Jackson, MS | 3 | $19.60 | $19.60 | $27.20 | 1.4× |
| Jamestown-Dunkirk, NY | 1 | $103.00 | $103.00 | $103.00 | 1.0× |
| Jena, LA single city | 1 | $121.20 | $121.20 | $121.20 | 1.0× |
| Johnson, KS single city | 1 | $256.00 | $256.00 | $256.00 | 1.0× |
| Johnstown, PA | 1 | $272.00 | $272.00 | $272.00 | 1.0× |
| Joplin, MO-KS | 1 | $113.10 | $113.10 | $113.10 | 1.0× |
| Kansas City, MO-KS | 2 | $82.00 | $156.50 | $231.00 | 2.8× |
| Kennewick-Richland, WA | 1 | $186.45 | $186.45 | $186.45 | 1.0× |
| Kinsley, KS single city | 1 | $236.40 | $236.40 | $236.40 | 1.0× |
| Ladysmith, WI single city | 1 | $143.45 | $143.45 | $143.45 | 1.0× |
| Lake Havasu City-Kingman, AZ | 1 | $70.70 | $70.70 | $70.70 | 1.0× |
| Lake Village, AR single city | 1 | $251.60 | $251.60 | $251.60 | 1.0× |
| Lakeview, OR single city | 1 | $374.85 | $374.85 | $374.85 | 1.0× |
| Lanse, MI single city | 1 | $281.00 | $281.00 | $281.00 | 1.0× |
| Lansing-East Lansing, MI | 3 | $37.25 | $37.25 | $37.25 | 1.0× |
| Laurel, MS | 1 | $176.00 | $176.00 | $176.00 | 1.0× |
| Lebanon-Claremont, NH-VT | 3 | $50.60 | $89.50 | $143.00 | 2.8× |
| Lexington, NE | 1 | $295.00 | $295.00 | $295.00 | 1.0× |
| Lexington-Fayette, KY | 1 | $284.88 | $284.88 | $284.88 | 1.0× |
| Linton, IN single city | 1 | $226.14 | $226.14 | $226.14 | 1.0× |
| Litchfield, MN single city | 1 | $113.92 | $113.92 | $113.92 | 1.0× |
| Little Falls, MN single city | 1 | $103.82 | $103.82 | $103.82 | 1.0× |
| Little Rock-North Little Rock-Conway, AR | 2 | $18.45 | $41.13 | $63.80 | 3.5× |
| Littlefield, TX single city | 1 | $34.00 | $34.00 | $34.00 | 1.0× |
| Livingston, MT single city | 1 | $299.25 | $299.25 | $299.25 | 1.0× |
| Logansport, IN | 1 | $64.58 | $64.58 | $64.58 | 1.0× |
| Los Angeles-Long Beach-Anaheim, CA | 4 | $154.80 | $271.00 | $271.00 | 1.8× |
| Louisville, GA single city | 1 | $52.00 | $52.00 | $52.00 | 1.0× |
| Louisville, MS single city | 1 | $151.71 | $151.71 | $151.71 | 1.0× |
| Louisville/Jefferson County, KY-IN | 1 | $44.16 | $44.16 | $44.16 | 1.0× |
| Lousiana, MO single city | 1 | $221.60 | $221.60 | $221.60 | 1.0× |
| Lovelock, NV single city | 1 | $337.00 | $337.00 | $337.00 | 1.0× |
| Luther Eads, CO single city | 1 | $16.20 | $16.20 | $16.20 | 1.0× |
| Lyons, KS single city | 1 | $135.00 | $135.00 | $135.00 | 1.0× |
| Machias, ME single city | 1 | $293.00 | $293.00 | $293.00 | 1.0× |
| Madison, MN single city | 1 | $182.75 | $182.75 | $182.75 | 1.0× |
| Madison, WI | 1 | $200.20 | $200.20 | $200.20 | 1.0× |
| Madisonville, TX single city | 1 | $64.58 | $64.58 | $64.58 | 1.0× |
| Manchester-Nashua, NH | 1 | $26.40 | $26.40 | $26.40 | 1.0× |
| Many, LA single city | 1 | $78.00 | $78.00 | $78.00 | 1.0× |
| Marinette, WI-MI | 1 | $322.50 | $322.50 | $322.50 | 1.0× |
| Marshall, MO | 1 | $20.50 | $20.50 | $20.50 | 1.0× |
| Martinsville, VA | 1 | $636.40 | $636.40 | $636.40 | 1.0× |
| Maryville, MO | 1 | $212.50 | $212.50 | $212.50 | 1.0× |
| Massena-Ogdensburg, NY | 3 | $158.91 | $159.75 | $162.03 | 1.0× |
| Mayagüez, PR | 1 | $75.00 | $75.00 | $75.00 | 1.0× |
| McAllen-Edinburg-Mission, TX | 1 | $85.80 | $85.80 | $85.80 | 1.0× |
| McPherson, KS | 1 | $175.63 | $175.63 | $175.63 | 1.0× |
| McVille, ND single city | 1 | $255.00 | $255.00 | $255.00 | 1.0× |
| Medford, WI single city | 1 | $200.20 | $200.20 | $200.20 | 1.0× |
| Memphis, MO single city | 1 | $191.10 | $191.10 | $191.10 | 1.0× |
| Memphis, TN-MS-AR | 4 | $89.98 | $89.98 | $89.98 | 1.0× |
| Merced, CA | 1 | $84.49 | $84.49 | $84.49 | 1.0× |
| Meriden, CT single city | 1 | $370.00 | $370.00 | $370.00 | 1.0× |
| Merrill, WI single city | 1 | $200.20 | $200.20 | $200.20 | 1.0× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 1 | $297.50 | $297.50 | $297.50 | 1.0× |
| Minocqua, WI single city | 1 | $143.45 | $143.45 | $143.45 | 1.0× |
| Missoula, MT | 1 | $172.80 | $172.80 | $172.80 | 1.0× |
| Monroe, LA | 1 | $179.25 | $179.25 | $179.25 | 1.0× |
| Monroeville, AL single city | 1 | $51.20 | $51.20 | $51.20 | 1.0× |
| Monticello, KY single city | 1 | $113.13 | $113.13 | $113.13 | 1.0× |
| Montpelier, OH single city | 1 | $64.50 | $64.50 | $64.50 | 1.0× |
| Morgan City, LA | 1 | $186.90 | $186.90 | $186.90 | 1.0× |
| Morgantown, WV | 1 | $106.00 | $106.00 | $106.00 | 1.0× |
| Morrilton, AR single city | 1 | $45.06 | $45.06 | $45.06 | 1.0× |
| Morris, MN single city | 1 | $192.75 | $192.75 | $192.75 | 1.0× |
| Moscow, ID | 1 | $232.00 | $232.00 | $232.00 | 1.0× |
| Moultrie, GA | 1 | $401.00 | $401.00 | $401.00 | 1.0× |
| Mount Vernon, OH | 1 | $154.40 | $154.40 | $154.40 | 1.0× |
| Mount Vernon-Anacortes, WA | 1 | $124.00 | $124.00 | $124.00 | 1.0× |
| Nacogdoches, TX | 1 | $184.00 | $184.00 | $184.00 | 1.0× |
| Napoleon, OH single city | 1 | $176.25 | $176.25 | $176.25 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 1 | $47.40 | $47.40 | $47.40 | 1.0× |
| Natchitoches, LA | 2 | $99.20 | $180.10 | $261.00 | 2.6× |
| Navasota, TX single city | 1 | $64.58 | $64.58 | $64.58 | 1.0× |
| Neillsville, WI single city | 1 | $143.45 | $143.45 | $143.45 | 1.0× |
| Nevada, MO single city | 1 | $163.80 | $163.80 | $163.80 | 1.0× |
| New Castle, IN | 1 | $279.09 | $279.09 | $279.09 | 1.0× |
| New London, WI single city | 1 | $250.43 | $250.43 | $250.43 | 1.0× |
| New Martinsville, WV single city | 1 | $93.00 | $93.00 | $93.00 | 1.0× |
| New Philadelphia-Dover, OH | 1 | $18.36 | $18.36 | $18.36 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 31 | $95.55 | $298.00 | $700.95 | 7.3× |
| Norwich, CT single city | 1 | $370.00 | $370.00 | $370.00 | 1.0× |
| Ocala, FL | 1 | $292.91 | $292.91 | $292.91 | 1.0× |
| Ocean Pines, MD | 1 | $325.00 | $325.00 | $325.00 | 1.0× |
| Oklahoma City, OK | 4 | $26.30 | $87.17 | $104.00 | 4.0× |
| Olney, IL single city | 1 | $546.00 | $546.00 | $546.00 | 1.0× |
| Omaha, NE-IA | 1 | $203.25 | $203.25 | $203.25 | 1.0× |
| Orlando-Kissimmee-Sanford, FL | 1 | $88.00 | $88.00 | $88.00 | 1.0× |
| Oshkosh-Neenah, WI | 3 | $250.43 | $250.43 | $251.37 | 1.0× |
| Owosso, MI | 1 | $112.00 | $112.00 | $112.00 | 1.0× |
| Paducah, KY-IL | 1 | $70.95 | $70.95 | $70.95 | 1.0× |
| Panama City-Panama City Beach, FL | 1 | $30.40 | $30.40 | $30.40 | 1.0× |
| Park Falls, WI single city | 1 | $143.45 | $143.45 | $143.45 | 1.0× |
| Paulidng, OH single city | 1 | $103.70 | $103.70 | $103.70 | 1.0× |
| Pearsall, TX single city | 1 | $153.00 | $153.00 | $153.00 | 1.0× |
| Pensacola-Ferry Pass-Brent, FL | 1 | $27.60 | $27.60 | $27.60 | 1.0× |
| Philadelphia, MS single city | 1 | $137.41 | $137.41 | $137.41 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 5 | $39.00 | $39.00 | $39.00 | 1.0× |
| Phillipsburg, KS single city | 1 | $193.80 | $193.80 | $193.80 | 1.0× |
| Pine Bluff, AR | 1 | $235.00 | $235.00 | $235.00 | 1.0× |
| Pittsburgh, PA | 2 | $80.22 | $149.31 | $218.40 | 2.7× |
| Pittsfield, MA | 3 | $100.70 | $100.70 | $100.70 | 1.0× |
| Pittsfield, ME single city | 1 | $25.84 | $25.84 | $25.84 | 1.0× |
| Plainview, TX | 1 | $75.18 | $75.18 | $75.18 | 1.0× |
| Platteville, WI | 1 | $87.75 | $87.75 | $87.75 | 1.0× |
| Polson, MT single city | 1 | $137.60 | $137.60 | $137.60 | 1.0× |
| Ponce, PR | 1 | $112.50 | $112.50 | $112.50 | 1.0× |
| Pontotoc, MS single city | 1 | $128.14 | $128.14 | $128.14 | 1.0× |
| Portland-South Portland, ME | 1 | $68.38 | $68.38 | $68.38 | 1.0× |
| Prescott Valley-Prescott, AZ | 1 | $99.30 | $99.30 | $99.30 | 1.0× |
| Presque Isle, ME single city | 1 | $42.84 | $42.84 | $42.84 | 1.0× |
| Providence-Warwick, RI-MA | 1 | $231.00 | $231.00 | $231.00 | 1.0× |
| Rangely, CO single city | 1 | $96.48 | $96.48 | $96.48 | 1.0× |
| Rapid City, SD | 1 | $78.60 | $78.60 | $78.60 | 1.0× |
| Rawlins, WY single city | 1 | $199.50 | $199.50 | $199.50 | 1.0× |
| Reno, NV | 1 | $179.00 | $179.00 | $179.00 | 1.0× |
| Rhinelander, WI single city | 1 | $200.20 | $200.20 | $200.20 | 1.0× |
| Rice Lake, WI | 2 | $143.45 | $276.20 | $408.95 | 2.9× |
| Richmond-Berea, KY | 1 | $449.92 | $449.92 | $449.92 | 1.0× |
| Ripley, MS single city | 1 | $234.00 | $234.00 | $234.00 | 1.0× |
| Riverside-San Bernardino-Ontario, CA | 4 | $66.33 | $138.43 | $726.00 | 10.9× |
| Rochester, NY | 5 | $116.27 | $201.53 | $332.35 | 2.9× |
| Rolla, MO | 1 | $223.12 | $223.12 | $223.12 | 1.0× |
| Roseau, MN single city | 1 | $220.00 | $220.00 | $220.00 | 1.0× |
| Rotan, TX single city | 1 | $166.00 | $166.00 | $166.00 | 1.0× |
| Ruleville, MS single city | 1 | $102.50 | $102.50 | $102.50 | 1.0× |
| Rushville, IN single city | 1 | $157.56 | $157.56 | $157.56 | 1.0× |
| Russellville, AR | 1 | $72.50 | $72.50 | $72.50 | 1.0× |
| Salida, CO single city | 1 | $184.45 | $184.45 | $184.45 | 1.0× |
| Salinas, CA | 1 | $237.75 | $237.75 | $237.75 | 1.0× |
| San Diego-Chula Vista-Carlsbad, CA | 2 | $91.50 | $109.83 | $128.15 | 1.4× |
| San Jose-Sunnyvale-Santa Clara, CA | 2 | $124.00 | $152.00 | $180.00 | 1.5× |
| San Juan-Bayamón-Caguas, PR | 2 | $1,400.00 | $1,400.00 | $1,400.00 | 1.0× |
| Sandersville, GA single city | 1 | $121.50 | $121.50 | $121.50 | 1.0× |
| Satanta, KS single city | 1 | $191.70 | $191.70 | $191.70 | 1.0× |
| Savannah, TN single city | 1 | $30.18 | $30.18 | $30.18 | 1.0× |
| Scobey, MT single city | 1 | $503.20 | $503.20 | $503.20 | 1.0× |
| Scottsboro, AL | 1 | $202.30 | $202.30 | $202.30 | 1.0× |
| Scranton--Wilkes-Barre, PA | 1 | $255.00 | $255.00 | $255.00 | 1.0× |
| Seattle-Tacoma-Bellevue, WA | 3 | $149.10 | $163.28 | $212.80 | 1.4× |
| Seneca, KS single city | 1 | $193.50 | $193.50 | $193.50 | 1.0× |
| Shawano, WI | 1 | $250.43 | $250.43 | $250.43 | 1.0× |
| Sheboygan, WI | 1 | $375.00 | $375.00 | $375.00 | 1.0× |
| Sheldon, IA single city | 1 | $213.60 | $213.60 | $213.60 | 1.0× |
| Shell Lake, WI single city | 1 | $332.00 | $332.00 | $332.00 | 1.0× |
| Sheridan, WY | 1 | $379.20 | $379.20 | $379.20 | 1.0× |
| Sidney, MT single city | 1 | $260.07 | $260.07 | $260.07 | 1.0× |
| Sierra Vista-Douglas, AZ | 1 | $65.76 | $65.76 | $65.76 | 1.0× |
| Sioux Falls, SD-MN | 2 | $277.60 | $371.30 | $465.00 | 1.7× |
| Snyder, TX | 1 | $283.00 | $283.00 | $283.00 | 1.0× |
| Soda Springs, ID single city | 1 | $194.44 | $194.44 | $194.44 | 1.0× |
| Somerset, PA | 2 | $165.75 | $327.38 | $489.00 | 3.0× |
| Spencer, WV single city | 1 | $279.30 | $279.30 | $279.30 | 1.0× |
| Spokane-Spokane Valley, WA | 1 | $157.50 | $157.50 | $157.50 | 1.0× |
| Springfield, MO | 2 | $113.10 | $113.10 | $113.10 | 1.0× |
| St. Johnsbury, VT single city | 1 | $142.50 | $142.50 | $142.50 | 1.0× |
| St. Joseph, MO-KS | 2 | $221.00 | $221.00 | $221.00 | 1.0× |
| St. Louis, MO-IL | 4 | $131.30 | $131.30 | $231.84 | 1.8× |
| St. Marys, PA | 1 | $185.00 | $185.00 | $185.00 | 1.0× |
| Staples, MN single city | 1 | $174.22 | $174.22 | $174.22 | 1.0× |
| Starkville, MS | 2 | $107.52 | $117.83 | $128.14 | 1.2× |
| Ste. Genevieve, MO single city | 1 | $139.00 | $139.00 | $139.00 | 1.0× |
| Stevens Point-Plover, WI | 3 | $143.45 | $200.20 | $200.20 | 1.4× |
| Sulphur, OK single city | 1 | $170.00 | $170.00 | $170.00 | 1.0× |
| Sweetwater, TX | 1 | $139.00 | $139.00 | $139.00 | 1.0× |
| Syracuse, KS single city | 1 | $222.81 | $222.81 | $222.81 | 1.0× |
| Talladega-Sylacauga, AL | 1 | $61.00 | $61.00 | $61.00 | 1.0× |
| Tampa-St. Petersburg-Clearwater, FL | 6 | $157.85 | $287.06 | $287.06 | 1.8× |
| Tell City, IN single city | 1 | $298.20 | $298.20 | $298.20 | 1.0× |
| Toledo, OH | 1 | $179.40 | $179.40 | $179.40 | 1.0× |
| Tomahawk, WI single city | 1 | $200.20 | $200.20 | $200.20 | 1.0× |
| Trenton-Princeton, NJ | 2 | $4,093.00 | $4,093.00 | $4,093.00 | 1.0× |
| Truckee-Grass Valley, CA | 1 | $179.00 | $179.00 | $179.00 | 1.0× |
| Tullahoma-Manchester, TN | 1 | $219.20 | $219.20 | $219.20 | 1.0× |
| Tulsa, OK | 1 | $258.40 | $258.40 | $258.40 | 1.0× |
| Tupelo, MS | 1 | $128.14 | $128.14 | $128.14 | 1.0× |
| Two Harbors, MN single city | 1 | $253.48 | $253.48 | $253.48 | 1.0× |
| Upper Sandusky, OH single city | 1 | $300.37 | $300.37 | $300.37 | 1.0× |
| Utah Hiawatha, KS single city | 1 | $321.00 | $321.00 | $321.00 | 1.0× |
| Utica-Rome, NY | 1 | $188.93 | $188.93 | $188.93 | 1.0× |
| Vallejo, CA | 1 | $322.91 | $322.91 | $322.91 | 1.0× |
| Vincennes, IN | 1 | $80.40 | $80.40 | $80.40 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 2 | $20.84 | $140.62 | $260.39 | 12.5× |
| Visalia, CA | 1 | $197.00 | $197.00 | $197.00 | 1.0× |
| Wadena, MN single city | 1 | $485.50 | $485.50 | $485.50 | 1.0× |
| Walla Walla, WA | 1 | $105.70 | $105.70 | $105.70 | 1.0× |
| Warrensburg, MO | 1 | $418.10 | $418.10 | $418.10 | 1.0× |
| Washington Court House, OH | 1 | $143.33 | $143.33 | $143.33 | 1.0× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 2 | $93.50 | $96.00 | $98.50 | 1.1× |
| Watertown-Fort Drum, NY | 1 | $279.50 | $279.50 | $279.50 | 1.0× |
| Waupaca, WI single city | 1 | $250.43 | $250.43 | $250.43 | 1.0× |
| Wausau, WI | 2 | $143.45 | $171.83 | $200.20 | 1.4× |
| Waverly, OH single city | 1 | $71.67 | $71.67 | $71.67 | 1.0× |
| Waynesboro, MS single city | 1 | $155.00 | $155.00 | $155.00 | 1.0× |
| Waynesburg, PA single city | 1 | $80.22 | $80.22 | $80.22 | 1.0× |
| Weirton-Steubenville, WV-OH | 1 | $134.50 | $134.50 | $134.50 | 1.0× |
| Wenatchee-East Wenatchee, WA | 1 | $404.80 | $404.80 | $404.80 | 1.0× |
| West Point, MS single city | 1 | $128.14 | $128.14 | $128.14 | 1.0× |
| Wheeling, WV-OH | 1 | $196.00 | $196.00 | $196.00 | 1.0× |
| Whitesburg, KY single city | 1 | $77.40 | $77.40 | $77.40 | 1.0× |
| Wichita Falls, TX | 1 | $200.90 | $200.90 | $200.90 | 1.0× |
| Wild Rose, WI single city | 1 | $250.43 | $250.43 | $250.43 | 1.0× |
| Willows, CA single city | 1 | $194.67 | $194.67 | $194.67 | 1.0× |
| Winamac, IN single city | 1 | $256.62 | $256.62 | $256.62 | 1.0× |
| Winfield, AL single city | 1 | $128.14 | $128.14 | $128.14 | 1.0× |
| Winner, SD single city | 1 | $347.00 | $347.00 | $347.00 | 1.0× |
| Winnsboro, LA single city | 1 | $172.80 | $172.80 | $172.80 | 1.0× |
| Winters, TX single city | 1 | $202.30 | $202.30 | $202.30 | 1.0× |
| Wisconsin Rapids-Marshfield, WI | 2 | $143.45 | $171.83 | $200.20 | 1.4× |
| Wolfeboro, NH single city | 1 | $60.50 | $60.50 | $60.50 | 1.0× |
| Woodruff, WI single city | 1 | $200.20 | $200.20 | $200.20 | 1.0× |
| Yreka, CA single city | 1 | $321.00 | $321.00 | $321.00 | 1.0× |
| Yuma, AZ | 1 | $133.25 | $133.25 | $133.25 | 1.0× |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
Highest The highest cash price among those hospitals. A single very high price can be an error in the file; check the median too.
Highest ÷ lowest How many times the highest cash price is above the lowest in the same market.
Common questions
What is CPT code 99243?
CPT 99243 is the billing code for specialist consultation, low complexity or 30+ minutes. 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.
Why does my specialist use a different code?
Medicare and many insurers do not recognize consultation codes, so practices often bill new patient visit codes (99202 to 99205) instead.
Do I need a referral?
A consultation, by definition, is requested by another clinician, but self-pay patients can often book a specialist directly as a new patient visit.
Is it cheaper to pay cash or use insurance for specialist consultation?
It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for specialist consultation has a median of $270.30 and the lowest a median of $84.92; at 313 of 387 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.
Which states have the cheapest specialist consultation?
Among 32 states with at least 5 hospitals listing a cash price, the median is lowest in Maine ($45.17), Texas ($89.36) and Tennessee ($89.98), and highest in Georgia ($414.00), Montana ($299.25) and New York ($298.00). Prices vary as much between hospitals in the same state, so compare hospitals near you.
Other doctor visit prices
Median hospital cash price, one per hospital.