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 Office/Outpatient Established Sf Mdm 10-19 Min - G0463 - 76100007
Mesquite, TX
See all hospitals reporting HCPCS G0463 →Price type
Dallas Regional Medical Center’s median price of $140 is 11% below the median hospital's median price ($157), higher than 36% 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, 17 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 triwest - bcbs fee schedule · outpatient | $129.09 | $129.09 | $129.09 – $129.09 |
| 2 | Aetna aetna medicare advantage fee schedule · outpatient | $133.08 | $133.08 | $133.08 – $133.08 |
| 3 | Blue Cross Blue Shield bcbs medicare hmo/ppo fee schedule · outpatient | $133.08 | $133.08 | $133.08 – $133.08 |
| 4 | Cigna Healthspring cigna healthspring medicare advantage fee schedule · outpatient | $133.08 | $133.08 | $133.08 – $133.08 |
| 5 | Cigna Healthspring cigna healthspring mmp dual eligible fee schedule · outpatient | $133.08 | $133.08 | $133.08 – $133.08 |
| 6 | Tricare tricare fee schedule · outpatient | $133.08 | $133.08 | $133.08 – $133.08 |
| 7 | UnitedHealthcare uhc medicare advantage fee schedule · outpatient | $133.08 | $133.08 | $133.08 – $133.08 |
| 8 | WellCare superior health plan medicare advantage/mmp dual eligible fee schedule · outpatient | $133.08 | $133.08 | $133.08 – $133.08 |
| 9 | Cigna Healthspring cigna healthspring medicare advantage ppo fee schedule · outpatient | $137.07 | $137.07 | $137.07 – $137.07 |
| 10 | Molina molina medicare advantage mmp fee schedule · outpatient | $139.73 | $139.73 | $139.73 – $139.73 |
| 11 | MultiPlan multiplan medicare fee schedule · outpatient | $139.73 | $139.73 | $139.73 – $139.73 |
| 12 | WellCare superior commercial exchange epo hmo fee schedule · outpatient | $173.00 | $173.00 | $173.00 – $173.00 |
| 13 | Aetna aetna exchange fee schedule · outpatient | $199.62 | $199.62 | $199.62 – $199.62 |
| 14 | Blue Cross Blue Shield bcbs blue advantage (07-01-2023 to 12-31-2026) fee schedule · outpatient | $209.00 | $209.00 | $209.00 – $209.00 |
| 15 | Blue Cross Blue Shield bcbs hmo/blue essentials (05-01-2023 to 12-31-2026) fee schedule · outpatient | $252.00 | $252.00 | $252.00 – $252.00 |
| 16 | Blue Cross Blue Shield bcbs ppo/pos (05-01-2023 to 12-31-2026) fee schedule · outpatient | $280.00 | $280.00 | $280.00 – $280.00 |
| 17 | Blue Cross Blue Shield bcbs traditional (05-01-2023 to 12-31-2026) fee schedule · outpatient | $280.00 | $280.00 | $280.00 – $280.00 |
Last updated: Sep 1, 2026
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