Doctor visits and therapy CPT 99243 Pennsylvania Outpatient

Specialist consultation, low complexity or 30+ minutes cost in Pennsylvania

In Pennsylvania, 13 hospitals publish a cash price for Specialist consultation, low complexity or 30+ minutes: from $38.10 to $489.00, with a median of $185.00. The lowest price is at Penn State Health Milton S. Hershey Medical Center (Hershey). The highest price is 12.8× the lowest.

Outpatient cash prices, one line per hospital — its lowest listed price for code 99243. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 23, 2026.

Lowest$38.10Penn State Health Milton S. Hershey Medical Center
Median$185.00half pay less
Highest$489.00in Pennsylvania
Lowest saves$146.90vs the median

Hospitals in Pennsylvania, cheapest first

HospitalCash price List priceFile date
Penn State Health Milton S. Hershey Medical Center lowest Hershey · Harrisburg-Carlisle, PA MG. Consult Level 3 Outpatient - Report $38.10 $115.00 —
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UPMC Greene Waynesburg · Waynesburg, PA RETURN TO WORK EXTENDED $80.22 $114.60 —
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UPMC Washington Washington · Pittsburgh, PA RETURN TO WORK EXTENDED $80.22 $114.60 —
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Monogahela Valley Hospital Monongahela · Pittsburgh, PA CONSULTATION LEVEL 3 $124.80 $208.00 —
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UPMC Wellsboro Wellsboro · Wellsboro, PA P OFFICE CONSULT 99243 $166.80 $278.00 —
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Penn Highlands Brookville Brookville · Brookville, PA OV CONSULT PROB DETAILED L3 $185.00 $185.00 Apr 1, 2026
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Penn Highlands Elk Saint Marys · St. Marys, PA OV CONSULT PROB DETAILED L3 $185.00 $185.00 Apr 1, 2026
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Penn Highlands Huntingdon Huntingdon · Huntingdon, PA RHC OV CONSULT PROB DETAILED L3 $185.00 $185.00 Apr 1, 2026
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Penn Highlands Tyrone Tyrone · Altoona, PA RHC OV CONSULT PROB DETAILED L3 $185.00 $185.00 Apr 1, 2026
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UPMC Cole Coudersport · Coudersport, PA OFFICE CONSULTATION $359.40 $599.00 —
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Penn Highlands Dubois Dubois · DuBois, PA PC OV CONSULT PROB DETAIL GLOBAL $373.00 $373.00 Aug 1, 2025
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UPMC Pinnacle Hospitals Harrisburg · Harrisburg-Carlisle, PA HC CONSULT OUTPT D/LC $489.00 $815.00 —
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UPMC Somerset Somerset · Somerset, PA HC CONSULT OUTPT D/LC $489.00 $815.00 —
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By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitals LowestMedian
Harrisburg-Carlisle, PA 2 $38.10 $263.55
Pittsburgh, PA 2 $80.22 $102.51
Altoona, PA 1 $185.00 $185.00
Brookville, PA 1 $185.00 $185.00
Coudersport, PA 1 $359.40 $359.40
DuBois, PA 1 $373.00 $373.00
Huntingdon, PA 1 $185.00 $185.00
Somerset, PA 1 $489.00 $489.00
St. Marys, PA 1 $185.00 $185.00
Waynesburg, PA 1 $80.22 $80.22
Wellsboro, PA 1 $166.80 $166.80

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.

Specialist consultation, low complexity or 30+ minutes in other states

Median cash price across the state's hospitals.