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
99204 Off Fac: Office/op Visit, New P
Calais, ME
See all hospitals reporting HCPCS G0463 →Price type
Calais Community Hospital’s median price of $30 is 81% below the median hospital's median price ($157), higher than 1% of the 1,758 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: 6 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 | Anthem medicare advantage fee schedule · outpatient | $11 | $11 | $5 | 51% | — | $2 – $19 |
| 2 | UnitedHealthcare medicare advantage fee schedule · outpatient | $11 | $11 | $5 | 51% | — | $2 – $19 |
| 3 | Humana commercial percent of total billed charges · outpatientfrom % of charges | $26 | $26 | $13 | 51% | — | $5 – $46 |
| 4 | WellCare hmo percent of total billed charges · outpatientfrom % of charges | $26 | $26 | $13 | 51% | — | $5 – $46 |
| 5 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $49 | $50 | $25 | 51% | — | $11 – $90 |
| 6 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $52 | $52 | $27 | 51% | — | $11 – $95 |
| 7 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $53 | $54 | $27 | 51% | — | $11 – $97 |
| 8 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $55 | $56 | $28 | 50% | — | $12 – $100 |
Last updated: Sep 29, 2026
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.