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
Hospital outpt clinic visit
Park Ridge, IL
See all hospitals reporting HCPCS G0463 →Price type
Advocate Lutheran General Hospital’s median price of $162 is 3% above the median hospital's median price ($157), higher than 55% of the 1,746 hospitals reporting HCPCS G0463. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 6 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 | Blue Cross Blue Shield commercial fee schedule · outpatient | $106.45 | $106.45 | $102.33 – $110.57 |
| 2 | Blue Cross Blue Shield ppo fee schedule · outpatient | $116.43 | $116.43 | $116.43 – $116.43 |
| 3 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $129.48 | $129.48 | $129.48 – $129.48 |
| 4 | Ambetter medicare advantage case rate · outpatient | $194.79 | $194.79 | $194.79 – $194.79 |
| 5 | Molina medicare advantage case rate · outpatient | $194.79 | $194.79 | $194.79 – $194.79 |
| 6 | Oscar medicare advantage case rate · outpatient | $201.51 | $201.51 | $201.51 – $201.51 |
Last updated: Nov 4, 2025
See Unscheduled hospital outpatient clinic visit pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.