Preview of prices split by billing class

Unscheduled hospital outpatient clinic visit HCPCS G0463

A hospital usually bills a facility fee (its own: room, staff, supplies) and, for some, a separate professional fee (the clinician’s). The main code page averages the two. These views keep them apart.

What a typical hospital charges

$357median estimated total, 9 hospitals that file both fees

Facility $231 · 65%Pro $126 · 35%

The typical split across the 9 hospitals that file both. Select a share for that fee on its own.

Facility average plus professional average, for the 9 hospitals that file both under fee schedule · outpatient. An estimate for this code only: anesthesia, radiology and pathology are billed under other codes, and independent groups may bill separately and not appear in a hospital's file. The median is across those hospitals' totals, which is not the sum of the facility and professional medians.

Hospitals

7 sets of terms with fewer hospitals are not listed.

Of 1,701 hospitals with any price for this code, only those filing both a facility and a professional price on these terms appear here; the rest file another methodology or setting, or no billing class. 1,224 of them file neither class on these terms.

Showing 1–9 of 9

Hospital	Facility	Professional	Estimated total	Split
Gillette Children's Specialty Healthcare PAUL, MN	$106	$71	$177
Glens Falls Hospital Inc Falls, NY	$192	$20	$212

Price distribution

Estimated totalFee schedule · Outpatient

9 hospitals; the 90th percentile is 2.5× the 10th.