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
HC NEW OUTPT VISIT LEVEL 5
West Jordan, UT
See all hospitals reporting HCPCS G0463 →Price type
Catholic Health Initiatives Colorado’s median price of $268 is 70% above the median hospital's median price ($157), higher than 85% 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: 8 payers, 37 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 | Medicare medicare other · inpatient | $96.85 | $96.85 | $96.85 – $96.85 |
| 2 | Molina managed medicaid other · inpatient | $104.94 | $104.94 | $104.94 – $104.94 |
| 3 | Aetna managed medicaid other · inpatient | $123.54 | $123.54 | $123.54 – $123.54 |
| 4 | Cigna commercial all other other · inpatient | $123.54 | $123.54 | $123.54 – $123.54 |
| 5 | Cigna commercial all other other · outpatient | $123.54 | $123.54 | $123.54 – $123.54 |
| 6 | UnitedHealthcare commercial ppo/pos/hmo other · inpatient | $123.54 | $123.54 | $123.54 – $123.54 |
| 7 | Humana managed medicare fee schedule · outpatient | $133.30 | $133.30 | $133.30 – $133.30 |
| 8 | Medicare managed medicare fee schedule · outpatient | $133.30 | $133.30 | $133.30 – $133.30 |
| 9 | Medicare medicare fee schedule · outpatient | $133.30 | $133.30 | $133.30 – $133.30 |
| 10 | Aetna managed medicaid fee schedule · outpatient | $136.02 | $136.02 | $136.02 – $136.02 |
| 11 | Molina managed medicaid fee schedule · outpatient | $136.02 | $136.02 | $136.02 – $136.02 |
| 12 | Regence commercial savewell percent of total billed charges · inpatientfrom % of charges | $210.50 | $213.79 | $101.68 – $319.27 |
| 13 | Molina commercial ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges | $243.04 | $246.84 | $117.40 – $368.64 |
| 14 | Aetna commercial peak performance percent of total billed charges · inpatientfrom % of charges | $250.06 | $253.97 | $120.79 – $379.28 |
| 15 | Aetna commercial peak performance percent of total billed charges · outpatientfrom % of charges | $250.06 | $254.67 | $120.79 – $379.28 |
| 16 | Regence commercial uvu percent of total billed charges · inpatientfrom % of charges | $259.35 | $263.40 | $125.27 – $393.36 |
| 17 | UnitedHealthcare commercial ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges | $259.80 | $264.58 | $125.49 – $394.05 |
| 18 | Molina commercial ppo/pos/hmo fee schedule · outpatient | $282.92 | $282.92 | $282.92 – $282.92 |
| 19 | Aetna commercial standard network percent of total billed charges · inpatientfrom % of charges | $298.29 | $302.95 | $144.08 – $452.42 |
| 20 | Aetna commercial standard network percent of total billed charges · outpatientfrom % of charges | $298.29 | $303.78 | $144.08 – $452.42 |
| 21 | Regence commercial ppo percent of total billed charges · inpatientfrom % of charges | $305.08 | $309.84 | $147.36 – $462.73 |
| 22 | Regence commercial par percent of total billed charges · inpatientfrom % of charges | $339.61 | $344.91 | $164.04 – $515.09 |
| 23 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $390.55 | $396.65 | $188.65 – $592.36 |
| 24 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $390.55 | $397.74 | $188.65 – $592.36 |
| 25 | Aetna commercial signature percent of total billed charges · inpatientfrom % of charges | $411.38 | $417.80 | $198.71 – $623.95 |
Last updated: Feb 11, 2026
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