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 EST OUTPT VISIT LEVEL 3
Dodge City, KS
See all hospitals reporting HCPCS G0463 →Price type
Commonspirit Kansas, Inc.’s median price of $306 is 95% above the median hospital's median price ($157), higher than 90% 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, 15 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 | Bcbs Ks commercial ppo/hmo fee schedule · outpatient | $53.57 | $53.57 | $53.57 – $53.57 |
| 2 | Aetna managed medicare fee schedule · outpatient | $133.30 | $133.30 | $133.30 – $133.30 |
| 3 | Bcbs Ks managed medicare fee schedule · outpatient | $133.30 | $133.30 | $133.30 – $133.30 |
| 4 | Cigna managed medicare fee schedule · outpatient | $133.30 | $133.30 | $133.30 – $133.30 |
| 5 | Humana managed medicare fee schedule · outpatient | $133.30 | $133.30 | $133.30 – $133.30 |
| 6 | Kaiser managed medicare fee schedule · outpatient | $133.30 | $133.30 | $133.30 – $133.30 |
| 7 | Medicare medicare fee schedule · outpatient | $133.30 | $133.30 | $133.30 – $133.30 |
| 8 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges | $363.01 | $499.19 | $223.94 – $978.45 |
| 9 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges | $363.01 | $499.19 | $223.94 – $978.45 |
| 10 | Aetna commercial ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges | $386.18 | $531.06 | $238.23 – $1,041 |
| 11 | Aetna commercial ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges | $441.35 | $606.92 | $272.26 – $1,190 |
| 12 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $441.35 | $606.92 | $272.26 – $1,190 |
| 13 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $441.35 | $606.92 | $272.26 – $1,190 |
| 14 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $496.52 | $682.79 | $306.30 – $1,338 |
| 15 | MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges | $496.52 | $682.79 | $306.30 – $1,338 |
Last updated: Feb 5, 2026
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