Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES
Cedar Rapids, IA
See all hospitals reporting CPT 99243 →Price type
St Luke's Methodist Hospital’s median price of $172 is 11% above the median hospital's median price ($155), higher than 55% of the 1,118 hospitals reporting CPT 99243. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 8 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Wellmark commercial fee schedule · both | $125 | $125 | — | — | — | $125 – $125 |
| 2 | Wellmark hmo fee schedule · both | $125 | $125 | — | — | — | $125 – $125 |
| 3 | Wellmark ppo fee schedule · both | $125 | $125 | — | — | — | $125 – $125 |
| 4 | Cigna commercial fee schedule · both | $172 | $172 | — | — | — | $172 – $172 |
| 5 | Aetna hmo fee schedule · both | $192 | $192 | — | — | — | $192 – $192 |
| 6 | Aetna ppo fee schedule · both | $192 | $192 | — | — | — | $192 – $192 |
| 7 | UnitedHealthcare hmo fee schedule · both | $217 | $217 | — | — | — | $217 – $217 |
| 8 | UnitedHealthcare ppo fee schedule · both | $217 | $217 | — | — | — | $217 – $217 |
Last updated: Jan 28, 2026
See Low-complexity outpatient consultation, unscheduled visit pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.